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 |
|---|---|---|---|---|
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $63.25 | $115.00 | not published | 0 |
| Covid-19 lab test non-cdc HCPCS U0002 | not published | not published | $38.48 – $374.38 | 5 |
| #covid19rsv-rsv CPT 87634 | $117.70 | $214.00 | $52.65 – $608.03 | 5 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $85.25 | $155.00 | $9.77 – $57.79 | 5 |
| C-peptide CPT 84681 | $11.00 | $20.00 | $15.61 – $51.89 | 5 |
| Cptrized corneal topography CPT 92025 | not published | not published | $42.98 – $57.30 | 2 |
| Cptr ophth dx img post segmt CPT 92134 | not published | not published | $42.98 – $57.30 | 2 |
| Cptrz oph img pst sg rta oct CPT 92137 | not published | not published | $157.30 – $209.73 | 2 |
| Craniect/craniot w/wo duraplasty w/lobectomy 61323 CPT 61323 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Craniectomy/craniotomy expl 61304 CPT 61304 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Craniectomy/craniotomy tx penet wound brain 61571 CPT 61571 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Craniectomy exc brain tumor fossa 61518 CPT 61518 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Craniectomy exc brain tumor meningioma 61519 CPT 61519 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Craniectomy or craniotomy for drng abscess 61320 CPT 61320 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Craniectomy or craniotomy for drng inf 61315 CPT 61315 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Craniectomy or craniotomy for drng supr 61313 CPT 61313 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Craniectomy subocc w/cerv lam (press relief) 61343 CPT 61343 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Crbrospnl fld flw imag cistern CPT 78630 | not published | not published | $395.55 – $3,423.91 | 3 |
| C-reactive protein CPT 86140 | $148.50 | $270.00 | $3.88 – $51.45 | 5 |
| C-reactive protein high sensitivity CPT 86141 | $108.90 | $198.00 | $9.71 – $128.65 | 5 |
| C-reactive protein, quantitative CPT 86406 | $272.80 | $496.00 | $7.98 – $69.61 | 5 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | not published | not published | $4,053.72 – $16,310.00 | 4 |
| Create eardrum opening CPT 69436 | not published | not published | $1,130.33 – $4,867.00 | 4 |
| Create passage to kidney CPT 52334 | not published | not published | $2,567.95 – $11,257.00 | 4 |
| Create tear duct drain CPT 68745 | not published | not published | $2,864.02 – $11,257.00 | 4 |
| Create tear duct drain CPT 68750 | not published | not published | $2,864.02 – $11,257.00 | 4 |
| Create tear sac drain CPT 68720 | not published | not published | $2,864.02 – $11,257.00 | 4 |
| Creatine isoforms CPT 82554 | not published | not published | $8.90 – $61.22 | 5 |
| Creatine kinase CPT 82550 | $37.40 | $68.00 | $4.88 – $64.72 | 5 |
| Creatine kinase isoenzymes CPT 82552 | $13.75 | $25.00 | $10.04 – $133.19 | 5 |
| Creatine kinase mb CPT 82553 | $149.05 | $271.00 | $8.66 – $61.22 | 5 |
| Creatine - sendout CPT 82540 | $71.50 | $130.00 | $3.48 – $46.11 | 5 |
| Creatinine CPT 82565 | $37.40 | $68.00 | $3.84 – $50.93 | 5 |
| Creatinine 24 hour urine CPT 82570 | $70.40 | $128.00 | $3.88 – $51.45 | 5 |
| Creatinine clearance urine CPT 82575 | $148.50 | $270.00 | $7.10 – $93.97 | 5 |
| #creutz-prot.,western blot CPT 84182 | $1,486.65 | $2,703.00 | $21.91 – $178.91 | 5 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Cricotracheal resection CPT 31592 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Critical care 30-74 minutes CPT 99291 | $2,114.20 | $3,844.00 | $601.76 – $802.35 | 2 |
| Critical care each additional 30 minutes CPT 99292 | $856.90 | $1,558.00 | not published | 0 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | not published | not published | $97.45 – $246.20 | 5 |
| Crnec exc tum/bone les skull CPT 61500 | not published | not published | $16,310.00 – $20,477.00 | 2 |
| Crnop skull defect>5 cm diam CPT 62141 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Cromolyn sodium noncomp unit HCPCS J7631 | not published | not published | $0.39 – $0.54 | 3 |
| Cross-over vein graft CPT 34520 | not published | not published | $4,053.72 – $16,310.00 | 4 |
| Crotalidae poly immune fab HCPCS J0840 | not published | not published | $1,430.18 – $3,536.15 | 5 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Cryoablate prostate CPT 55873 | not published | not published | $6,896.31 – $23,826.00 | 4 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | $222.00 – $4,401.00 | 4 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $104.50 | $190.00 | $10.60 – $63.77 | 5 |
