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 |
|---|---|---|---|---|
| Toxoplasma antibody igm CPT 86778 | $110.00 | $200.00 | $14.41 – $25.22 | 4 |
| Tp53 gene full gene sequence CPT 81351 | $2,650.45 | $4,819.00 | $641.85 – $1,123.24 | 4 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $308.00 – $539.00 | 4 |
| Tp53 gene trgt sequence alys CPT 81352 | $1,082.40 | $1,968.00 | $329.51 – $576.64 | 4 |
| Tpmt gene com vrnts CPT 81335 | $217.25 | $395.00 | $174.81 – $305.92 | 4 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $242.69 – $4,217.00 | 3 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $12,815.23 – $25,004.00 | 3 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $3,423.93 – $8,701.00 | 3 |
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | $8,701.00 – $9,195.08 | 3 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | not published | not published | $5,208.09 – $17,116.00 | 3 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | not published | not published | $363.83 – $990.53 | 6 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $534.23 – $4,217.00 | 3 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $4,743.00 – $8,701.00 | 3 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | not published | not published | $523.87 – $4,217.00 | 3 |
| Tracheo-esophagoplasty cong CPT 43314 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Tracheoplasty intrathoracic CPT 31760 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | $3,220.41 – $8,701.00 | 3 |
| Train for caregiver add 15 HCPCS G0540 | not published | not published | $20.92 – $20.92 | 1 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $135.30 | $246.00 | $53.83 – $53.83 | 1 |
| Transabdom amnioinfus w/us CPT 59070 | not published | not published | $295.99 – $4,217.00 | 3 |
| Transab esoph hiat hern repair 43332 CPT 43332 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Transab esoph hiat hern rpr CPT 43333 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Transcath biopsy CPT 37200 | $786.50 | $1,430.00 | $5,404.97 – $17,116.00 | 3 |
| Transcath closure of asd CPT 93580 | not published | not published | $17,806.11 – $40,677.00 | 2 |
| Transcath closure of vsd CPT 93581 | not published | not published | $17,806.11 – $40,677.00 | 2 |
| Transcatheter bx s&i CPT 75970 | $1,950.85 | $3,547.00 | $1,093.35 – $1,093.35 | 1 |
| Transcath mv repair addl prosthesis CPT 33419 | $270.05 | $491.00 | $2,181.00 – $9,837.00 | 2 |
| Transcath mv repair init prosthesis CPT 33418 | $1,309.00 | $2,380.00 | $8,433.00 – $8,433.00 | 1 |
| Transcath occlusion cns CPT 61624 | not published | not published | $14,758.00 – $25,004.00 | 3 |
| Transcath occlusion non-cns CPT 61626 | not published | not published | $11,213.25 – $25,004.00 | 3 |
| Trans cath replace aortic valve 33366 CPT 33366 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | not published | not published | $3,066.96 – $10,137.00 | 3 |
| Transcochlear approach/skull CPT 61596 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Transcondylar approach/skull CPT 61597 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Transcrv abltj utrn fibrd rf CPT 58580 | not published | not published | $7,202.85 – $16,164.00 | 2 |
| Transcutaneous carboxyhb CPT 88740 | not published | not published | $9.37 – $16.40 | 4 |
| Transcutaneous hgb 88738 CPT 88738 | not published | not published | $5.02 – $8.79 | 4 |
| Transcutaneous methb CPT 88741 | not published | not published | $9.37 – $16.40 | 4 |
| Transect artery sinus CPT 61611 | not published | not published | $4,743.00 – $4,743.00 | 1 |
| Transect pulmonary artery CPT 33922 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Transfer of abdominal muscle CPT 27100 | not published | not published | $7,048.20 – $15,012.00 | 3 |
| Transfer of embryo CPT 58976 | not published | not published | $295.99 – $4,217.00 | 3 |
| Transfer of iliopsoas muscle CPT 27110 | not published | not published | $7,048.20 – $15,012.00 | 3 |
| Transfer of iliopsoas muscle CPT 27111 | not published | not published | $3,178.20 – $15,012.00 | 3 |
| Transfer of spinal muscle CPT 27105 | not published | not published | $3,178.20 – $15,012.00 | 3 |
| Transferrin CPT 84466 | $100.65 | $183.00 | $12.76 – $22.33 | 4 |
| Transfer skin pedicle flap CPT 15650 | not published | not published | $2,004.13 – $4,743.00 | 3 |
| Transfer tendon to pelvis CPT 27098 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Transfusion blood/blood component(s) CPT 36430 | $187.00 | $340.00 | $428.53 – $4,217.00 | 3 |
| Transorl lwr esophgl myotomy CPT 43497 | not published | not published | $5,896.86 – $8,701.00 | 3 |
| Transperi needle place pros CPT 55875 | not published | not published | $5,208.09 – $15,012.00 | 3 |
