Visits & medical services prices at SSM Health St. Mary's Hospital - Janesville
Janesville, WI · every code in this section with a posted price and a Medicare benchmark.
129 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $73.70 | $134 | 1.8× |
| Airway Inhalation Treatment (94640) | $234.85 | $427 | 1.1× |
| Analyze Neurostim Simple (95971) | $263.45 | $479 | 2.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $86.35 | $157 | 6.0× |
| Assessment of aphasia per hr (96105) | $226.60 | $412 | 2.3× |
| Behavral qualit analys voice (92524) | $258.50 | $470 | 2.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $277.20 | $504 | 0.7× |
| Canalith repositioning proc (95992) | $85.80 | $156 | 2.1× |
| Car seat/bed test 60 min (94780) | $110.55 | $201 | 2.9× |
| Cardiac Stress Tst,Tracing Only (93017) | $805.75 | $1,465 | 3.7× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$707.85–$814 | $1,287–$1,480 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$1,432.75–$1,646.70 | $2,605–$2,994 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $36.85 | $67 | 1.4× |
| Cbt 1st hour (94644) | $134.20 | $244 | 1.0× |
| Chemo IV infusion addl hr (96415) | $79.20 | $144 | 1.1× |
| Chemo IV push addl drug (96411) | $172.15 | $313 | 2.4× |
| Chemotherapy Into Cns (96450) | $541.20 | $984 | 1.6× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $444.40 | $808 | 1.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $169.95 | $309 | 2.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $340.45 | $619 | 1.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $172.70 | $314 | 0.5× |
| Chest Wall Manipulation (94668) | $151.80 | $276 | 1.1× |
| Color/duplex Doppler, complete (93975) | $902 | $1,640 | 3.8× |
| Color/duplex Doppler, limited (93976) | $778.80 | $1,416 | 7.4× |
| Continuous Pulse Ox (94762) | $281.05 | $511 | 2.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$184.25–$370.70 | $335–$674 | varies |
| Cpt initial (94667) | $241.45 | $439 | 1.8× |
| Critical care first hour (99291) | $2,291.30 | $4,166 | 2.8× |
| Debridement Open Wound 20 Sq Cm< (97597) | $212.30 | $386 | 1.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,108.25 | $2,015 | 10.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $2,322.65 | $4,223 | 9.7× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,161.05 | $2,111 | 11.0× |
| Duplex up extrem art bilat (93930) | $1,705 | $3,100 | 7.1× |
| Duplex up extrem art unilat/ltd (93931) | $1,092.30 | $1,986 | 10.4× |
| ECG/monitoring and analysis (93271) | $700.70 | $1,274 | 7.3× |
| Echo Congenital Complete (93303) | $959.20 | $1,744 | 1.7× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$304.15–$349.80 | $553–$636 | varies |
| Echo transesophageal (93312) | $1,009.52 | $1,835.50 | 1.8× |
| EEG awake and asleep (95819) | $611.60 | $1,112 | 2.8× |
| EEG awake drowsy (95816) | $636.90 | $1,158 | 2.9× |
| EEG cerebral death evaluation (95824) | $581.90 | $1,058 | 1.5× |
| Eeg Sleep Only (95822) | $706.20 | $1,284 | 3.2× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $140.80 | $256 | 1.5× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $44.55 | $81 | 1.2× |
| Electrical Stimulation Ea 15 Min (97032) | $86.35 | $157 | 5.9× |
| Electrocardiogram Tracing (93005) | $221.65 | $403 | 3.7× |
| Emergency Dept Visit Level 2 (99282) | $460.90 | $838 | 3.0× |
| Emergency Dept Visit Level 3 (99283) | $663.30 | $1,206 | 2.4× |
| Emergency Dept Visit Level 4 (99284) | $1,063.15 | $1,933 | 2.5× |
| Er level 1 (99281) | $249.70 | $454 | 2.9× |
| Er level v (99285) | $1,598.85 | $2,907 | 2.7× |
| Evaluate pt use of inhaler (94664) | $210.65 | $383 | 1.0× |
| Evaluate Speech Production (92522) | $258.50 | $470 | 2.3× |
| Evaluate Swallowing Function (92610) | $410.30 | $746 | 4.8× |
| Evaluation of speech fluency (92521) | $258.50 | $470 | 1.9× |
| External Ecg Scanning Analysis Report (93226) | $649.55 | $1,181 | 10.9× |
| Extracranial Bilat Study (93880) | $1,401.95 | $2,549 | 5.8× |
| Extracranial Uni/Ltd Study (93882) | $459.25 | $835 | 4.4× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $504.35 | $917 | 0.9× |
| Group Therapeutic Procedures (97150) | $68.20 | $124 | 3.8× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$941.60–$1,043.35 | $1,712–$1,897 | varies |
| Holter monitor recording (93225) | $476.85 | $867 | 3.6× |
