SSM Health Monroe Hospital
515 22Nd Ave, Monroe, WI · SSM Health · · NPI 1073653523
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $57.30 – $57.30 | 1 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $3,159.80 – $11,747.34 | 2 |
| Small animal inoculation CPT 87003 | not published | not published | $16.84 – $29.47 | 4 |
| Small bowel endoscopy CPT 44360 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Small bowel endoscopy CPT 44364 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Small bowel endoscopy CPT 44366 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Small bowel endoscopy CPT 44369 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Small bowel endoscopy CPT 44376 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Small bowel endoscopy CPT 44378 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Small bowel endoscopy CPT 44382 | not published | not published | $880.98 – $4,217.00 | 3 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,863.90 – $8,433.00 | 3 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $880.98 – $4,217.00 | 3 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $1,863.90 – $4,743.00 | 3 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $5,896.86 – $10,137.00 | 3 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.03 | 3 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $55.55 | $101.00 | $5.39 – $9.43 | 4 |
| Smear gram stain CPT 87205 | $62.70 | $114.00 | $4.27 – $7.47 | 4 |
| Smear nasal eosinophil CPT 89190 | $61.05 | $111.00 | $5.79 – $10.13 | 4 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $68.20 | $124.00 | $5.99 – $10.48 | 4 |
| Smear wet mount CPT 87210 | $31.90 | $58.00 | $5.82 – $10.19 | 4 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $301.35 – $527.36 | 4 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $185.20 – $324.10 | 4 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $47.00 – $82.25 | 4 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $51.07 – $89.37 | 4 |
| Sodium 24 hour urine CPT 84300 | $38.50 | $70.00 | $5.06 – $8.86 | 4 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | not published | not published | $2.47 – $7.41 | 6 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | not published | not published | $1.24 – $3.71 | 6 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $0.62 – $1.85 | 6 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.28 – $0.28 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | not published | not published | $1.94 – $5.81 | 6 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $73.96 – $221.88 | 6 |
| Sodium serum/plasma/whole blood CPT 84295 | $42.90 | $78.00 | $4.81 – $8.42 | 4 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $0.84 – $2.52 | 2 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $84.53 – $84.53 | 1 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,345.31 – $2,354.29 | 4 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,195.83 – $2,092.70 | 4 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,288.51 – $5,754.89 | 4 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,046.35 – $1,831.11 | 4 |
| Somatosensory testing CPT 95927 | not published | not published | $209.73 – $209.73 | 1 |
| Somatropin injection HCPCS J2941 | not published | not published | $442.02 – $442.02 | 1 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,989.55 – $5,231.71 | 4 |
| So neo gsap dna mcrstl ins CPT 81457 | $1,564.20 | $2,844.00 | $896.87 – $1,569.52 | 4 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $62.02 – $62.02 | 1 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $9,837.00 – $10,137.00 | 2 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $9,837.00 – $10,137.00 | 2 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Special physics consult CPT 77370 | not published | not published | $130.56 – $309.63 | 2 |
| Special radiation dosimetry CPT 77331 | not published | not published | $50.04 – $130.56 | 2 |
| Special radiation treatment CPT 77470 | $1,721.50 | $3,130.00 | $110.43 – $536.70 | 2 |
| Special teletx port plan CPT 77321 | not published | not published | $114.77 – $363.70 | 2 |
| Specific gravity body fluid CPT 84315 | $25.85 | $47.00 | $3.28 – $5.74 | 4 |
| Specimen fat stain CPT 89125 | not published | not published | $5.88 – $10.29 | 4 |
| Speech audiometry complete CPT 92556 | not published | not published | $57.30 – $57.30 | 1 |
| Speech evaluation complex CPT 70371 | not published | not published | $126.18 – $231.76 | 2 |
| Speech recep thresh CPT 92555 | not published | not published | $57.30 – $57.30 | 1 |
| Sperm antibody test CPT 89325 | not published | not published | $10.67 – $18.67 | 4 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.59 – $34.28 | 4 |
| Sperm identification CPT 89257 | not published | not published | $50.62 – $50.62 | 1 |
| Sperm isolation complex CPT 89261 | not published | not published | $50.62 – $50.62 | 1 |
| Sperm isolation simple CPT 89260 | not published | not published | $50.62 – $50.62 | 1 |
| Sperm washing 58323 CPT 58323 | not published | not published | $196.38 – $4,217.00 | 3 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $2,696.09 – $10,137.00 | 3 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $9,837.00 – $10,137.00 | 2 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $851.40 | $1,548.00 | $685.65 – $4,217.00 | 3 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $12,470.63 – $17,116.00 | 3 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $209.73 – $209.73 | 1 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $232.65 | $423.00 | $362.46 – $362.46 | 1 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $124.98 – $124.98 | 1 |
| Spleen imaging CPT 78185 | not published | not published | $388.31 – $529.83 | 2 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Splicing of ureters CPT 50770 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Splint finger frog med HCPCS L3927 | $10.64 | $19.35 | not published | 0 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $3,442.14 – $10,137.00 | 3 |
| Split blood or products CPT 86985 | not published | not published | $29.10 – $165.49 | 2 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $320.84 – $4,217.00 | 2 |
| Sputum specimen collection CPT 89220 | not published | not published | $20.80 – $165.49 | 2 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $4,146.34 – $11,288.41 | 2 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $4,743.00 – $17,116.00 | 2 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $4,743.00 – $17,116.00 | 2 |
| Srs cran les complex addl CPT 61799 | not published | not published | $4,137.00 – $13,723.00 | 2 |
| Srs cran les simple addl CPT 61797 | not published | not published | $4,137.00 – $4,743.00 | 2 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $175.40 – $306.95 | 4 |
| Srs linear based CPT 77372 | not published | not published | $2,826.77 – $7,154.15 | 2 |
| Srs multisource CPT 77371 | not published | not published | $3,194.88 – $7,154.15 | 2 |
| Srs spinal lesion CPT 63620 | not published | not published | $4,743.00 – $17,116.00 | 2 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $4,137.00 – $4,743.00 | 2 |
| Staggered spondaic word test CPT 92572 | not published | not published | $124.98 – $124.98 | 1 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $343.20 | $624.00 | $107.00 – $107.00 | 1 |
| Staph a dna amp probe CPT 87640 | $185.35 | $337.00 | $35.09 – $61.41 | 4 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | not published | not published | $100.07 – $100.07 | 1 |
| Stem cells total count CPT 86367 | not published | not published | $77.78 – $136.12 | 4 |
| Stenger test pure tone CPT 92565 | not published | not published | $57.30 – $57.30 | 1 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.