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 |
|---|---|---|---|---|
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $2.08 – $5.03 | 5 |
| Coagulation time activated teg CPT 85347 | $31.90 | $58.00 | $3.21 – $42.33 | 5 |
| Coagulation time otr method CPT 85348 | not published | not published | $3.37 – $19.42 | 5 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $93.74 – $124.98 | 2 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $93.74 – $124.98 | 2 |
| Cold agglutinin screen (arc) CPT 86156 | $42.35 | $77.00 | $6.05 – $57.79 | 5 |
| Cold agglutinin titer CPT 86157 | $113.85 | $207.00 | $6.04 – $57.79 | 5 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Colistimethate sodium inj HCPCS J0770 | not published | not published | $17.31 – $22.50 | 3 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $58.72 – $139.01 | 5 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | not published | not published | $24.38 – $32.51 | 2 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | not published | not published | $55.17 – $73.56 | 2 |
| Collar cerv ascend 172 reg HCPCS L0172 | not published | not published | $130.54 – $174.05 | 2 |
| Collar cerv patriot adlt HCPCS L0150 | not published | not published | $98.66 – $131.54 | 2 |
| Collar extrication adult univ HCPCS L0200 | not published | not published | $568.87 – $758.49 | 2 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $114.95 | $209.00 | $96.93 – $1,676.00 | 3 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $114.95 | $209.00 | $96.93 – $1,676.00 | 3 |
| Collection of venous blood by venipuncture CPT 36415 | $46.20 | $84.00 | $7.00 – $15.91 | 4 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $157.30 – $1,676.00 | 3 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $677.47 – $4,401.00 | 4 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $871.75 – $4,867.00 | 4 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $871.75 – $4,867.00 | 4 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $871.75 – $4,867.00 | 4 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $677.47 – $4,867.00 | 4 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $871.75 – $4,867.00 | 4 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $871.75 – $4,867.00 | 4 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $871.75 – $4,867.00 | 4 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $871.75 – $4,867.00 | 4 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $677.47 – $4,401.00 | 4 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $871.75 – $4,867.00 | 4 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $871.75 – $4,867.00 | 4 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $871.75 – $4,867.00 | 4 |
| Colonoscopy w/control bleed CPT 45382 | $2,071.85 | $3,767.00 | $871.75 – $4,867.00 | 4 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $677.47 – $4,401.00 | 4 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $871.75 – $4,867.00 | 4 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $871.75 – $4,867.00 | 4 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $871.75 – $4,867.00 | 4 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | not published | not published | $3,179.00 – $11,044.00 | 4 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $871.75 – $4,867.00 | 4 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $871.75 – $4,867.00 | 4 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $871.75 – $4,867.00 | 4 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $871.75 – $4,867.00 | 4 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $871.75 – $4,867.00 | 4 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $871.75 – $4,867.00 | 4 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $871.75 – $4,867.00 | 4 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $2,022.07 – $4,867.00 | 4 |
| Colonoscopy w/stent plcmt CPT 44402 | not published | not published | $3,179.00 – $11,044.00 | 4 |
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | $871.75 – $4,867.00 | 4 |
| Colostomy skin level cecostomy 44320 CPT 44320 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Colpocentesis 57020 CPT 57020 | not published | not published | $3,644.28 – $6,687.00 | 4 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | $3,644.28 – $11,044.00 | 4 |
| Colpopexy abdominal approach 57280 CPT 57280 | not published | not published | $6,687.00 – $11,044.00 | 2 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | $5,402.14 – $18,408.00 | 4 |
| Colpopexy intraperitoneal CPT 57283 | not published | not published | $5,402.14 – $18,408.00 | 4 |
| Colpopexy, min/inv, ex-perit HCPCS C9778 | not published | not published | $3,644.28 – $11,044.00 | 4 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | not published | not published | $670.98 – $4,401.00 | 4 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | not published | not published | $147.28 – $4,401.00 | 4 |
| Colposcopy vulva 56820 CPT 56820 | not published | not published | $147.28 – $4,401.00 | 4 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | not published | not published | $222.00 – $4,401.00 | 4 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | not published | not published | $222.00 – $4,401.00 | 4 |
| Colpotomy drng of abscess 57010 CPT 57010 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| Colpotomy w/exploration 57000 CPT 57000 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $112.75 | $205.00 | $124.11 – $252.18 | 3 |
| Compatibility test each unit electronic CPT 86923 | $81.95 | $149.00 | $124.11 – $189.75 | 3 |
| Compatibility test each unit immediate spin technique CPT 86920 | $107.25 | $195.00 | $124.11 – $237.17 | 3 |
| Compatibility test incubate CPT 86921 | not published | not published | $124.11 – $212.23 | 3 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | not published | not published | $507.98 – $2,628.00 | 3 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | not published | not published | $507.98 – $2,628.00 | 3 |
| Complement antigen each component c3 CPT 86160 | $243.65 | $443.00 | $9.00 – $119.31 | 5 |
| Complement fixation each CPT 86171 | not published | not published | $7.51 – $99.54 | 5 |
| Complete removal of vulva CPT 56625 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| Completion pneumonectomy 32488 CPT 32488 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Complex cystometrogram 51726 CPT 51726 | not published | not published | $182.01 – $1,676.00 | 3 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $2,135.65 | $3,883.00 | $296.15 – $4,401.00 | 4 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $719.95 | $1,309.00 | $538.41 – $4,401.00 | 4 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | not published | not published | $157.30 – $1,676.00 | 3 |
| Compl oph exam general anes CPT 92018 | not published | not published | $1,732.00 – $6,687.00 | 3 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $812.35 | $1,477.00 | $538.41 – $4,401.00 | 4 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $1,068.10 | $1,942.00 | $538.41 – $4,401.00 | 4 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $708.95 | $1,289.00 | $1,676.00 – $1,676.00 | 1 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $614.35 | $1,117.00 | $296.15 – $4,401.00 | 4 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $614.35 | $1,117.00 | $296.15 – $4,401.00 | 4 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $4,272.40 | $7,768.00 | $1,676.00 – $1,676.00 | 1 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $616.55 | $1,121.00 | $1,676.00 – $1,676.00 | 1 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $694.10 | $1,262.00 | $538.41 – $4,401.00 | 4 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $1,068.10 | $1,942.00 | $1,676.00 – $1,676.00 | 1 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | not published | not published | $637.96 – $850.61 | 2 |
| Composite graft/pri close/don area 15760 CPT 15760 | not published | not published | $1,503.10 – $4,867.00 | 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.