| Immunization administration (90471) | $64.35 | $117 | 0.9× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$110.55–$126.50 | $201–$230 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$531.85–$611.60 | $967–$1,112 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$110.55–$126.50 | $201–$230 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$114.40–$130.90 | $208–$238 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$191.40–$221.10 | $348–$402 | varies |
| Mechanical chest wall oscillation per session (94669) | $250.25 | $455 | 1.1× |
| Motion Fluoroscopy/Swallow (92611) | $421.30 | $766 | 4.6× |
| Multiple Sleep Latency Test (95805) | $1,782 | $3,240 | 2.1× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$216.15–$248.60 | $393–$452 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $213.95 | $389 | 1.1× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $262.35 | $477 | 0.6× |
| Neuromuscular Reeducation (97112) | $71.50 | $130 | 2.2× |
| Oral Function Therapy (92526) | $158.40 | $288 | 1.9× |
| Oral Speech Device Eval (92597) | $276.10 | $502 | 3.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $80.30 | $146 | 1.7× |
| Ot eval high complexity (97167) | $303.05 | $551 | 3.0× |
| Ot Eval Low Complex (97165) | $157.30 | $286 | 1.6× |
| Ot Eval Moderate Complexity (97166) | $223.30 | $406 | 2.2× |
| Ot manual therapy 15 min (97140) | $84.70 | $154 | 3.1× |
| Ot Re-Eval Est Plan Care (97168) | $97.90 | $178 | 1.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $153.45 | $279 | 1.2× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $121 | $220 | 0.9× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $466.95 | $849 | 2.1× |
| Peripheral arterial disease rehab per session (93668) | $91.85 | $167 | 1.5× |
| Phlebotomy therapeutic (99195) | $158.95 | $289 | 1.2× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $152.90 | $278 | 2.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $147.95 | $269 | 2.5× |
| Pm device eval in person (93288) | $77 | $140 | 2.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,067.90 | $5,578 | 3.5× |
| Psychiatric diagnostic evaluation (90791) | $443.30 | $806 | 2.5× |
| Pt Eval High Complex (97163) | $308 | $560 | 3.1× |
| Pt eval low complex 20 min (97161) | $173.80 | $316 | 1.8× |
| Pt Eval Mod Complex (97162) | $232.10 | $422 | 2.4× |
| Pt gait training 15 min (97116) | $86.35 | $157 | 3.0× |
| Pt Re-Eval Est Plan Care (97164) | $109.45 | $199 | 1.6× |
| Pulmonary service/procedure (94799) range across 3 matching MRF lines |
$126.50–$253 | $230–$460 | varies |
| Pulmonary Stress Testing (94618) | $239.80 | $436 | 1.8× |
| Remote 30 Day Ecg Rev/Report (93270) | $333.30 | $606 | 8.9× |
| Self Care Mngment Training (97535) | $84.70 | $154 | 2.6× |
| Sleep study attended (95807) range across 2 matching MRF lines |
$954.25–$1,057.10 | $1,735–$1,922 | varies |
| Sleep study unattended (95806) | $838.75 | $1,525 | 3.9× |
| Slp caregiver training 1st 30 min (97550) | $68.20 | $124 | 1.3× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $778.80 | $1,416 | 3.6× |
| Speech sound lang comprehen (92523) | $258.50 | $470 | 1.1× |
| Spirometry (94010) | $117.15 | $213 | 0.5× |
| Standardized Cognitive Performance Testing (96125) | $184.80 | $336 | 1.8× |
| Stress Tte Only (93350) | $709.50 | $1,290 | 1.3× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$742.50–$854.70 | $1,350–$1,554 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $148.50 | $270 | 6.6× |
| Ther Ivntj Ea Addl 15 Min (97130) | $148.50 | $270 | 7.1× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $156.75 | $285 | 1.5× |
| Ther/Proph/Diag Inj Ia (96373) | $215.60 | $392 | 1.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$139.70–$160.60 | $254–$292 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$541.75–$623.15 | $985–$1,133 | varies |
| Therapeutic Activities (97530) | $92.40 | $168 | 2.6× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,196.80 | $2,176 | 3.2× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $35.20 | $64 | 0.9× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $31.90 | $58 | 0.8× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $314.60 | $572 | 3.0× |
| Tte w/doppler, complete (93306) | $1,850.20 | $3,364 | 3.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $130.90 | $238 | 1.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$163.35–$188.65 | $297–$343 | varies |
| Veeg 2-12 hr unmonitored (95711) | $600.05 | $1,091 | 2.8× |
| Vent Mgmt Inpat Init Day (94002) | $817.30 | $1,486 | 1.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $765.05 | $1,391 | 1.2× |
| Vital capacity, total (94150) | $162.80 | $296 | 1.3× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.