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 |
|---|---|---|---|---|
| Chg pr pul rehab for copd patients CPT 94626 | $177.10 | $322.00 | $42.98 – $57.30 | 2 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $716.10 | $1,302.00 | $127.78 – $791.43 | 3 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $155.60 – $2,062.08 | 5 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $195.59 – $2,592.14 | 5 |
| Chlamydia culture CPT 87110 | $45.65 | $83.00 | $14.70 – $194.76 | 5 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $8.98 – $119.16 | 5 |
| Chlamydia type CPT 87140 | $42.90 | $78.00 | $4.18 – $45.33 | 5 |
| Chlnggrphy intraop addl s&i CPT 74301 | not published | not published | $211.36 – $211.36 | 1 |
| Chloride CPT 82435 | $40.70 | $74.00 | $3.45 – $45.70 | 5 |
| Chloride 24 hour urine CPT 82436 | $49.50 | $90.00 | $4.31 – $49.99 | 5 |
| Chloroprocaine hcl injection HCPCS J2401 | not published | not published | $0.06 – $0.07 | 3 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.87 – $1.14 | 3 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | not published | not published | $47.10 – $111.85 | 3 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | not published | not published | $42.11 – $56.39 | 3 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $240.63 – $320.84 | 2 |
| Cholangiogram percutaneous compl CPT 47532 | not published | not published | $2,608.32 – $11,257.00 | 4 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $554.95 | $1,009.00 | $366.42 – $366.42 | 1 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $3,197.70 | $5,814.00 | $2,608.32 – $11,257.00 | 4 |
| Cholesterol CPT 82465 | $45.65 | $83.00 | $3.26 – $43.21 | 5 |
| Cholesterol body fluid CPT 84999 | $1,046.65 | $1,903.00 | not published | 0 |
| Cholesterol (Lipid) Test CPT 80061 | $134.75 | $245.00 | $10.04 – $133.09 | 5 |
| Cholinesterase CPT 82480 | $14.30 | $26.00 | $5.90 – $78.28 | 5 |
| Cholinesterase challenge CPT 95857 | not published | not published | $157.30 – $209.73 | 2 |
| Chorion biopsy CPT 59015 | not published | not published | $670.98 – $4,401.00 | 4 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $26.46 – $36.39 | 3 |
| Chrom analysis CPT 88273 | not published | not published | $26.11 – $319.39 | 5 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $29.25 – $68.25 | 5 |
| Chromatography CPT 83021 | $74.25 | $135.00 | $13.54 – $179.50 | 5 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $8.92 – $118.20 | 5 |
| Chromo high res and frag x - sendout CPT 81243 | $804.65 | $1,463.00 | $42.78 – $400.20 | 5 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $130.24 – $1,653.27 | 5 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $129.88 – $1,721.34 | 5 |
| Chromosome analysis 15-20 cell count CPT 88262 | $584.10 | $1,062.00 | $94.12 – $1,238.94 | 5 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $129.88 – $1,479.66 | 5 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $112.72 – $1,493.90 | 5 |
| Chromosome analysis 5 CPT 88261 | $159.50 | $290.00 | $198.26 – $1,756.80 | 5 |
| Chromosome analysis 50-100 CPT 88248 | $30.80 | $56.00 | $129.88 – $1,721.34 | 5 |
| Chromosome analys placenta CPT 88267 | $389.40 | $708.00 | $141.43 – $1,786.95 | 5 |
| Chromosome banding study CPT 88283 | not published | not published | $51.45 – $681.90 | 5 |
| Chromosome count additional CPT 88285 | not published | not published | $20.18 – $188.84 | 5 |
| Chromosome karyotype study CPT 88280 | $389.40 | $708.00 | $25.10 – $249.48 | 5 |
| Chromosome study additional CPT 88289 | $291.50 | $530.00 | $25.82 – $342.31 | 5 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $9.34 – $123.91 | 5 |
| Chylomicron screen, bf - sendout CPT 82664 | $168.30 | $306.00 | $46.12 – $341.49 | 5 |
| Cidofovir injection HCPCS J0740 | not published | not published | $401.80 – $1,005.81 | 5 |
| Cilastatin sodium injection HCPCS J0743 | not published | not published | $10.64 – $13.32 | 3 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $1,732.00 – $6,687.00 | 4 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $440,983.32 – $1,051,419.78 | 5 |
| Cine/video x-rays CPT 76120 | not published | not published | $76.16 – $692.95 | 3 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $343.28 – $343.28 | 1 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | not published | not published | $1.54 – $4.41 | 3 |
| Circum 28 days or older CPT 54161 | not published | not published | $1,522.84 – $6,687.00 | 4 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $507.98 – $6,687.00 | 4 |
| Circumcision (newborn) CPT 54150 | $367.40 | $668.00 | $1,522.84 – $6,687.00 | 4 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | not published | not published | $3.70 – $4.98 | 3 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $2,401.30 | $4,366.00 | $247.13 – $2,404.39 | 5 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $6.14 – $20.85 | 5 |
| Claviculectomy partial CPT 23120 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Claviculectomy total CPT 23125 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $392.90 – $4,401.00 | 4 |
| Clearance of airways CPT 31720 | $266.20 | $484.00 | $159.52 – $4,401.00 | 4 |
| Clearance of tear duct CPT 68530 | not published | not published | $231.23 – $4,401.00 | 4 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $96.93 – $129.23 | 2 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $96.93 – $129.23 | 2 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $96.93 – $129.23 | 2 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $27.21 – $36.28 | 2 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | not published | not published | $2.33 – $3.94 | 3 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| Cllr miami j sm HCPCS L0174 | not published | not published | $256.68 – $342.24 | 2 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $12.18 – $27.96 | 5 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | not published | not published | $23.49 – $33.58 | 3 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $400.40 | $728.00 | $179.70 – $4,401.00 | 4 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $1,125.85 | $2,047.00 | $1,171.42 – $4,867.00 | 4 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $1,171.42 – $4,401.00 | 4 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $179.70 – $4,401.00 | 4 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $1,303.50 | $2,370.00 | $1,171.42 – $6,687.00 | 4 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $179.70 – $4,401.00 | 4 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,580.15 | $2,873.00 | $1,171.42 – $4,867.00 | 4 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $300.85 | $547.00 | $179.70 – $4,401.00 | 4 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $1,130.33 – $4,867.00 | 4 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $392.90 – $4,401.00 | 4 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $1,130.33 – $4,867.00 | 4 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $3,382.50 | $6,150.00 | $1,171.42 – $4,867.00 | 4 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $2,415.31 – $4,867.00 | 4 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $179.70 – $4,401.00 | 4 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $381.70 | $694.00 | $179.70 – $4,401.00 | 4 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $617.65 | $1,123.00 | $172.55 – $4,401.00 | 4 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,130.33 – $4,867.00 | 4 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $5,286.15 – $16,310.00 | 4 |
| Close tear duct opening CPT 68760 | not published | not published | $231.23 – $4,401.00 | 4 |
| Close tear duct opening CPT 68761 | not published | not published | $231.23 – $4,401.00 | 4 |
| Close tear system fistula CPT 68770 | not published | not published | $1,732.00 – $4,867.00 | 4 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $12.00 – $119.16 | 5 |
| Clos txnose fx without stablz 21315 CPT 21315 | $1,274.35 | $2,317.00 | $1,130.33 – $4,867.00 | 4 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $11,257.00 – $11,257.00 | 1 |
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.