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 |
|---|---|---|---|---|
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $23,717.10 | $43,122.00 | $17,806.11 – $41,823.00 | 2 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Thrombin time CPT 85670 | $44.55 | $81.00 | $5.77 – $10.10 | 4 |
| Thrombin time titer CPT 85675 | not published | not published | $6.85 – $11.99 | 4 |
| Thromboendarterectomy common femoral CPT 35371 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | not published | not published | $5,404.97 – $17,116.00 | 3 |
| Thromboendarterectomy including patch graft; iliac 35351 CPT 35351 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Thromboendarterectomy sfa CPT 35302 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Thrombomodulin CPT 85337 | not published | not published | $17.27 – $30.22 | 4 |
| Thromboplastin inhibition CPT 85705 | not published | not published | $9.63 – $16.85 | 4 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $46.75 | $85.00 | $6.47 – $11.32 | 4 |
| Thromboxane urine CPT 84431 | not published | not published | $35.11 – $61.44 | 4 |
| Thumb fusion with graft CPT 26820 | not published | not published | $7,048.20 – $14,758.00 | 3 |
| Thumb fusion with graft CPT 26842 | not published | not published | $7,048.20 – $14,758.00 | 3 |
| Thumb tendon transfer CPT 26510 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Thymectomy prtl/tot rad medstnl dsj 60522 CPT 60522 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Thymectomy prtl/tot without rad medstnl dsj 60521 CPT 60521 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Thyroglobulin antibody CPT 86800 | $10.45 | $19.00 | $15.91 – $27.84 | 4 |
| Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270 | not published | not published | $4,137.00 – $8,960.00 | 2 |
| Thyroid imaging CPT 78013 | $863.50 | $1,570.00 | $388.31 – $475.02 | 2 |
| Thyroid met imaging CPT 78015 | not published | not published | $388.31 – $519.37 | 2 |
| Thyroid met imaging/studies CPT 78016 | not published | not published | $388.31 – $686.44 | 2 |
| Thyroid mets imag whole body CPT 78018 | $1,032.35 | $1,877.00 | $527.40 – $747.76 | 2 |
| Thyroid met uptake CPT 78020 | not published | not published | $154.34 – $154.34 | 1 |
| Thyroid (TSH) Test CPT 84443 | $100.65 | $183.00 | $16.80 – $29.40 | 4 |
| Thyroid Ultrasound CPT 76536 | $491.70 | $894.00 | $101.55 – $236.57 | 2 |
| Thyroid uptake measurement CPT 78012 | $332.20 | $604.00 | $193.35 – $388.31 | 2 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | not published | not published | $2,078.71 – $5,659.29 | 6 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $50.41 – $88.22 | 4 |
| Thyroxine binding globulin (tbg) CPT 84442 | $99.00 | $180.00 | $14.78 – $25.87 | 4 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | $12,470.63 – $17,116.00 | 3 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $12,453.65 | $22,643.00 | $13,352.00 – $41,823.00 | 2 |
| Tib/per revasc stnt & ather CPT 37235 | $7,767.10 | $14,122.00 | $9,837.00 – $17,116.00 | 2 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $6,472.40 | $11,768.00 | $9,837.00 – $25,004.00 | 2 |
| Tigecycline injection HCPCS J3243 | not published | not published | $0.30 – $0.91 | 6 |
| Tilt table study CPT 93660 | $1,161.60 | $2,112.00 | $362.46 – $2,181.00 | 2 |
| Tinzaparin sodium injection HCPCS J1655 | not published | not published | $9.69 – $9.69 | 1 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | not published | not published | $3.55 – $10.65 | 6 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $578,771.12 – $1,575,704.38 | 6 |
| Tis clt agrft f/s/n/h/f/g ad CPT 15156 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Tis clt agrft f/s/n/h/f/g ea CPT 15157 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Tis cltr skn agrft t/a/l add CPT 15151 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Tis cltr skn agrft t/a/l ea CPT 15152 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | not published | $188.65 – $513.60 | 6 |
