Does SSM Health St Mary's Hospital - Janesville have an emergency room?

Yes. Medicare (CMS) data lists emergency services at SSM Health St Mary's Hospital - Janesville. In a medical emergency, call 911.

Where is SSM Health St Mary's Hospital - Janesville?

3400 East Racine Street, Janesville, WI 53546, in Rock County, Wisconsin.

What is the phone number of SSM Health St Mary's Hospital - Janesville?

(608) 373-8000, as listed by Medicare (CMS).

What is the Medicare star rating of SSM Health St Mary's Hospital - Janesville?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

SSM Health St Mary's Hospital - Janesville

Quick answers

Does SSM Health St Mary's Hospital - Janesville have an emergency room?: Yes. Medicare (CMS) data lists emergency services at SSM Health St Mary's Hospital - Janesville. In a medical emergency, call 911.
Where is SSM Health St Mary's Hospital - Janesville?: 3400 East Racine Street, Janesville, WI 53546, in Rock County, Wisconsin.
What is the phone number of SSM Health St Mary's Hospital - Janesville?: (608) 373-8000, as listed by Medicare (CMS).
What is the Medicare star rating of SSM Health St Mary's Hospital - Janesville?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][6]

Women's health
Cancer care
Radiation oncology
Orthopedics
Pediatrics
General surgery
Rehabilitation services
Sleep disorder services
Palliative care

Treatments^[6]

Intensity Modulated Radiation Therapy (IMRT)
Image Guided Radiation Therapy (IGRT)
Stereotactic Body Radiation Therapy (SBRT)
Radiation therapy with Varian TrueBeam linear accelerator
Palliative care

Programs and centers^[4][6]

Labor & Delivery (Family Birth Center)
Hope Blooms Cancer Care Resource Space
Cancer support group
Cancer survivorship program
Smoking cessation program
Nutrition consultations (cancer care)
Chaplain / spiritual care

Emergency care (hospital website)^[5]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	General visiting 8 a.m.-8 p.m.; one adult (18+) may stay past 8 p.m.; children need adult supervision^[4]
Parking	Accessible spaces near each entrance; free valet Monday-Friday 6:30 a.m.-5 p.m^[4]
Interpreters and languages	Language assistance offered in 15 languages, requested through the language assistance page^[4]

Doctors and clinicians (366)

366 doctors and other clinicians list SSM Health St Mary's Hospital - Janesville as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 342 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Mercy Health System Corp3.0 mi · Janesville, WI · Acute Care Hospital
Beloit Health System8.7 mi · Beloit, WI · Acute Care Hospital
Edgerton Hospital and Health Services12 mi · Edgerton, WI · Critical Access Hospital
Fort Memorial Hospital19 mi · Fort Atkinson, WI · Acute Care Hospital
Stoughton Hospital21 mi · Stoughton, WI · Critical Access Hospital

Other hospitals nearby

Aurora Lakeland Medical Center24 mi · Elkhorn, WI · Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Oak Park Place of Janesville0.6 mi · Janesville, WI · 2 of 5 stars
St Elizabeth Nursing Home2.2 mi · Janesville, WI · 2 of 5 stars
Rock Haven2.8 mi · Janesville, WI · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Mercyhealth at Home7.9 mi · Janesville, WI · 4 of 5 stars
Beloit Regional Hospice11 mi · Beloit, WI · 5 of 5 stars
OSF Hospice23 mi · Loves Park, IL · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Mercyhealth at Home7.9 mi · Janesville, WI · 3 of 5 stars
Transitions Home Health23 mi · Elkhorn, WI
OSF Healthcare Home Care23 mi · Loves Park, IL · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Janesville Dialysis5.7 mi · Janesville, WI · 2 of 5 stars
Fresenius Kidney Care Janesville5.7 mi · Janesville, WI · 2 of 5 stars
Mercyhealth Kidney Care and Dialysis Center7.9 mi · Janesville, WI · 1 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

OrthoMidwest Surgery Center, LLC11 mi · Beloit, WI

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Beloit Area Community Health Center11 mi · Beloit, WI · Community health center
Beloit Area Community Health Center Behavioral Health Clinic11 mi · Beloit, WI · Community health center
Crusader Community Health-South Beloit Junior High School13 mi · South Beloit, IL · Community health center

Clinics and urgent care

Edgerton Hospital and Health Services14 mi · Edgerton, WI · Urgent care center
Edgerton Hospital and Health Services, Inc15 mi · Whitewater, WI · Urgent care center
Fort Healthcare Whitewater15 mi · Whitewater, WI · Rural health clinic

Pharmacies

Aurora Pharmacy Inc2.0 mi · Janesville, WI · Community/retail pharmacy
Dean Retail Services, Inc.2.0 mi · Janesville, WI · Community/retail pharmacy
Mercy Health System Corporation2.0 mi · Janesville, WI · Pharmacy

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

Cedar Crest Assisted Living2.0 mi · Janesville, WI
Cedar Crest Assisted Living2.0 mi · Janesville, WI
Dupont2.0 mi · Janesville, WI
Huntington Place Memory Care 12.0 mi · Janesville, WI

