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 |
|---|---|---|---|---|
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $1,106.29 | $2,011.43 | not published | 0 |
| Cathj rmvl dev ischmc rmdlg CPT 53866 | not published | not published | $182.01 – $4,401.00 | 3 |
| Cathj umbilical vein dx/ther nb CPT 36510 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Cath left heart/lv gram CPT 93452 | not published | not published | $2,361.75 – $14,304.00 | 4 |
| Cath left heart transseptal punc CPT 93462 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Cath lt/rt pulm art CPT 36014 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $391.41 | $711.65 | not published | 0 |
| Cath place 1st order venous 36011 CPT 36011 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Cath place cardio brachytx CPT 92974 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | not published | not published | $2,361.75 – $14,304.00 | 4 |
| Cath plc art/angio/rt hrt cath CPT 93456 | not published | not published | $2,361.75 – $14,304.00 | 4 |
| Cath plc art/grft/angio right hrt CPT 93457 | not published | not published | $2,361.75 – $14,304.00 | 4 |
| Cath right heart w/o2 sat & card CPT 93451 | not published | not published | $2,361.75 – $14,304.00 | 4 |
| Cath right hrt mnpul art CPT 36013 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $152.90 | $278.00 | $1,676.00 – $1,676.00 | 1 |
| Cath segmntl pulm art CPT 36015 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Cath stripping venous s&i CPT 75901 | not published | not published | $1,657.58 – $1,657.58 | 1 |
| Cauterization chemical granulation tissue CPT 17250 | not published | not published | $146.16 – $4,401.00 | 4 |
| Cauterization of cervix 57510 CPT 57510 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| #cbg+cort-cbg CPT 84449 | $75.35 | $137.00 | $13.50 – $178.91 | 5 |
| Ccnd1/igh translocation alys CPT 81168 | not published | not published | $155.48 – $1,512.70 | 5 |
| Cdna analysis for variants CPT 81403 | $1,508.65 | $2,743.00 | $138.90 – $1,299.41 | 5 |
| Cdp-sot 6 cond w/i&r CPT 92548 | not published | not published | $96.93 – $129.23 | 2 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $96.93 – $129.23 | 2 |
| Cebpa gene full sequence CPT 81218 | $1,114.30 | $2,026.00 | $181.42 – $2,404.39 | 5 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | not published | not published | $1.20 – $1.59 | 3 |
| Cefepime 1 gram solution for injection HCPCS J0692 | not published | not published | $1.74 – $2.34 | 3 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | not published | not published | $7.26 – $9.75 | 3 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | not published | not published | $3.29 – $8.06 | 5 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | not published | not published | $2.32 – $3.12 | 3 |
| Ceftazidime and avibactam HCPCS J0714 | not published | not published | $82.33 – $199.41 | 5 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | not published | not published | $0.71 – $0.91 | 3 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | not published | not published | $2.91 – $4.35 | 3 |
| #celiac hla-dq2 CPT 81377 | not published | not published | $71.06 – $912.54 | 5 |
| #celiac hla-dq8 CPT 81383 | $818.95 | $1,489.00 | $81.85 – $1,084.75 | 5 |
| Cell count body fluid CPT 89050 | $110.55 | $201.00 | $3.54 – $46.99 | 5 |
| Cell count w differential body fluid CPT 89051 | $158.95 | $289.00 | $4.20 – $54.74 | 5 |
| Cell cryopreserve/storage CPT 88240 | not published | not published | $9.80 – $69.46 | 5 |
| Cell enumeration & id CPT 86152 | not published | not published | $188.08 – $2,442.24 | 5 |
| Cell function assay w/stim CPT 86352 | $751.85 | $1,367.00 | $101.90 – $1,350.44 | 5 |
| Cell marker study CPT 88182 | $682.55 | $1,241.00 | $37.96 – $526.24 | 3 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $22.25 – $54.52 | 5 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $2,383.65 – $14,304.00 | 4 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| Cerebrospinal fld flw imag CPT 78645 | not published | not published | $395.55 – $3,312.03 | 3 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $2.58 – $8.52 | 5 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $4,837.36 – $18,408.00 | 4 |
