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 |
|---|---|---|---|---|
| Unlisted cytogenetic study CPT 88299 | not published | not published | $37.96 – $50.62 | 2 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $37.96 – $50.62 | 2 |
| Unlisted dialysis procedure CPT 90999 | $508.20 | $924.00 | not published | 0 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $93.74 – $1,676.00 | 3 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $291.23 – $388.31 | 2 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $147.28 – $4,401.00 | 4 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $63.40 – $418.60 | 3 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $291.23 – $388.31 | 2 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $291.23 – $388.31 | 2 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $147.28 – $4,401.00 | 4 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $4,404.16 – $14,312.00 | 4 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Unlisted laps px renal CPT 50549 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Unlisted laps px testis CPT 54699 | not published | not published | $4,404.16 – $14,312.00 | 4 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $172.55 – $4,401.00 | 4 |
| Unlisted misc path test CPT 89240 | not published | not published | $37.96 – $50.62 | 2 |
| Unlisted mr procedure CPT 76498 | not published | not published | $63.40 – $739.45 | 3 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $291.23 – $388.31 | 2 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $172.55 – $14,312.00 | 4 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $93.74 – $124.98 | 2 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $291.23 – $388.31 | 2 |
| Unlisted procedure colon CPT 45399 | not published | not published | $677.47 – $14,312.00 | 4 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $660.74 – $14,312.00 | 4 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $231.23 – $14,312.00 | 4 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $172.55 – $14,312.00 | 4 |
| Unlisted procedure liver CPT 47399 | not published | not published | $515.87 – $14,312.00 | 4 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $231.23 – $14,312.00 | 4 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $515.87 – $14,312.00 | 4 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $677.47 – $14,312.00 | 4 |
| Unlisted procedure spine CPT 22899 | not published | not published | $179.70 – $14,312.00 | 4 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $7,789.00 – $11,044.00 | 2 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $179.70 – $14,312.00 | 4 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $172.55 – $14,312.00 | 4 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $1,681.25 – $14,312.00 | 4 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $179.70 – $14,312.00 | 4 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $660.74 – $14,312.00 | 4 |
| Unlisted px casting/strpg CPT 29799 | $330.00 | $600.00 | $118.38 – $14,312.00 | 4 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $231.23 – $14,312.00 | 4 |
| Unlisted px diaphragm CPT 39599 | not published | not published | $14,312.00 – $14,312.00 | 1 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $515.87 – $14,312.00 | 4 |
| Unlisted px external ear CPT 69399 | not published | not published | $172.55 – $14,312.00 | 4 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $231.23 – $14,312.00 | 4 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $179.70 – $14,312.00 | 4 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $179.70 – $14,312.00 | 4 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $179.70 – $4,401.00 | 4 |
| Unlisted px inner ear CPT 69949 | not published | not published | $172.55 – $4,401.00 | 4 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $231.23 – $14,312.00 | 4 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $179.70 – $14,312.00 | 4 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $182.01 – $14,312.00 | 4 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $14,312.00 – $14,312.00 | 1 |
| Unlisted px med radj physics CPT 77399 | $507.65 | $923.00 | not published | 0 |
| Unlisted px middle ear CPT 69799 | not published | not published | $172.55 – $14,312.00 | 4 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $172.55 – $14,312.00 | 4 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $172.55 – $14,312.00 | 4 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $179.70 – $14,312.00 | 4 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $1,681.25 – $14,312.00 | 4 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $172.55 – $14,312.00 | 4 |
| Unlisted px small intestine CPT 44799 | not published | not published | $660.74 – $14,312.00 | 4 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $172.55 – $4,401.00 | 4 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $172.55 – $14,312.00 | 4 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $172.55 – $14,312.00 | 4 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $37.96 – $50.62 | 2 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $291.23 – $388.31 | 2 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $146.16 – $194.88 | 2 |
| Unlisted surgical path px CPT 88399 | $218.35 | $397.00 | $37.96 – $50.62 | 2 |
| Unlisted transfusion med px CPT 86999 | $26.95 | $49.00 | not published | 0 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $63.40 – $84.53 | 2 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $456.99 – $4,401.00 | 4 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $291.23 – $388.31 | 2 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Upgrade pm system CPT 33214 | not published | not published | $7,614.27 – $38,664.00 | 4 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,448.60 | $4,452.00 | $254.15 – $2,848.29 | 3 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,384.25 | $4,335.00 | $254.15 – $2,497.16 | 3 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,318.25 | $4,215.00 | $173.82 – $1,607.41 | 3 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $660.74 – $4,401.00 | 4 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $660.74 – $4,401.00 | 4 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | not published | not published | $329.51 – $439.35 | 2 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $660.74 – $4,401.00 | 4 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Urea nitrogen CPT 84520 | $47.85 | $87.00 | $2.96 – $39.26 | 5 |
| Urea nitrogen 24 hour urine CPT 84540 | $69.85 | $127.00 | $4.17 – $47.22 | 5 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $5.40 – $65.69 | 5 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $3.85 – $37.43 | 5 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Ureteral reflux study CPT 78740 | not published | not published | $291.23 – $2,136.73 | 3 |
| Ureter endoscopy CPT 50970 | not published | not published | $2,567.95 – $4,867.00 | 4 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $3,906.07 – $11,044.00 | 4 |
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.