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What SSM Health St Mary's Hospital - Janesville reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	4 of 5 stars
Information about recovery at home	2 of 5 stars
Room and bathroom kept clean	2 of 5 stars
Quiet at night	5 of 5 stars
Rated the hospital 9 or 10 out of 10	80%National average: 72%
Would definitely recommend the hospital	76%National average: 71%
Nurses “always” communicated well	81%National average: 80%
Doctors “always” communicated well	79%National average: 80%
Staff “always” explained medicines before giving them	66%National average: 62%
Were given information about recovery at home	83%National average: 86%
Room and bathroom “always” clean	65%National average: 74%
Area around the room “always” quiet at night	69%National average: 60%
Completed surveys	514Response rate: 28%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0.663No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	13.7%
Deaths within 30 days: pneumonia patients	16.2%
Deaths within 30 days: COPD patients	7.5%
Deaths within 30 days: stroke patients	10.2%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.88No different from the national rate
Complications after hip or knee replacement	Too few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	21.1%
Readmitted within 30 days: pneumonia	17.4%
Readmitted within 30 days: COPD	20%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	138 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	52%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Janesville Best hospitals in Wisconsin

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 73 common services exactly as SSM Health St Mary's Hospital - Janesville lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Pulm Rehab Visit Level 3	$206	$113.30	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Office Outpt Visit Est Level 3	$206	$113.30	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Faclty Op Est Pt Level 3	$206	$113.30	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Pulm Rehab Visit Level 4	$226	$124.30	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Faclty Op Est Pt Level 4	$226	$124.30	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Cardiac Rehab Visit Level 4	$226	$124.30	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$206.22 – $274.96
Emergency room visit (moderate): rates for 2 insurance plans Dean Health Plan — Medicare Managed Care Plan: $274.96 Molina — Medicare Managed Care Plan: $206.22
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ed Emergent Level Iii	$1,206	$663.30	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Emergency Dept Visit Level 3	$1,206	$663.30	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$315.22 – $420.29
Emergency room visit (moderately high): rates for 2 insurance plans Dean Health Plan — Medicare Managed Care Plan: $420.29 Molina — Medicare Managed Care Plan: $315.22
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ed Emergent Level Iv	$1,933	$1,063.15	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Emergency Dept Visit Level 4	$1,933	$1,063.15	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$449.89 – $599.85
Emergency room visit (high): rates for 2 insurance plans Dean Health Plan — Medicare Managed Care Plan: $599.85 Molina — Medicare Managed Care Plan: $449.89
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ed Emergent Level V	$2,907	$1,598.85	Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Emergency Dept Visit Level 5	$2,907	$1,598.85	Not listed in the file