| Cesarean section delivery only 59514 CPT 59514 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | not published | not published | $61.25 – $149.09 | 5 |
| #cf-97variants CPT 81220 | $257.40 | $468.00 | $417.45 – $3,905.21 | 5 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $326.30 – $3,052.55 | 5 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $126.56 – $1,183.98 | 5 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $72.92 – $682.12 | 5 |
| Change cystostomy tube; complex 51710 CPT 51710 | not published | not published | $507.98 – $4,401.00 | 4 |
| Change cystostomy tube simple CPT 51705 | $270.05 | $491.00 | $182.01 – $4,401.00 | 4 |
| Change gastric port open CPT 43888 | not published | not published | $2,581.60 – $11,257.00 | 4 |
| Change g-tube to g-j perc CPT 49446 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Change nephroureteral cath CPT 50387 | not published | not published | $1,522.84 – $4,867.00 | 4 |
| Change of ureter tube/stent CPT 50688 | not published | not published | $1,522.84 – $4,867.00 | 4 |
| Change of windpipe airway 31502 CPT 31502 | $1,002.10 | $1,822.00 | $172.55 – $4,401.00 | 4 |
| Change stent via transureth CPT 50385 | not published | not published | $1,522.84 – $6,687.00 | 4 |
| Change ureter stent percut CPT 50382 | not published | not published | $1,522.84 – $6,687.00 | 4 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $124.11 – $1,892.77 | 3 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $146.16 – $4,401.00 | 4 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $296.15 – $4,401.00 | 4 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $296.15 – $4,401.00 | 4 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $538.41 – $4,401.00 | 4 |
| Chemo adm cns w/lmbr punct CPT 96450 | not published | not published | $240.63 – $320.84 | 2 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $514.23 – $4,401.00 | 4 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $514.23 – $4,401.00 | 4 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $514.23 – $4,401.00 | 4 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $871.75 – $4,867.00 | 4 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $1,396.45 | $2,539.00 | $223.61 – $4,401.00 | 4 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $231.23 – $4,401.00 | 4 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $223.61 – $4,401.00 | 4 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $223.61 – $4,401.00 | 4 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $223.61 – $4,401.00 | 4 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $1,343.10 | $2,442.00 | $223.61 – $4,401.00 | 4 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $223.61 – $4,401.00 | 4 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $514.23 – $4,401.00 | 4 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $514.23 – $4,401.00 | 4 |
| Chemo extend IV infus w/pump HCPCS G0498 | not published | not published | $240.63 – $320.84 | 2 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $34.11 – $45.48 | 2 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $240.63 – $320.84 | 2 |
| Chemo ia push tecnique CPT 96420 | not published | not published | $240.63 – $320.84 | 2 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $154.95 – $206.61 | 2 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $52.45 – $69.94 | 2 |
| Chemotaxis assay CPT 86155 | not published | not published | $11.99 – $158.92 | 5 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $240.63 – $320.84 | 2 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $240.63 – $320.84 | 2 |
| Chest 2 vws w oblique CPT 71048 | $438.35 | $797.00 | $76.16 – $275.92 | 3 |
| Chest apical lordotic proj CPT 71047 | $392.15 | $713.00 | $63.40 – $268.21 | 3 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,616.45 | $2,939.00 | $127.78 – $2,217.04 | 3 |
| Chest CT scan (with contrast) CPT 71260 | $1,477.85 | $2,687.00 | $127.78 – $1,796.50 | 3 |
| Chest CT scan (without contrast) CPT 71250 | $1,260.05 | $2,291.00 | $76.16 – $1,387.47 | 3 |
| Chest X-ray CPT 71046 | $345.95 | $629.00 | $63.40 – $210.18 | 3 |
| Chest X-ray (single view) CPT 71045 | $317.35 | $577.00 | $63.40 – $113.55 | 3 |
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.