| Transpetrosal approach/skull CPT 61598 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Transpl allograft pancreas CPT 48554 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Transplantation heart/lung CPT 33935 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Transplantation of heart CPT 33945 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Transplantation of liver CPT 47135 | not published | not published | $13,352.00 – $13,352.00 | 1 |
| Transplant femur ridge CPT 27140 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Transplant forearm tendon CPT 25310 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Transplant forearm tendon CPT 25312 | not published | not published | $3,178.20 – $15,012.00 | 3 |
| Transplant/graft hand tendon CPT 26483 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Transplant/graft palm tendon CPT 26489 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Transplant hand tendon CPT 26480 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Transplant of thigh tendon CPT 27396 | not published | not published | $7,048.20 – $14,758.00 | 3 |
| Transplant palm tendon CPT 26485 | not published | not published | $3,178.20 – $10,137.00 | 3 |
| Transplants of thigh tendons CPT 27397 | not published | not published | $7,048.20 – $15,012.00 | 3 |
| Transplant ureter to skin CPT 50860 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Transplj hematopoietic boost CPT 38243 | not published | not published | $1,512.78 – $4,743.00 | 3 |
| Transplt allo hct/donor CPT 38240 | not published | not published | $13,352.00 – $61,097.90 | 3 |
| Transplt allo lymphocytes CPT 38242 | not published | not published | $1,512.78 – $4,743.00 | 3 |
| Transplt autol hct/donor CPT 38241 | not published | not published | $1,512.78 – $4,743.00 | 3 |
| Transposition of vein valve CPT 34510 | not published | not published | $5,404.97 – $17,116.00 | 3 |
| Transposition ovary(s) CPT 58825 | not published | not published | $8,960.00 – $10,137.00 | 2 |
| Transtemporal approach/skull CPT 61595 | not published | not published | $14,758.00 – $14,758.00 | 1 |
| Transthor cath for stent CPT 33621 | not published | not published | $8,433.00 – $8,433.00 | 1 |
| Transthor diaphrag hern repair 43334 CPT 43334 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Transthor diaphrag hern rpr CPT 43335 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Transurethral rf treatment CPT 53860 | not published | not published | $2,030.46 – $4,743.00 | 3 |
| Transvrs a-arch grf hypthrm CPT 33871 | not published | not published | $16,164.00 – $16,164.00 | 1 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | not published | not published | $70.24 – $206.07 | 6 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | not published | not published | $27.91 – $75.98 | 6 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | not published | not published | $13.03 – $67.86 | 6 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $4,784.45 | $8,699.00 | $1,294.70 – $1,294.70 | 1 |
| Trb@ gene rearrange dirprobe CPT 81341 | not published | not published | $49.59 – $86.78 | 4 |
| Treat ankle dislocation CPT 27842 | $415.25 | $755.00 | $1,561.89 – $4,743.00 | 3 |
| Treat ankle dislocation CPT 27846 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Treat ankle dislocation CPT 27848 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Treat ankle fracture CPT 28445 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Treat big toe fracture CPT 28505 | not published | not published | $3,178.20 – $8,701.00 | 3 |
| Treat cheek bone fracturemalar 21360 CPT 21360 | not published | not published | $5,750.12 – $8,960.00 | 3 |
| Treat chest lining CPT 32215 | not published | not published | $13,176.00 – $13,176.00 | 1 |
| Treat clavicle dislocation 23545 CPT 23545 | not published | not published | $239.60 – $4,217.00 | 3 |
| Treat each add spine fx CPT 22328 | not published | not published | $2,181.00 – $8,433.00 | 2 |
| Treat ectopic pregnancy CPT 59150 | not published | not published | $5,872.22 – $17,116.00 | 3 |
| Treat ectopic pregnancy CPT 59151 | not published | not published | $5,872.22 – $17,116.00 | 3 |
| Treat ectopic pregnancy CPT 59140 | not published | not published | $8,960.00 – $8,960.00 | 1 |
| Treat elbow dislocation CPT 24605 | $1,246.85 | $2,267.00 | $1,561.89 – $4,743.00 | 3 |
| Treat elbow dislocation CPT 24615 | not published | not published | $7,048.20 – $17,116.00 | 3 |
| Treat elbow fracture CPT 24586 | not published | not published | $12,470.63 – $17,116.00 | 3 |
| Treat elbow fracture CPT 24620 | $1,436.60 | $2,612.00 | $1,561.89 – $4,743.00 | 3 |
| Treat elbow fracture CPT 24635 | not published | not published | $7,048.20 – $17,116.00 | 3 |
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.