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca	Not listed in the file	Not listed in the file	$6.34 – $72.55
Basic metabolic panel (blood test): rates for 7 insurance plans BCBS — Blue Access PPO: $72.55 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $67.26 BCBS — Blue Traditional Traditional: $72.55 Centivo — Broad(WI2) Other Commercial Plan: $10.58 Dean Health Plan — Medicare Managed Care Plan: $8.46 Molina — Medicare Managed Care Plan: $6.34 The Alliance — All Commercial Plans: $14.81
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Basic Metabolic Panel (Ca Total)	$334	$183.70	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$7.92 – $90.63
Comprehensive metabolic panel (blood test): rates for 7 insurance plans BCBS — Blue Access PPO: $90.63 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $84.01 BCBS — Blue Traditional Traditional: $90.63 Centivo — Broad(WI2) Other Commercial Plan: $13.20 Dean Health Plan — Medicare Managed Care Plan: $10.56 Molina — Medicare Managed Care Plan: $7.92 The Alliance — All Commercial Plans: $18.48
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Comprehensive Metabolic Panel	$406	$223.30	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Comprehensive Metabolic Panel Fast	$406	$223.30	Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel	Not listed in the file	Not listed in the file	$35.86 – $410.08
Obstetric blood test panel: rates for 7 insurance plans BCBS — Blue Access PPO: $410.08 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $380.14 BCBS — Blue Traditional Traditional: $410.08 Centivo — Broad(WI2) Other Commercial Plan: $59.76 Dean Health Plan — Medicare Managed Care Plan: $47.81 Molina — Medicare Managed Care Plan: $35.86 The Alliance — All Commercial Plans: $83.67
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel	Not listed in the file	Not listed in the file	$10.04 – $114.87
Cholesterol panel (lipid panel): rates for 7 insurance plans BCBS — Blue Access PPO: $114.87 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $106.50 BCBS — Blue Traditional Traditional: $114.87 Centivo — Broad(WI2) Other Commercial Plan: $16.74 Dean Health Plan — Medicare Managed Care Plan: $13.39 Molina — Medicare Managed Care Plan: $10.04 The Alliance — All Commercial Plans: $23.43
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Lipid Profile	$239	$131.45	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Lipid Profile I	$72	$39.60	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel	Not listed in the file	Not listed in the file	$6.51 – $74.50
Kidney function panel: rates for 7 insurance plans BCBS — Blue Access PPO: $74.50 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $69.05 BCBS — Blue Traditional Traditional: $74.50 Centivo — Broad(WI2) Other Commercial Plan: $10.85 Dean Health Plan — Medicare Managed Care Plan: $8.68 Molina — Medicare Managed Care Plan: $6.51 The Alliance — All Commercial Plans: $15.19
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Renal Function Panel	$382	$210.10	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$6.13 – $70.09
Liver function panel: rates for 7 insurance plans BCBS — Blue Access PPO: $70.09 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $64.98 BCBS — Blue Traditional Traditional: $70.09 Centivo — Broad(WI2) Other Commercial Plan: $10.21 Dean Health Plan — Medicare Managed Care Plan: $8.17 Molina — Medicare Managed Care Plan: $6.13 The Alliance — All Commercial Plans: $14.30
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Hepatic Function Panel	$288	$158.40	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$2.38 – $27.20
Urine test (automated, with microscope): rates for 7 insurance plans BCBS — Blue Access PPO: $27.20 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $25.23 BCBS — Blue Traditional Traditional: $27.20 Centivo — Broad(WI2) Other Commercial Plan: $3.96 Dean Health Plan — Medicare Managed Care Plan: $3.17 Molina — Medicare Managed Care Plan: $2.38 The Alliance — All Commercial Plans: $5.55
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Urinalysis Routine Auto W Microscopic	$118	$64.90	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Urinalysis Routine Auto	$122	$67.10	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$2.61 – $21.92
Urine test (manual, without microscope): rates for 7 insurance plans BCBS — Blue Access PPO: $21.92 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $20.32 BCBS — Blue Traditional Traditional: $21.92 Centivo — Broad(WI2) Other Commercial Plan: $4.35 Dean Health Plan — Medicare Managed Care Plan: $3.48 Molina — Medicare Managed Care Plan: $2.61 The Alliance — All Commercial Plans: $6.09
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Reducing Substance Urine	$30	$16.50	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope	Not listed in the file	Not listed in the file	$1.69 – $19.28
Urine test (automated, without microscope): rates for 7 insurance plans BCBS — Blue Access PPO: $19.28 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $17.87 BCBS — Blue Traditional Traditional: $19.28 Centivo — Broad(WI2) Other Commercial Plan: $2.81 Dean Health Plan — Medicare Managed Care Plan: $2.25 Molina — Medicare Managed Care Plan: $1.69 The Alliance — All Commercial Plans: $3.94
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Ketones Qualitative Urine Auto	$41	$22.55	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Specific Gravity Urine Auto	$34	$18.70	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total	Not listed in the file	Not listed in the file	$13.79 – $157.82
PSA (prostate specific antigen) blood test: rates for 7 insurance plans BCBS — Blue Access PPO: $157.82 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $146.29 BCBS — Blue Traditional Traditional: $157.82 Centivo — Broad(WI2) Other Commercial Plan: $22.99 Dean Health Plan — Medicare Managed Care Plan: $18.39 Molina — Medicare Managed Care Plan: $13.79 The Alliance — All Commercial Plans: $32.18
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Psa Total Refer	$21	$11.55	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Prostate Specific Antigen Diag	$458	$251.90	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$12.60 – $144.16
Thyroid stimulating hormone (TSH) test: rates for 7 insurance plans BCBS — Blue Access PPO: $144.16 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $133.62 BCBS — Blue Traditional Traditional: $144.16 Centivo — Broad(WI2) Other Commercial Plan: $21 Dean Health Plan — Medicare Managed Care Plan: $16.80 Molina — Medicare Managed Care Plan: $12.60 The Alliance — All Commercial Plans: $29.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Tsh	$278	$152.90	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$5.83 – $66.69
Complete blood count (CBC) with differential: rates for 7 insurance plans BCBS — Blue Access PPO: $66.69 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $61.81 BCBS — Blue Traditional Traditional: $66.69 Centivo — Broad(WI2) Other Commercial Plan: $9.71 Dean Health Plan — Medicare Managed Care Plan: $7.77 Molina — Medicare Managed Care Plan: $5.83 The Alliance — All Commercial Plans: $13.60
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Cbc W Auto Differential	$281	$154.55	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated	Not listed in the file	Not listed in the file	$4.85 – $55.49
Complete blood count (CBC), automated: rates for 7 insurance plans BCBS — Blue Access PPO: $55.49 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $51.42 BCBS — Blue Traditional Traditional: $55.49 Centivo — Broad(WI2) Other Commercial Plan: $8.09 Dean Health Plan — Medicare Managed Care Plan: $6.47 Molina — Medicare Managed Care Plan: $4.85 The Alliance — All Commercial Plans: $11.32
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Cbc W/O Auto Differential	$164	$90.20	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time	Not listed in the file	Not listed in the file	$3.22 – $33.75
Blood clotting time test (prothrombin time, PT): rates for 7 insurance plans BCBS — Blue Access PPO: $33.75 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $31.28 BCBS — Blue Traditional Traditional: $33.75 Centivo — Broad(WI2) Other Commercial Plan: $5.36 Dean Health Plan — Medicare Managed Care Plan: $4.29 Molina — Medicare Managed Care Plan: $3.22 The Alliance — All Commercial Plans: $7.51
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Pt-Inr	$14	$7.70	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Pt I	$23	$12.65	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial	Not listed in the file	Not listed in the file	$4.51 – $51.51
Blood clotting test (partial thromboplastin time, PTT): rates for 7 insurance plans BCBS — Blue Access PPO: $51.51 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $47.76 BCBS — Blue Traditional Traditional: $51.51 Centivo — Broad(WI2) Other Commercial Plan: $7.51 Dean Health Plan — Medicare Managed Care Plan: $6.01 Molina — Medicare Managed Care Plan: $4.51 The Alliance — All Commercial Plans: $10.52
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Ptt Inhibitor I	$46	$25.30	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Ptt Inhibitor 1Hr	$30	$16.50	Not listed in the file

