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 |
|---|---|---|---|---|
| Breast reconstruction 19357 CPT 19357 | not published | not published | $10,039.42 – $18,408.00 | 4 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $14,304.00 – $17,411.00 | 2 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Breast reduction CPT 19318 | not published | not published | $4,837.36 – $17,411.00 | 4 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $157.30 – $1,676.00 | 3 |
| Breathing response hypoxia CPT 94450 | not published | not published | $93.74 – $124.98 | 2 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $70.81 – $669.49 | 5 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $8.30 – $78.16 | 5 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | not published | not published | $209.41 – $491.18 | 5 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $382,577.94 – $930,468.00 | 5 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | not published | not published | $284.93 – $4,401.00 | 4 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $2,716.10 – $11,257.00 | 4 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $2,716.10 – $11,257.00 | 4 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $284.93 – $4,401.00 | 4 |
| Bronchial valve init insert CPT 31647 | not published | not published | $5,141.35 – $17,411.00 | 4 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $1,296.65 – $4,867.00 | 4 |
| Bronchial valve remov init CPT 31648 | not published | not published | $2,716.10 – $11,257.00 | 4 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $5,141.35 – $17,411.00 | 4 |
| Bronchoscopy clear airways 31645 CPT 31645 | not published | not published | $1,296.65 – $4,867.00 | 4 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $2,716.10 – $11,257.00 | 4 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $5,141.35 – $17,411.00 | 4 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | not published | not published | $2,716.10 – $11,257.00 | 4 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | not published | not published | $2,716.10 – $11,257.00 | 4 |
| Bronchoscopy revise stent CPT 31638 | not published | not published | $5,141.35 – $17,411.00 | 4 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $2,716.10 – $11,257.00 | 4 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | not published | not published | $1,296.65 – $4,867.00 | 4 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | not published | not published | $1,296.65 – $4,867.00 | 4 |
| Bronchoscopy w/markers CPT 31626 | not published | not published | $5,141.35 – $17,411.00 | 4 |
| Bronchoscopy w/tumor excise CPT 31640 | not published | not published | $2,716.10 – $11,257.00 | 4 |
| Bronch thermoplsty 1 lobe CPT 31660 | not published | not published | $5,141.35 – $17,411.00 | 4 |
| Bronch thermoplsty 2/> lobes CPT 31661 | not published | not published | $5,141.35 – $17,411.00 | 4 |
| Bronch w/balloon occlusion CPT 31634 | not published | not published | $5,141.35 – $17,411.00 | 4 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | not published | not published | $145.41 – $14,312.00 | 4 |
| Br punct aspir ea add, l CPT 19001 | $554.40 | $1,008.00 | $1,676.00 – $1,676.00 | 1 |
| Brush provox 4-10mm HCPCS L8513 | not published | not published | $4.81 – $6.41 | 2 |
| Bso omentectomy w/tah 58956 CPT 58956 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Budesonide non-comp unit HCPCS J7626 | not published | not published | $1.73 – $2.61 | 3 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | not published | not published | $0.83 – $1.16 | 3 |
| Bundled special stain group 1 microorganisms CPT 88312 | $533.50 | $970.00 | $37.96 – $490.82 | 3 |
| Bundled special stain group 2 CPT 88313 | $669.90 | $1,218.00 | $96.93 – $393.45 | 3 |
| Bundle his recording CPT 93600 | not published | not published | $3,179.00 – $7,576.07 | 3 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | not published | not published | $0.01 – $0.02 | 3 |
| Buprenorphine and metabolite - sendout CPT 80348 | $102.30 | $186.00 | not published | 0 |
| Buprenorphine hydrochloride HCPCS J0592 | not published | not published | $6.06 – $7.96 | 3 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | not published | not published | $1,551.12 – $3,755.45 | 5 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | not published | not published | $1,551.12 – $3,755.45 | 5 |
| Burr hole for vent puncture 61120 CPT 61120 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Burr hole implant ventricular cath/other device CPT 61210 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Burr hole skull for biopsy 61140 CPT 61140 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Burr hole skull & remove clot 61154 CPT 61154 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Busulfan injection HCPCS J0594 | not published | not published | $0.77 – $3.49 | 5 |
