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 |
|---|---|---|---|---|
| Comprehensive hearing test CPT 92557 | $147.40 | $268.00 | $93.74 – $124.98 | 2 |
| Compre oph exam est pt 1/> CPT 92014 | not published | not published | $96.99 – $129.32 | 2 |
| Compre oph exam new pt 1/> CPT 92004 | not published | not published | $96.99 – $129.32 | 2 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | not published | not published | $254.15 – $338.87 | 2 |
| Concentration infection agents any type CPT 87015 | $32.45 | $59.00 | $5.01 – $37.16 | 5 |
| Conditioning play audiometry 92582 CPT 92582 | $81.40 | $148.00 | $93.74 – $124.98 | 2 |
| Condylomata destruction 56420 CPT 56420 | $431.75 | $785.00 | $147.28 – $4,401.00 | 4 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| Conization of cervix CPT 57520 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | not published | not published | $301.13 – $742.41 | 5 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $2,415.31 – $6,687.00 | 4 |
| Construction of vagina CPT 57291 | not published | not published | $3,644.28 – $6,687.00 | 4 |
| Construct thumb replacement CPT 26550 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Construct vagina with graft CPT 57292 | not published | not published | $3,644.28 – $11,044.00 | 4 |
| Consultation pathology during surgery CPT 88329 | not published | not published | $42.98 – $358.33 | 3 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $676.50 | $1,230.00 | $248.65 – $782.58 | 3 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $55.00 | $100.00 | $131.30 – $131.30 | 1 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $228.80 | $416.00 | $124.11 – $218.69 | 3 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $235.95 | $429.00 | $37.96 – $353.52 | 3 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | not published | not published | $27.21 – $732.58 | 3 |
| Consult comp w/report rfrd material CPT 88325 | not published | not published | $124.11 – $1,235.58 | 3 |
| Contact lens fitg aphakia 1 CPT 92311 | not published | not published | $325.44 – $433.92 | 2 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $96.93 – $129.23 | 2 |
| Cont intraop neuro monitor HCPCS G0453 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $4,312.59 – $11,044.00 | 4 |
| Contour of face bone lesion CPT 21029 | not published | not published | $2,415.31 – $6,687.00 | 4 |
| Contrast baths charges CPT 97034 | not published | not published | $10.14 – $13.52 | 2 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | not published | not published | $889.75 – $3,066.96 | 3 |
| Contrast exam thoracic aorta CPT 75600 | not published | not published | $1,877.50 – $3,066.96 | 3 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | not published | not published | $897.47 – $5,404.97 | 3 |
| Contrast x-ray gallbladder CPT 74290 | not published | not published | $127.78 – $581.07 | 3 |
| Contrast x-ray of ankle CPT 73615 | $426.80 | $776.00 | $254.15 – $824.17 | 3 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $254.15 – $681.16 | 3 |
| Contrast x-ray of brain CPT 70015 | not published | not published | $571.09 – $978.49 | 3 |
| Contrast x-ray of elbow CPT 73085 | $609.40 | $1,108.00 | $254.15 – $739.26 | 3 |
| Contrast x-ray of hip CPT 73525 | $591.25 | $1,075.00 | $254.15 – $785.54 | 3 |
| Contrast x-ray of knee joint CPT 73580 | $452.65 | $823.00 | $254.15 – $936.04 | 3 |
| Contrast x-ray of wrist CPT 73115 | $439.45 | $799.00 | $254.15 – $843.44 | 3 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | not published | not published | $13,419.56 – $17,892.75 | 2 |
| Control nosebleed pack+caut 30905 CPT 30905 | $400.40 | $728.00 | $96.93 – $4,401.00 | 4 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $2,415.31 – $4,867.00 | 4 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $172.55 – $4,401.00 | 4 |
| Control of nosebleed ant comp 30903 CPT 30903 | $419.65 | $763.00 | $96.93 – $4,401.00 | 4 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $419.65 | $763.00 | $96.93 – $4,401.00 | 4 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | not published | not published | $392.90 – $4,401.00 | 4 |
| Control throat bleeding CPT 42961 | not published | not published | $6,687.00 – $11,257.00 | 2 |
| Control throat bleeding CPT 42962 | not published | not published | $2,415.31 – $6,687.00 | 4 |
| Conversion ext bil drg cath CPT 47535 | not published | not published | $2,608.32 – $11,257.00 | 4 |