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$78.98 – $610.73
CT scan of the head or brain, without contrast: rates for 5 insurance plans BCBS — Blue Access PPO: $610.73 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $563.75 BCBS — Blue Traditional Traditional: $610.73 Dean Health Plan — Medicare Managed Care Plan: $105.30 Molina — Medicare Managed Care Plan: $78.98
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ct Head Non Contrast	$1,891	$1,040.05	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye	Not listed in the file	Not listed in the file	$263.55 – $2,196.39
MRI of the brain, before and after contrast: rates for 5 insurance plans BCBS — Blue Access PPO: $2,196.39 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $2,027.44 BCBS — Blue Traditional Traditional: $2,196.39 Dean Health Plan — Medicare Managed Care Plan: $351.40 Molina — Medicare Managed Care Plan: $263.55
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mri Brain With & Without Contrast	$4,466	$2,456.30	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views	Not listed in the file	Not listed in the file	$65.74 – $163.42
Chest X-ray, 2 views: rates for 5 insurance plans BCBS — Blue Access PPO: $163.42 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $150.85 BCBS — Blue Traditional Traditional: $163.42 Dean Health Plan — Medicare Managed Care Plan: $87.66 Molina — Medicare Managed Care Plan: $65.74
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Xray Chest 2 Views	$668	$367.40	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	Not listed in the file	$78.98 – $274.76
X-ray of the lower spine, at least 4 views: rates for 5 insurance plans BCBS — Blue Access PPO: $274.76 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $253.62 BCBS — Blue Traditional Traditional: $274.76 Dean Health Plan — Medicare Managed Care Plan: $105.30 Molina — Medicare Managed Care Plan: $78.98
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Lumbar Spine 4+ Vw	$1,401	$770.55	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$180.25 – $1,237.68
MRI of the lower back (lumbar spine), without contrast: rates for 5 insurance plans BCBS — Blue Access PPO: $1,237.68 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $1,142.48 BCBS — Blue Traditional Traditional: $1,237.68 Dean Health Plan — Medicare Managed Care Plan: $240.33 Molina — Medicare Managed Care Plan: $180.25
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mri Spine Lumbar Non Contrast	$4,702	$2,586.10	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$132.50 – $1,402.66
CT scan of the pelvis, with contrast: rates for 5 insurance plans BCBS — Blue Access PPO: $1,402.66 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $1,294.77 BCBS — Blue Traditional Traditional: $1,402.66 Dean Health Plan — Medicare Managed Care Plan: $176.67 Molina — Medicare Managed Care Plan: $132.50
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ct Pelvis With Iv Contrast	$3,480	$1,914	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$180.25 – $1,407.45
MRI of a leg joint (such as the knee), without contrast: rates for 5 insurance plans BCBS — Blue Access PPO: $1,407.45 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $1,299.20 BCBS — Blue Traditional Traditional: $1,407.45 Dean Health Plan — Medicare Managed Care Plan: $240.33 Molina — Medicare Managed Care Plan: $180.25
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mri Lower Ext Any Joint Non Contrast	$4,518	$2,484.90	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast	Not listed in the file	Not listed in the file	$263.55 – $1,840.63
CT scan of the abdomen and pelvis, with contrast: rates for 5 insurance plans BCBS — Blue Access PPO: $1,840.63 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $1,699.06 BCBS — Blue Traditional Traditional: $1,840.63 Dean Health Plan — Medicare Managed Care Plan: $351.40 Molina — Medicare Managed Care Plan: $263.55
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ct Abdomen Pelvis W Contrast	$6,818	$3,749.90	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$78.98 – $694.71
Ultrasound of the abdomen, complete: rates for 5 insurance plans BCBS — Blue Access PPO: $694.71 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $641.27 BCBS — Blue Traditional Traditional: $694.71 Dean Health Plan — Medicare Managed Care Plan: $105.30 Molina — Medicare Managed Care Plan: $78.98
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Us Abdomen Complete	$2,427	$1,334.85	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus	Not listed in the file	Not listed in the file	$78.98 – $772.72
Pregnancy ultrasound (after the first trimester): rates for 5 insurance plans BCBS — Blue Access PPO: $772.72 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $713.28 BCBS — Blue Traditional Traditional: $772.72 Dean Health Plan — Medicare Managed Care Plan: $105.30 Molina — Medicare Managed Care Plan: $78.98
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Us Ob 14+ Wks Single Gest	$2,369	$1,302.95	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ed Us Ob >=14 Wks Single Gest	$2,724	$1,498.20	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$78.98 – $736.71
Transvaginal ultrasound: rates for 5 insurance plans BCBS — Blue Access PPO: $736.71 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $680.06 BCBS — Blue Traditional Traditional: $736.71 Dean Health Plan — Medicare Managed Care Plan: $105.30 Molina — Medicare Managed Care Plan: $78.98
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Us Transvaginal Non Ob	$1,746	$960.30	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$733.12 – $794.21
Diagnostic mammogram, one breast: rates for 3 insurance plans BCBS — Blue Access PPO: $794.21 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $733.12 BCBS — Blue Traditional Traditional: $794.21
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$61.76 – $82.34
Diagnostic mammogram, one breast: rates for 2 insurance plans Dean Health Plan — Medicare Managed Care Plan: $82.34 Molina — Medicare Managed Care Plan: $61.76
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$938.25 – $1,016.45
Diagnostic mammogram, both breasts: rates for 3 insurance plans BCBS — Blue Access PPO: $1,016.45 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $938.25 BCBS — Blue Traditional Traditional: $1,016.45
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$79.11 – $105.48
Diagnostic mammogram, both breasts: rates for 2 insurance plans Dean Health Plan — Medicare Managed Care Plan: $105.48 Molina — Medicare Managed Care Plan: $79.11
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$774.69 – $839.25
Screening mammogram, both breasts: rates for 3 insurance plans BCBS — Blue Access PPO: $839.25 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $774.69 BCBS — Blue Traditional Traditional: $839.25
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$65.36 – $87.14
Screening mammogram, both breasts: rates for 2 insurance plans Dean Health Plan — Medicare Managed Care Plan: $87.14 Molina — Medicare Managed Care Plan: $65.36