| Butorphanol tartrate 1 mg HCPCS J0595 | not published | not published | $6.80 – $10.51 | 3 |
| Buttock fasciotomy CPT 27027 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | $1,171.42 – $6,687.00 | 4 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | not published | not published | $1,203.19 – $4,867.00 | 4 |
| Bx bone trocar/ndl deep CPT 20225 | not published | not published | $1,203.19 – $4,867.00 | 4 |
| Bx breast 1st lesion mr imag CPT 19085 | not published | not published | $1,203.19 – $4,867.00 | 4 |
| Bx breast 1st lesion strtctc CPT 19081 | $1,525.15 | $2,773.00 | $1,203.19 – $4,867.00 | 4 |
| Bx breast add lesion mr imag CPT 19086 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Bx breast add lesion strtctc CPT 19082 | $876.15 | $1,593.00 | $1,676.00 – $1,676.00 | 1 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $858.55 | $1,561.00 | $1,676.00 – $1,676.00 | 1 |
| Bx breast perq without image 19100 CPT 19100 | not published | not published | $1,203.19 – $4,867.00 | 4 |
| Bx breast pq tomo guide CPT 19499 | not published | not published | $2,852.39 – $14,312.00 | 4 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | not published | not published | $222.00 – $4,401.00 | 4 |
| Bx/exc idrl spine lesn crvl CPT 63280 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $2,852.39 – $11,257.00 | 4 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $2,852.39 – $11,257.00 | 4 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | not published | not published | $20,477.00 – $23,826.00 | 2 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | not published | not published | $2,116.08 – $11,257.00 | 4 |
| Bx liver with other CPT 47001 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Bx muscle CPT 20200 | not published | not published | $1,203.19 – $4,867.00 | 4 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | not published | not published | $2,415.31 – $6,687.00 | 4 |
| Bx of breast open 19101 CPT 19101 | not published | not published | $2,852.39 – $11,257.00 | 4 |
| Bx of cervix w/scope leep 57460 CPT 57460 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| Bx pancreas pq ndl CPT 48102 | $1,207.80 | $2,196.00 | $1,203.19 – $4,867.00 | 4 |
| Bx perianal mass CPT 46999 | not published | not published | $677.47 – $14,312.00 | 4 |
| Bx pleura pq ndl CPT 32400 | not published | not published | $1,203.19 – $4,867.00 | 4 |
| Bx prostate trnsrctl u/s guid CPT 55707 | not published | not published | $2,567.95 – $3,423.93 | 2 |
| Bx prst8 ndl sat sampling CPT 55706 | not published | not published | $2,567.95 – $4,867.00 | 4 |
| Bx shoulder tissues deep 23066 CPT 23066 | not published | not published | $2,116.08 – $11,257.00 | 4 |
| Bx shoulder tissues supf 23065 CPT 23065 | $3,010.15 | $5,473.00 | $1,203.19 – $4,867.00 | 4 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $174.90 | $318.00 | $1,676.00 – $1,676.00 | 1 |
| Bx skin punch ea sep/ addl les CPT 11105 | $157.85 | $287.00 | $1,676.00 – $1,676.00 | 1 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $157.85 | $287.00 | $1,676.00 – $1,676.00 | 1 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | not published | not published | $1,203.19 – $4,867.00 | 4 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | not published | not published | $1,203.19 – $4,867.00 | 4 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | not published | not published | $1,203.19 – $4,867.00 | 4 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | not published | not published | $1,203.19 – $6,687.00 | 4 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | not published | not published | $1,203.19 – $4,867.00 | 4 |
| Bx spinal cord pq ndl CPT 62269 | not published | not published | $1,203.19 – $4,867.00 | 4 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | not published | not published | $1,203.19 – $4,867.00 | 4 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $1,686.85 | $3,067.00 | $515.87 – $4,401.00 | 4 |
| Bx vag mucos smpl (sep proc) CPT 57100 | not published | not published | $670.98 – $4,401.00 | 4 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | not published | not published | $670.98 – $4,401.00 | 4 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Bypass temp external fem-fem CPT 37799 | $123.20 | $224.00 | $456.99 – $14,312.00 | 4 |
| C-1 esterase, berinert HCPCS J0597 | not published | not published | $59.45 – $144.14 | 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.