| Convert nephrostomy catheter CPT 50434 | not published | not published | $1,522.84 – $4,867.00 | 4 |
| Conv gtube to jtube CPT 44373 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Coombs direct CPT 86880 | $85.80 | $156.00 | $6.74 – $57.30 | 5 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $68.20 | $124.00 | $7.15 – $165.49 | 5 |
| Coombs indirect titer reference CPT 86886 | $215.05 | $391.00 | $6.48 – $165.49 | 5 |
| Cor artery disease mrna CPT 81493 | not published | not published | $787.50 – $7,605.89 | 5 |
| Core ndl bx lng/med perq CPT 32408 | $1,686.85 | $3,067.00 | $1,203.19 – $4,867.00 | 4 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $5,286.15 – $14,312.00 | 4 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $42.98 – $57.30 | 2 |
| Corneal smear CPT 65430 | not published | not published | $325.44 – $4,401.00 | 4 |
| Corneal transplant CPT 65710 | not published | not published | $3,876.57 – $14,304.00 | 4 |
| Corneal transplant CPT 65730 | not published | not published | $3,011.20 – $14,304.00 | 4 |
| Corneal transplant CPT 65750 | not published | not published | $3,876.57 – $14,304.00 | 4 |
| Corneal transplant CPT 65755 | not published | not published | $3,011.20 – $14,304.00 | 4 |
| Corneal trnspl endothelial CPT 65756 | not published | not published | $3,011.20 – $14,304.00 | 4 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | not published | not published | $2,361.75 – $14,304.00 | 4 |
| Coronary angio/lv gram/lt heart CPT 93458 | not published | not published | $2,361.75 – $14,304.00 | 4 |
| Coronary angio/lv gram/rt< heart CPT 93460 | not published | not published | $2,361.75 – $14,304.00 | 4 |
| Coronary art/grft angio s&i CPT 93455 | not published | not published | $2,361.75 – $14,304.00 | 4 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | not published | not published | $2,361.75 – $14,304.00 | 4 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $296.45 | $539.00 | $1,676.00 – $4,401.00 | 2 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Correct finger deformity CPT 26567 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Correct inverted nipple(s) CPT 19355 | not published | not published | $2,852.39 – $11,257.00 | 4 |
| Correction claw finger other CPT 26499 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Correction eyelid w/implant CPT 67912 | not published | not published | $1,732.00 – $6,687.00 | 4 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Correction of astigmatism CPT 65772 | not published | not published | $726.23 – $4,867.00 | 4 |
| Correction of astigmatism CPT 65775 | not published | not published | $1,732.00 – $6,687.00 | 4 |
| Correction of everted punctum 68705 CPT 68705 | not published | not published | $231.23 – $4,401.00 | 4 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | not published | not published | $96.93 – $4,401.00 | 4 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | not published | not published | $726.23 – $4,867.00 | 4 |
| Correct malrotation of bowel 44055 CPT 44055 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Correct metacarpal flaw CPT 26565 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Correct rectal prolapse CPT 45541 | not published | not published | $2,022.07 – $7,789.00 | 4 |
| Correct rectal prolapse; abdominal approach 45540 CPT 45540 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Correct skin color 6.0 cm/< CPT 11920 | not published | not published | $538.41 – $4,401.00 | 4 |
| Corrj halux rigdus w/implt CPT 28291 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Cortisol acth stimulation test - sendout CPT 80400 | not published | not published | $24.46 – $324.19 | 5 |
| Cortisol total am CPT 82533 | $179.85 | $327.00 | $12.22 – $162.08 | 5 |
| Costotransversectomy CPT 21610 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | not published | not published | $48.43 – $61.85 | 3 |
| Co-treatment - group 15 mins, st CPT 92508 | not published | not published | $17.46 – $23.28 | 2 |
| Counseling smoke cess interm >10mins CPT 99407 | $41.80 | $76.00 | not published | 0 |
| Cover eye w/membrane CPT 65778 | not published | not published | $726.23 – $4,867.00 | 4 |
| Cover eye w/membrane suture CPT 65779 | not published | not published | $2,864.02 – $11,257.00 | 4 |
| Cover wrist HCPCS L3984 | not published | not published | $290.27 – $387.03 | 2 |
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.