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$2,449.09 – $14,543
Left heart catheterization (diagnostic): rates for 6 insurance plans BCBS — Blue Access PPO: $12,519 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $10,498 BCBS — Blue Traditional Traditional: $12,519 Centivo — Broad(WI2) Other Commercial Plan: $14,543 Dean Health Plan — Medicare Managed Care Plan: $3,265.45 Molina — Medicare Managed Care Plan: $2,449.09
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation	Not listed in the file	Not listed in the file	$5,892.18 – $16,582
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans Centivo — Broad(WI2) Other Commercial Plan: $16,582 Dean Health Plan — Medicare Managed Care Plan: $7,856.24 Molina — Medicare Managed Care Plan: $5,892.18
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol	Not listed in the file	Not listed in the file	$13,711 – $38,635
Heart rhythm study with ablation for atrial fibrillation: rates for 6 insurance plans BCBS — Blue Access PPO: $14,389 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $13,711 BCBS — Blue Traditional Traditional: $14,389 Centivo — Broad(WI2) Other Commercial Plan: $38,635 Dean Health Plan — Medicare Managed Care Plan: $26,327.46 Molina — Medicare Managed Care Plan: $19,745.60
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param	Not listed in the file	Not listed in the file	$648.73 – $864.97
Sleep study (overnight, in a sleep lab): rates for 2 insurance plans Dean Health Plan — Medicare Managed Care Plan: $864.97 Molina — Medicare Managed Care Plan: $648.73
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Polysomn 4 Or More >=6Yrs	$5,578	$3,067.90	Not listed in the file

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hc Ther Exercise Ea 15 Min Pt	$168	$92.40	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GO In the file: Hc Ther Exercise Ea 15 Min Ot	$168	$92.40	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hc Pt Eval Low Complexity	$316	$173.80	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hc Pt Eval Low Complexity 1 Rvu	$316	$173.80	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hc Pt Eval Low Complexity 2 Rvu	$316	$173.80	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hc Pt Eval Mod Complexity	$422	$232.10	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hc Pt Eval Mod Complexity 2 Rvu	$422	$232.10	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hc Pt Eval Mod Complexity 3 Rvu	$422	$232.10	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hc Pt Eval High Complexity	$560	$308	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hc Pt Eval High Complexity 3 Rvu	$560	$308	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hc Pt Eval High Complexity 4 Rvu	$560	$308	Not listed in the file