| Tiss ex molecul study add-on CPT 88388 | not published | not published | $16.03 – $16.03 | 1 |
| Tissue culture placenta CPT 88235 | not published | not published | $150.30 – $263.03 | 4 |
| Tissue culture skin/biopsy CPT 88233 | $752.40 | $1,368.00 | $140.73 – $246.28 | 4 |
| Tissue culture tumor CPT 88239 | $836.00 | $1,520.00 | $147.52 – $258.16 | 4 |
| Tissue exam koh skin/hair/nails CPT 87220 | $36.30 | $66.00 | $4.27 – $7.47 | 4 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | not published | not published | $120.88 – $329.51 | 2 |
| Tissue transglutaminase iga CPT 86364 | $83.60 | $152.00 | $11.53 – $20.18 | 4 |
| Tl-201 thallium diag per mci HCPCS A9505 | not published | not published | $117.12 – $117.12 | 1 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $10,325.10 – $17,116.00 | 3 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $10,325.10 – $17,116.00 | 3 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $10,325.10 – $17,116.00 | 3 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $10,325.10 – $17,116.00 | 3 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $157.64 – $157.64 | 1 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | not published | not published | $1.60 – $4.79 | 6 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $14.80 – $44.41 | 6 |
| Tobramycin peak therapeutic drug level CPT 80200 | $156.20 | $284.00 | $16.13 – $28.23 | 4 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | not published | not published | $5.41 – $16.01 | 6 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $7.57 – $22.71 | 6 |
| Toe joint transfer CPT 26556 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $123.75 | $225.00 | $12.16 – $68.13 | 2 |
| Tomosynthesis breast screen bilateral CPT 77063 | $247.50 | $450.00 | $22.40 – $68.13 | 2 |
| Tone decay hearing test CPT 92563 | not published | not published | $36.28 – $36.28 | 1 |
| Tongue and neck surgery CPT 41135 | not published | not published | $8,701.00 – $8,960.00 | 2 |
| Tongue base vol reduction CPT 41530 | not published | not published | $3,220.41 – $8,701.00 | 3 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $3,220.41 – $4,743.00 | 3 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Tongue suspension CPT 41512 | not published | not published | $5,750.12 – $15,012.00 | 3 |
| Tongue to lip surgery CPT 41510 | not published | not published | $3,220.41 – $4,743.00 | 3 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $3,220.41 – $8,701.00 | 3 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $5,750.12 – $8,960.00 | 3 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | not published | not published | $1.27 – $3.82 | 6 |
| Topotecan oral HCPCS J8705 | not published | not published | $124.90 – $340.05 | 6 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $39.10 – $106.46 | 6 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Total hip arthroplasty CPT 27132 | not published | not published | $12,470.63 – $25,004.00 | 3 |
| Total Hip Replacement CPT 27130 | not published | not published | $12,470.63 – $25,004.00 | 3 |
| Total hysterectomy CPT 58150 | not published | not published | $10,137.00 – $13,176.00 | 2 |
| Total Knee Replacement CPT 27447 | not published | not published | $12,470.63 – $25,004.00 | 3 |
| Total lung lavage CPT 32997 | not published | not published | $4,137.00 – $8,433.00 | 2 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Total tau CPT 84394 | $275.00 | $500.00 | $128.92 – $128.92 | 1 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $13,352.00 – $17,116.00 | 3 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $14,758.00 – $25,004.00 | 3 |
| Tot disc arthrp 2ntrspc lmbr CPT 22860 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $2,181.00 – $9,837.00 | 2 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Tot estradiol response panel CPT 80415 | not published | not published | $55.89 – $97.81 | 4 |
| Toxoplasma antibody igg CPT 86777 | $95.15 | $173.00 | $14.39 – $25.18 | 4 |
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.