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SSM Health St. Mary's Hospital - Janesville prices. From its own published file.

SSM Health St. Mary's Hospital - Janesville in Janesville, WI publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

11,985prices published
Apr 2026file last updated
$3,750cash price for ct abdomen and pelvis with contrast (list $6,818)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$663$1,206$206–$275
Emergency visit, high (level 4)
99284
$1,063$1,933$315–$420
Emergency visit, highest (level 5)
99285
$1,599$2,907$450–$600
Comprehensive metabolic panel
80053
$223$406$7.92–$90.63
Basic metabolic panel
80048
$184$334$6.34–$72.55
Complete blood count (CBC)
85025
$155$281$5.83–$66.69
Blood draw (venipuncture)
36415
$26.95$57.00$7.00–$15.91
Urinalysis
81001
$64.90$120$2.38–$27.20
Troponin (heart test)
84484
$77.00$375$9.35–$84.39
EKG tracing
93005
$222$403$44.57–$59.42
Chest X-ray, 2 views
71046
$367$668$65.74–$163
CT head without contrast
70450
$1,040$1,891$78.98–$611
CT abdomen and pelvis with contrast
74177
$3,750$6,818$264–$1,841
MRI lower back without contrast
72148
$2,586$4,702$180–$1,238
Ultrasound, abdomen
76700
$1,335$2,427$78.98–$695
IV push, single drug
96374
$191$375$161–$214
IV fluids, first hour
96360
$532$1,040$161–$214
Ketorolac injection, 15 mg
J1885
——$0.21–$1.39
Ondansetron injection
J2405
——$0.13–$0.17
Colonoscopy, diagnostic
45378
——$703–$4,140
Upper GI endoscopy with biopsy
43239
——$685–$4,140
Knee arthroscopy
29881
——$2,472–$12,519
Vaginal delivery, routine care
59400
——$10,498–$12,519
Cesarean delivery, routine care
59510
——$10,498–$12,519

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: SSM Health St. Mary's Hospital - Janesville price transparency page.

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