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$2,957.88 – $12,519
Removal of breast growth (open surgery): rates for 6 insurance plans BCBS — Blue Access PPO: $12,519 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $10,498 BCBS — Blue Traditional Traditional: $12,519 Centivo — Broad(WI2) Other Commercial Plan: $6,798 Dean Health Plan — Medicare Managed Care Plan: $3,943.84 Molina — Medicare Managed Care Plan: $2,957.88
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$9,698.86 – $24,224
Total hip replacement: rates for 6 insurance plans BCBS — Blue Access PPO: $19,087 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $18,190 BCBS — Blue Traditional Traditional: $19,087 Centivo — Broad(WI2) Other Commercial Plan: $24,224 Dean Health Plan — Medicare Managed Care Plan: $12,931.81 Molina — Medicare Managed Care Plan: $9,698.86
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$9,698.86 – $24,224
Total knee replacement: rates for 6 insurance plans BCBS — Blue Access PPO: $17,161 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $16,352 BCBS — Blue Traditional Traditional: $17,161 Centivo — Broad(WI2) Other Commercial Plan: $24,224 Dean Health Plan — Medicare Managed Care Plan: $12,931.81 Molina — Medicare Managed Care Plan: $9,698.86
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery	Not listed in the file	Not listed in the file	$1,704
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan Centivo — Broad(WI2) Other Commercial Plan: $1,704
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$2,471.80 – $12,519
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 6 insurance plans BCBS — Blue Access PPO: $12,519 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $10,498 BCBS — Blue Traditional Traditional: $12,519 Centivo — Broad(WI2) Other Commercial Plan: $7,919 Dean Health Plan — Medicare Managed Care Plan: $3,295.74 Molina — Medicare Managed Care Plan: $2,471.80
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$4,472.08 – $10,560
Removal of tonsils and adenoids (under age 12): rates for 6 insurance plans BCBS — Blue Access PPO: $10,560 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $9,811 BCBS — Blue Traditional Traditional: $10,560 Centivo — Broad(WI2) Other Commercial Plan: $6,798 Dean Health Plan — Medicare Managed Care Plan: $5,962.77 Molina — Medicare Managed Care Plan: $4,472.08
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$685.17 – $4,140
Upper GI endoscopy (diagnostic): rates for 6 insurance plans BCBS — Blue Access PPO: $4,074 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $4,140 BCBS — Blue Traditional Traditional: $4,074 Centivo — Broad(WI2) Other Commercial Plan: $3,232 Dean Health Plan — Medicare Managed Care Plan: $913.56 Molina — Medicare Managed Care Plan: $685.17
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$685.17 – $4,140
Upper GI endoscopy with biopsy: rates for 6 insurance plans BCBS — Blue Access PPO: $4,074 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $4,140 BCBS — Blue Traditional Traditional: $4,074 Centivo — Broad(WI2) Other Commercial Plan: $3,232 Dean Health Plan — Medicare Managed Care Plan: $913.56 Molina — Medicare Managed Care Plan: $685.17
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$702.53 – $4,140
Colonoscopy (diagnostic): rates for 6 insurance plans BCBS — Blue Access PPO: $4,074 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $4,140 BCBS — Blue Traditional Traditional: $4,074 Centivo — Broad(WI2) Other Commercial Plan: $3,232 Dean Health Plan — Medicare Managed Care Plan: $936.70 Molina — Medicare Managed Care Plan: $702.53
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$903.99 – $5,043
Colonoscopy with biopsy: rates for 6 insurance plans BCBS — Blue Access PPO: $5,043 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $4,321 BCBS — Blue Traditional Traditional: $5,043 Centivo — Broad(WI2) Other Commercial Plan: $3,232 Dean Health Plan — Medicare Managed Care Plan: $1,205.32 Molina — Medicare Managed Care Plan: $903.99
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$903.99 – $5,043
Colonoscopy with removal of polyps (snare): rates for 6 insurance plans BCBS — Blue Access PPO: $5,043 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $4,321 BCBS — Blue Traditional Traditional: $5,043 Centivo — Broad(WI2) Other Commercial Plan: $3,232 Dean Health Plan — Medicare Managed Care Plan: $1,205.32 Molina — Medicare Managed Care Plan: $903.99
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$903.99 – $5,043
Ultrasound of the lower bowel by endoscope: rates for 6 insurance plans BCBS — Blue Access PPO: $5,043 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $4,321 BCBS — Blue Traditional Traditional: $5,043 Centivo — Broad(WI2) Other Commercial Plan: $3,232 Dean Health Plan — Medicare Managed Care Plan: $1,205.32 Molina — Medicare Managed Care Plan: $903.99
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$702.53 – $4,140
