SSM Health St. Clare Hospital - Baraboo
707 14Th St, Baraboo, WI · SSM Health · · NPI 1720472848
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $45.10 | $82.00 | $21.96 – $290.99 | 5 |
| 17-hydroxypregnenolone CPT 84143 | $45.10 | $82.00 | $17.11 – $226.79 | 5 |
| 17-ketosteroids CPT 83586 | $31.35 | $57.00 | $9.60 – $127.26 | 5 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $96.99 – $129.32 | 2 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $26.94 – $262.09 | 5 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $96.93 – $129.23 | 2 |
| 2d tee w or without fol w/con,in HCPCS C8925 | not published | not published | $571.09 – $761.45 | 2 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $571.09 – $761.45 | 2 |
| 2nd order venous cath CPT 36012 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $93.74 – $124.98 | 2 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $93.74 – $124.98 | 2 |
| 3-d radiotherapy plan CPT 77295 | $5,025.35 | $9,137.00 | $1,008.34 – $2,913.02 | 3 |
| 3d recon without postprocess indpndt CPT 76376 | $362.45 | $659.00 | $141.20 – $141.20 | 1 |
| 5' nucleotidase - sendout CPT 83915 | $18.70 | $34.00 | $8.36 – $110.84 | 5 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $156.75 | $285.00 | $151.29 – $151.29 | 1 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $34.39 – $84.54 | 5 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $44.55 | $81.00 | $9.01 – $57.79 | 5 |
| Abd aorta w/runoff s&i CPT 75630 | not published | not published | $889.75 – $3,066.96 | 3 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Abd/low ext cath 1st CPT 36245 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Abd/low ext cath 2nd CPT 36246 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Abd/low ext cath 3rd CPT 36247 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Abd/low ext cath addl CPT 36248 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,831.50 | $3,330.00 | $127.78 – $2,066.57 | 3 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,655.50 | $3,010.00 | $127.78 – $1,796.50 | 3 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,403.60 | $2,552.00 | $76.16 – $963.06 | 3 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,448.60 | $4,452.00 | $254.15 – $4,237.36 | 3 |
| Abdominal MRI (with contrast) CPT 74182 | $2,384.25 | $4,335.00 | $254.15 – $3,959.54 | 3 |
| Abdominal MRI (without contrast) CPT 74181 | $2,318.25 | $4,215.00 | $173.82 – $2,798.12 | 3 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,113.10 | $3,842.00 | $660.74 – $4,401.00 | 4 |
| Abdominal Ultrasound (complete) CPT 76700 | $895.40 | $1,628.00 | $76.16 – $893.60 | 3 |
| Abdominal Ultrasound (limited) CPT 76705 | $864.60 | $1,572.00 | $76.16 – $669.79 | 3 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $4,837.36 – $17,411.00 | 4 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $732.05 | $1,331.00 | $660.74 – $4,401.00 | 4 |
| Abl1 gene CPT 81170 | $1,172.60 | $2,132.00 | $225.00 – $2,404.39 | 5 |
| Ablate arrhythmia add on CPT 93655 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Ablate bone tumor(s) perq CPT 20982 | not published | not published | $12,773.37 – $20,477.00 | 4 |
| Ablate heart dysrhythm focus CPT 93650 | not published | not published | $5,682.05 – $17,411.00 | 4 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $1,130.33 – $4,867.00 | 4 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $1,130.33 – $4,867.00 | 4 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $7,743.83 – $16,781.00 | 4 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Ablation cardiac vagal inputs atrium CPT 93799 | not published | not published | $93.74 – $1,676.00 | 3 |
| Ablation cryo abd perit om CPT 49999 | $3,582.15 | $6,513.00 | $660.74 – $14,312.00 | 4 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $4,404.16 – $16,310.00 | 4 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $179.70 – $4,401.00 | 4 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $7,743.83 – $16,781.00 | 4 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $321.40 – $14,312.00 | 4 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $179.70 – $14,312.00 | 4 |
| Ablation of upper extremity nerves rf CPT 64999 | $2,134.00 | $3,880.00 | $223.61 – $14,312.00 | 4 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,203.19 – $16,781.00 | 3 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $6,687.00 – $11,044.00 | 4 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $9,611.43 – $14,312.00 | 3 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $6.71 – $17.42 | 5 |
| Abortion CPT 59850 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Abortion (mpr) CPT 59866 | not published | not published | $222.00 – $4,401.00 | 4 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Abrasion lesion single CPT 15786 | not published | not published | $146.16 – $4,401.00 | 4 |
| Abscess drain retroperitoneal surg code CPT 49406 | $1,772.10 | $3,222.00 | $1,203.19 – $4,867.00 | 4 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | not published | not published | $0.07 – $0.10 | 3 |
| Acetaminophen 120 mg rectal suppository HCPCS A9270 | $107.02 | $194.58 | not published | 0 |
| Acetaminophen level CPT 80143 | $220.00 | $400.00 | $13.98 – $136.01 | 5 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | not published | not published | $27.64 – $40.00 | 3 |
| Acetone qualitative CPT 82009 | $33.00 | $60.00 | $3.39 – $44.95 | 5 |
| Acetylcholine receptor modulating antibody CPT 86043 | $49.50 | $90.00 | $9.04 – $68.93 | 5 |
| Acetylcholinesterase assay CPT 82013 | $89.10 | $162.00 | $9.22 – $110.99 | 5 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | not published | not published | $0.65 – $1.02 | 3 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $12.24 – $16.89 | 3 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $271.85 – $1,676.00 | 3 |
| Acne surgery 10040 CPT 10040 | not published | not published | $146.16 – $4,401.00 | 4 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $125.24 – $166.99 | 2 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | not published | not published | $98.78 – $131.70 | 2 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $90.20 | $164.00 | not published | 0 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | $83.05 | $151.00 | not published | 0 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | $165.55 | $301.00 | not published | 0 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $362.45 | $659.00 | $96.99 – $129.32 | 2 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $101.75 | $185.00 | $8.98 – $11.97 | 2 |
| Acoustic immitance testing CPT 92570 | not published | not published | $93.74 – $124.98 | 2 |
| Acoustic refl threshold tst CPT 92568 | $45.65 | $83.00 | $27.21 – $36.28 | 2 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $2,383.65 – $14,304.00 | 4 |
| Actigraphy testing CPT 95803 | not published | not published | $42.98 – $57.30 | 2 |
| Actinotherapy uv light CPT 96900 | $132.00 | $240.00 | $27.21 – $36.28 | 2 |
| Acute hepatitis panel CPT 80074 | $287.10 | $522.00 | $35.72 – $473.50 | 5 |
| Acute venous thrombus image CPT 78456 | not published | not published | $943.15 – $3,003.34 | 3 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | not published | not published | $0.06 – $0.09 | 3 |
| #acylcarnitineprfl CPT 82017 | $121.55 | $221.00 | $12.65 – $143.25 | 5 |
| Acylcarnitines qual CPT 82016 | $150.15 | $273.00 | $12.37 – $137.85 | 5 |
| Adding walker to prev cast CPT 29440 | not published | not published | $118.38 – $4,401.00 | 4 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | not published | not published | $0.57 – $0.87 | 3 |
| Adenovirus ag ia CPT 87301 | not published | not published | $8.98 – $119.16 | 5 |
| Adenovirus antibody,serum - quest CPT 86603 | $86.90 | $158.00 | $9.65 – $57.79 | 5 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $16.32 – $119.16 | 5 |
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.