| Cryoprecipitate each unit HCPCS P9012 | $364.65 | $663.00 | not published | 0 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $124.11 – $165.49 | 2 |
| Cryopreservation sperm CPT 89259 | not published | not published | $124.11 – $165.49 | 2 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $321.40 – $4,401.00 | 4 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $37.96 – $50.62 | 2 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $2,852.39 – $11,257.00 | 4 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $146.16 – $4,401.00 | 4 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $42.98 – $4,401.00 | 4 |
| Cryptococcus abs qn - sendout CPT 86641 | not published | not published | $10.81 – $57.79 | 5 |
| Cryptosporidium antigen CPT 87272 | not published | not published | $8.98 – $119.16 | 5 |
| Crystal identification light microscopy CPT 89060 | $116.05 | $211.00 | $5.50 – $71.16 | 5 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| C-section delivery incl p/p care 59515 CPT 59515 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Csf leakage imaging CPT 78650 | not published | not published | $943.15 – $3,362.17 | 3 |
| Csf shunt reprogram 62252 CPT 62252 | not published | not published | $223.75 – $4,401.00 | 4 |
| Csf ventriculography CPT 78635 | not published | not published | $395.55 – $3,462.49 | 3 |
| CT 3d report other modality w/workstation CPT 76377 | $1,251.25 | $2,275.00 | $264.67 – $264.67 | 1 |
| Cta abdomen without & /or w/contrast CPT 74175 | $2,544.85 | $4,627.00 | $127.78 – $2,323.53 | 3 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $2,698.85 | $4,907.00 | $127.78 – $2,804.28 | 3 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,698.95 | $3,089.00 | $127.78 – $2,765.69 | 3 |
| Cta neck without &/or w/contrast CPT 70498 | $2,576.20 | $4,684.00 | $127.78 – $2,211.63 | 3 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $3,509.55 | $6,381.00 | $254.15 – $2,998.76 | 3 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,698.85 | $4,907.00 | $127.78 – $2,242.50 | 3 |
| CT Angiogram of the Head CPT 70496 | $2,830.85 | $5,147.00 | $127.78 – $2,227.09 | 3 |
| CT angio hrt w/3d image CPT 75574 | not published | not published | $254.15 – $3,232.54 | 3 |
| CT angio pelvis CPT 72191 | $2,544.85 | $4,627.00 | $127.78 – $2,311.95 | 3 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,608.75 | $2,925.00 | $127.78 – $2,555.01 | 3 |
| CT bone density axial CPT 77078 | not published | not published | $63.40 – $1,090.38 | 3 |
| CT cerebral perf w cont & prcssng CPT 70473 | not published | not published | $127.78 – $170.37 | 2 |
| CT colonography dx CPT 74261 | not published | not published | $76.16 – $3,932.52 | 3 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $127.78 – $4,472.68 | 3 |
| CT colonography screening CPT 74263 | $964.15 | $1,753.00 | $173.82 – $6,942.11 | 3 |
| CT guidance for needle placement CPT 77012 | $1,354.10 | $2,462.00 | $719.97 – $719.97 | 1 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $745.25 | $1,355.00 | $669.79 – $669.79 | 1 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $179.70 – $14,312.00 | 4 |
| CT guid parench tis ablat CPT 77013 | not published | not published | $3,735.17 – $3,735.17 | 1 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | not published | not published | $63.40 – $770.12 | 3 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $254.15 – $2,844.42 | 3 |
| CT hrt w/3d image CPT 75572 | not published | not published | $254.15 – $2,119.04 | 3 |
| CT limited or localized follow-up study CPT 76380 | not published | not published | $63.40 – $1,040.22 | 3 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,390.40 | $2,528.00 | $127.78 – $1,808.05 | 3 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,045.55 | $1,901.00 | $76.16 – $1,387.47 | 3 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,422.85 | $2,587.00 | $127.78 – $2,305.82 | 3 |
| CT neck soft tissue w/contrast CPT 70491 | $1,496.00 | $2,720.00 | $127.78 – $1,788.76 | 3 |
| CT neck soft tissue without contrast CPT 70490 | $1,108.25 | $2,015.00 | $76.16 – $1,383.64 | 3 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,595.00 | $2,900.00 | $127.78 – $2,209.34 | 3 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $2,459.60 | $4,472.00 | $127.78 – $2,466.29 | 3 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,612.05 | $2,931.00 | $127.78 – $2,228.63 | 3 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,603.80 | $2,916.00 | $76.16 – $1,819.65 | 3 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $400.40 | $728.00 | $172.55 – $4,401.00 | 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.