Screening colonoscopy (not high risk): rates for 6 insurance plans BCBS — Blue Access PPO: $4,074 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $2,974.72 BCBS — Blue Traditional Traditional: $3,222.59 Centivo — Broad(WI2) Other Commercial Plan: $2,672 Dean Health Plan — Medicare Managed Care Plan: $936.70 Molina — Medicare Managed Care Plan: $702.53
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$4,567.04 – $16,582
Gallbladder removal by laparoscope: rates for 6 insurance plans BCBS — Blue Access PPO: $15,833 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $14,906 BCBS — Blue Traditional Traditional: $15,833 Centivo — Broad(WI2) Other Commercial Plan: $16,582 Dean Health Plan — Medicare Managed Care Plan: $6,089.38 Molina — Medicare Managed Care Plan: $4,567.04
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$2,704.78 – $12,519
Groin (inguinal) hernia repair, age 5 or older: rates for 6 insurance plans BCBS — Blue Access PPO: $12,519 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $10,498 BCBS — Blue Traditional Traditional: $12,519 Centivo — Broad(WI2) Other Commercial Plan: $7,919 Dean Health Plan — Medicare Managed Care Plan: $3,606.37 Molina — Medicare Managed Care Plan: $2,704.78
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate	Not listed in the file	Not listed in the file	$3,232 – $5,043
Prostate biopsy: rates for 4 insurance plans BCBS — Blue Access PPO: $5,043 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $4,321 BCBS — Blue Traditional Traditional: $5,043 Centivo — Broad(WI2) Other Commercial Plan: $3,232
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Biopsy Prostate	$3,317	$1,824.35	Not listed in the file
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy	Not listed in the file	Not listed in the file	$8,030.21 – $24,224
Prostate removal by laparoscope (radical prostatectomy): rates for 6 insurance plans BCBS — Blue Access PPO: $17,161 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $16,352 BCBS — Blue Traditional Traditional: $17,161 Centivo — Broad(WI2) Other Commercial Plan: $24,224 Dean Health Plan — Medicare Managed Care Plan: $10,706.94 Molina — Medicare Managed Care Plan: $8,030.21
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$2,445.46 – $6,798
Hysteroscopy with biopsy of the uterus lining: rates for 6 insurance plans BCBS — Blue Access PPO: $5,043 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $4,321 BCBS — Blue Traditional Traditional: $5,043 Centivo — Broad(WI2) Other Commercial Plan: $6,798 Dean Health Plan — Medicare Managed Care Plan: $3,260.61 Molina — Medicare Managed Care Plan: $2,445.46
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$533.25 – $4,140
Spinal injection, lower back (epidural), with imaging guidance: rates for 6 insurance plans BCBS — Blue Access PPO: $4,074 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $4,140 BCBS — Blue Traditional Traditional: $4,074 Centivo — Broad(WI2) Other Commercial Plan: $2,672 Dean Health Plan — Medicare Managed Care Plan: $711 Molina — Medicare Managed Care Plan: $533.25
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Inj Epidural Lumbar Sacral W Img	$2,994	$1,646.70	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s	Not listed in the file	Not listed in the file	$668.17 – $4,140
Nerve root injection, lower back, with imaging guidance: rates for 6 insurance plans BCBS — Blue Access PPO: $4,074 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $4,140 BCBS — Blue Traditional Traditional: $4,074 Centivo — Broad(WI2) Other Commercial Plan: $2,672 Dean Health Plan — Medicare Managed Care Plan: $890.89 Molina — Medicare Managed Care Plan: $668.17
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Inj Transforam Nerve L/S Sngl	$3,298	$1,813.90	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee · modifier 50 In the file: Hc Inj Trans Nerve L/S Sngl Bilat	$6,594	$3,626.70	Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$1,475.17 – $6,798
Carpal tunnel release: rates for 6 insurance plans BCBS — Blue Access PPO: $5,043 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $4,321 BCBS — Blue Traditional Traditional: $5,043 Centivo — Broad(WI2) Other Commercial Plan: $6,798 Dean Health Plan — Medicare Managed Care Plan: $1,966.89 Molina — Medicare Managed Care Plan: $1,475.17
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$415.49 – $4,140
Laser treatment of clouding after cataract surgery: rates for 6 insurance plans BCBS — Blue Access PPO: $4,074 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $4,140 BCBS — Blue Traditional Traditional: $4,074 Centivo — Broad(WI2) Other Commercial Plan: $2,672 Dean Health Plan — Medicare Managed Care Plan: $553.99 Molina — Medicare Managed Care Plan: $415.49
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage	Not listed in the file	Not listed in the file	$1,743.42 – $6,798
Cataract removal with lens implant: rates for 6 insurance plans BCBS — Blue Access PPO: $5,043 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $4,321 BCBS — Blue Traditional Traditional: $5,043 Centivo — Broad(WI2) Other Commercial Plan: $6,798 Dean Health Plan — Medicare Managed Care Plan: $2,324.56 Molina — Medicare Managed Care Plan: $1,743.42

