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 |
|---|---|---|---|---|
| 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 |
| Colostomy with biopsies CPT 44322 | 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 |
| Combination bilateral ho HCPCS L1690 | not published | not published | $1,782.38 – $2,376.51 | 2 |
| Combo ankle/foot prosthesis HCPCS L5975 | not published | not published | $428.14 – $570.86 | 2 |
| 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 |
| Compl rpr tof w/pulm atresia CPT 33697 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| 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 byp grft 2 veins CPT 35682 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Composite byp grft 3/> segmt CPT 35683 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Composite byp grft pros&vein CPT 35681 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Composite graft/pri close/don area 15760 CPT 15760 | not published | not published | $1,503.10 – $4,867.00 | 4 |
| 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 |
| Compression stocking bk18-30 HCPCS A6530 | not published | not published | $29.30 – $39.07 | 2 |
| Comp rpr tof wo pulm atresia CPT 33692 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| 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 |
| Congo red blood test HCPCS P2029 | not published | not published | $3.71 – $42.87 | 5 |
| 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 |
| Construct bladder opening CPT 51980 | not published | not published | $6,687.00 – $11,257.00 | 2 |
| Construct bowel bladder CPT 50820 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Construct bowel bladder CPT 50825 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Construction of absent anus CPT 46730 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Construction of absent anus CPT 46735 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Construction of absent anus CPT 46740 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| 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 |
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.