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 |
|---|---|---|---|---|
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $162.46 – $442.30 | 6 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $8,154.27 – $8,154.27 | 1 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $7,048.20 – $15,012.00 | 3 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $3,178.20 – $8,433.00 | 3 |
| Tenolysis triceps CPT 24332 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $7,048.20 – $14,758.00 | 3 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $1,561.89 – $4,743.00 | 3 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $3,178.20 – $17,116.00 | 3 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $1,561.89 – $8,701.00 | 3 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | not published | not published | $1.41 – $4.24 | 6 |
| Teriparatide injection HCPCS J3110 | not published | not published | $214.65 – $214.65 | 1 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $185.20 – $324.10 | 4 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $6.01 – $10.52 | 4 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.82 – $10.19 | 4 |
| Test for urine cystines CPT 82615 | not published | not published | $9.55 – $16.71 | 4 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $388.31 – $483.22 | 2 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $353.43 – $353.43 | 1 |
| Testosterone response panel CPT 80414 | not published | not published | $51.64 – $90.37 | 4 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $2.02 – $5.49 | 6 |
| Test pathogen(s) for platelets reference HCPCS P9100 | not published | not published | $57.30 – $57.30 | 1 |
| Test stress cardiovascular tracing only CPT 93017 | $556.60 | $1,012.00 | $209.73 – $209.73 | 1 |
| Test urine for lactose CPT 83633 | not published | not published | $11.25 – $19.69 | 4 |
| Test urine for porphyrins CPT 84119 | not published | not published | $13.36 – $23.38 | 4 |
| Test urine urobilinogen CPT 84578 | not published | not published | $4.47 – $7.82 | 4 |
| Tetanus ig im CPT 90389 | not published | not published | $2,120.83 – $2,120.83 | 1 |
| Tetanus immune globulin inj HCPCS J1670 | not published | not published | $575.76 – $1,567.50 | 6 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $17.77 – $48.38 | 6 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $137.00 – $239.75 | 4 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $759.53 – $1,329.18 | 4 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,919.60 – $5,109.30 | 4 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $597.91 – $1,046.34 | 4 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $165.49 – $165.49 | 1 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $165.49 – $165.49 | 1 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $165.49 – $165.49 | 1 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $50.62 – $50.62 | 1 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $428.53 – $4,217.00 | 3 |
| Theophylline therapeutic drug level CPT 80198 | $149.60 | $272.00 | $14.14 – $24.75 | 4 |
| Therapeutic procd strg endur HCPCS G0237 | $50.05 | $91.00 | not published | 0 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $100.65 | $183.00 | $25.80 – $25.80 | 1 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | not published | not published | $21.53 – $21.53 | 1 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $194.88 – $2,181.00 | 2 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $3,220.41 – $8,701.00 | 3 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $170.37 – $270.83 | 2 |
| Ther/proph/diag inj ia CPT 96373 | not published | not published | $206.61 – $206.61 | 1 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $446.33 – $446.33 | 1 |
| Ther radiology tx plng intrm CPT 77262 | not published | not published | $305.29 – $305.29 | 1 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $205.44 – $205.44 | 1 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | not published | not published | $1.76 – $5.27 | 6 |
| Thiethylperazine maleate inj HCPCS J3280 | not published | not published | $12.33 – $12.33 | 1 |
| Thiotepa injection HCPCS J9340 | not published | not published | $245.05 – $735.15 | 5 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,526.80 | $2,776.00 | $609.32 – $4,217.00 | 3 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Thoracic duct procedure CPT 38380 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Thoracic duct procedure CPT 38381 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Thoracic duct procedure CPT 38382 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Thoracoscop w/esoph musc exc CPT 32665 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $5,872.22 – $15,012.00 | 3 |
| Thoracoscopy for lvrs CPT 32672 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Thoracoscopy lymph node exc CPT 32674 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Thoracoscopy pneumonectomy CPT 32671 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Thoracoscopy remove cortex CPT 32651 | not published | not published | $13,176.00 – $25,004.00 | 2 |
| Thoracoscopy remove segment CPT 32669 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | not published | not published | $13,176.00 – $17,116.00 | 2 |
| Thoracoscopy resect bullae 32655 CPT 32655 | not published | not published | $13,176.00 – $25,004.00 | 2 |
| Thoracoscopy surgical 32650 CPT 32650 | not published | not published | $13,176.00 – $25,004.00 | 2 |
| Thoracoscopy surgical with control of traumatic hemorrhage CPT 32654 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Thoracoscopy/thoracic sympathectomy32664 CPT 32664 | not published | not published | $10,137.00 – $13,176.00 | 2 |
| Thoracoscopy/tot pulm decortication32652 CPT 32652 | not published | not published | $13,176.00 – $25,004.00 | 2 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $5,872.22 – $15,012.00 | 3 |
| Thoracoscopy wbx sac CPT 32604 | not published | not published | $10,325.10 – $15,012.00 | 3 |
| Thoracoscopy w/lobectomy CPT 32663 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Thoracoscopy w/mediast exc CPT 32662 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Thoracoscopy w/pericard exc CPT 32661 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Thoracoscopy w/pleurectomy 32656 CPT 32656 | not published | not published | $13,176.00 – $25,004.00 | 2 |
| Thoracoscopy w/sac drng 32659 CPT 32659 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Thoracoscopy w/sac fb remove CPT 32658 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Thoracoscopy w/thymus resect CPT 32673 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Thoracoscopy w/wedge resect CPT 32666 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Thoracoscopy w w resect addl 32667 CPT 32667 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Thoracoscopy w w resect diag 32668 CPT 32668 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Thoracostomy w/flap drng 32036 CPT 32036 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Thoracostomy w/rib resection 32035 CPT 32035 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Thoracotomy opn free adhesions 32124 CPT 32124 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Thoracotomy w/expl CPT 32100 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Thoracotomy with cardiac massage CPT 32160 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Thorax spine fusion CPT 22610 | not published | not published | $16,164.00 – $25,004.00 | 3 |
| Thorax stereo rad targetw/tx CPT 32701 | not published | not published | $4,217.00 – $4,217.00 | 1 |
| Thorcscpy w/biop pleura CPT 32609 | not published | not published | $5,872.22 – $15,012.00 | 3 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | not published | not published | $10,325.10 – $15,012.00 | 3 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | not published | not published | $10,325.10 – $15,012.00 | 3 |
| Throat x-ray & fluoroscopy CPT 70370 | not published | not published | $84.53 – $170.90 | 2 |
| Thrombectmy crnry perq mechanical CPT 92973 | $438.90 | $798.00 | $2,181.00 – $2,181.00 | 1 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $7,531.70 | $13,694.00 | $5,528.40 – $17,116.00 | 2 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $14,929.20 | $27,144.00 | $11,213.25 – $25,004.00 | 2 |
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.