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetrical care	Not listed in the file	Not listed in the file	$10,498 – $12,519
Vaginal delivery, with care before and after: rates for 3 insurance plans BCBS — Blue Access PPO: $12,519 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $10,498 BCBS — Blue Traditional Traditional: $12,519
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cesarean delivery	Not listed in the file	Not listed in the file	$10,498 – $12,519
Cesarean delivery (C-section), with care before and after: rates for 3 insurance plans BCBS — Blue Access PPO: $12,519 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $10,498 BCBS — Blue Traditional Traditional: $12,519
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery	Not listed in the file	Not listed in the file	$10,498 – $12,519
Vaginal delivery after a previous C-section, with care before and after: rates for 3 insurance plans BCBS — Blue Access PPO: $12,519 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $10,498 BCBS — Blue Traditional Traditional: $12,519

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc	Not listed in the file	Not listed in the file	$53,474.38 – $303,022.23
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 15 insurance plan rates BCBS — Blue Access PPO: $210,203.02 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $196,761.46 BCBS — Blue Traditional Traditional: $210,203.02 Centivo — Broad(WI2) Other Commercial Plan: $176,100.18 Dean Health Plan — Medicare Managed Care Plan: $71,299.17 Molina — Medicare Managed Care Plan: $53,474.38 The Alliance — All Commercial Plans: $303,022.23 WPS — Southern Other Commercial Plan: $197,590.16 Health Partners Inc. — Anderson Corporation Other Commercial Plan: 80% (a percentage in the contract, not a dollar amount) Multiplan — Aetna All Commercial Plans: 96% (a percentage in the contract, not a dollar amount)
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc	Not listed in the file	Not listed in the file	Not listed in the file
Spinal fusion (not neck), without major complications: rates for 7 insurance plans Health Partners Inc. — Anderson Corporation Other Commercial Plan: 80% (a percentage in the contract, not a dollar amount) Multiplan — Aetna All Commercial Plans: 96% (a percentage in the contract, not a dollar amount) Multiplan — Complementary All Commercial Plans: 96% (a percentage in the contract, not a dollar amount) Multiplan — Health EOS All Commercial Plans: 87% (a percentage in the contract, not a dollar amount) Multiplan — PHCS All Commercial Plans: 87% (a percentage in the contract, not a dollar amount) Multiplan — UHC All Commercial Plans: 99% (a percentage in the contract, not a dollar amount) TriWest — Government: 75% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc	Not listed in the file	Not listed in the file	$10,827.61 – $59,747.68
Hip or knee replacement (major joint of the leg), without major complications: 10 of 15 insurance plan rates BCBS — Blue Access PPO: $41,446.27 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $38,795.97 BCBS — Blue Traditional Traditional: $41,446.27 Centivo — Broad(WI2) Other Commercial Plan: $34,722.13 Dean Health Plan — Medicare Managed Care Plan: $14,436.81 Molina — Medicare Managed Care Plan: $10,827.61 The Alliance — All Commercial Plans: $59,747.68 WPS — Southern Other Commercial Plan: $38,959.36 Health Partners Inc. — Anderson Corporation Other Commercial Plan: 80% (a percentage in the contract, not a dollar amount) Multiplan — Aetna All Commercial Plans: 96% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc	Not listed in the file	Not listed in the file	$13,609.94 – $75,619.27
Neck (cervical) spinal fusion, without complications: 10 of 15 insurance plan rates BCBS — Blue Access PPO: $52,456.21 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $49,101.87 BCBS — Blue Traditional Traditional: $52,456.21 Centivo — Broad(WI2) Other Commercial Plan: $43,945.84 Dean Health Plan — Medicare Managed Care Plan: $18,146.59 Molina — Medicare Managed Care Plan: $13,609.94 The Alliance — All Commercial Plans: $75,619.27 WPS — Southern Other Commercial Plan: $49,308.67 Health Partners Inc. — Anderson Corporation Other Commercial Plan: 80% (a percentage in the contract, not a dollar amount) Multiplan — Aetna All Commercial Plans: 96% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc	Not listed in the file	Not listed in the file	$7,090.67 – $38,430.68
Uterus and ovary surgery (not for cancer), without complications: 10 of 15 insurance plan rates BCBS — Blue Access PPO: $26,658.92 BCBS — Blue Preferred/Blue Preferred Plus HMO/POS: $24,954.20 BCBS — Blue Traditional Traditional: $26,658.92 Centivo — Broad(WI2) Other Commercial Plan: $22,333.84 Dean Health Plan — Medicare Managed Care Plan: $9,454.23 Molina — Medicare Managed Care Plan: $7,090.67 The Alliance — All Commercial Plans: $38,430.68 WPS — Southern Other Commercial Plan: $25,059.30 Health Partners Inc. — Anderson Corporation Other Commercial Plan: 80% (a percentage in the contract, not a dollar amount) Multiplan — Aetna All Commercial Plans: 96% (a percentage in the contract, not a dollar amount)

Source: SSM Health St Mary's Hospital - Janesville’s standard charges file (hospitalpricedisclosure.com, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Acute Care Hospital
Address	3400 East Racine Street, Janesville, WI 53546
County	Rock County
State	Wisconsin
Phone	(608) 373‑8000
Emergency services	Yes
Ownership	Voluntary non-profit - Other
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	520208
Name in Medicare records	SSM HEALTH ST MARY'S HOSPITAL - JANESVILLE
Profile level	Medicare data + hospital website
Official website	ssmhealth.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

SSM Health St. Mary's Hospital - Janesville — ssmhealth.com
Emergency Room at St. Mary's Hospital — ssmhealth.com
SSM Health Cancer Care — ssmhealth.com