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 |
|---|---|---|---|---|
| Cystoscopy implant stent CPT 52282 | not published | not published | $2,567.95 – $11,257.00 | 4 |
| Cystoscopy inject material CPT 52327 | not published | not published | $3,906.07 – $14,304.00 | 4 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $3,906.07 – $11,044.00 | 4 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $2,567.95 – $11,257.00 | 4 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $1,522.84 – $4,867.00 | 4 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $1,522.84 – $6,687.00 | 4 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $3,906.07 – $11,044.00 | 4 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $1,522.84 – $6,687.00 | 4 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $1,522.84 – $6,687.00 | 4 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $2,567.95 – $6,687.00 | 4 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $2,567.95 – $11,257.00 | 4 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $2,567.95 – $6,687.00 | 4 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $2,567.95 – $11,257.00 | 4 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $3,906.07 – $11,044.00 | 4 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $3,906.07 – $11,044.00 | 4 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $3,906.07 – $14,304.00 | 4 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $3,906.07 – $14,304.00 | 4 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $3,906.07 – $11,044.00 | 4 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $2,567.95 – $11,257.00 | 4 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $2,567.95 – $11,257.00 | 4 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $2,567.95 – $11,257.00 | 4 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $1,522.84 – $4,867.00 | 4 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $1,522.84 – $6,687.00 | 4 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $1,676.00 – $11,257.00 | 2 |
| Cystourethro w/implant CPT 52441 | not published | not published | $1,676.00 – $11,257.00 | 2 |
| Cysto with bx(s) with blue light HCPCS C7550 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $2,567.95 – $6,687.00 | 4 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $2,567.95 – $11,257.00 | 4 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $2,567.95 – $6,687.00 | 4 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | not published | not published | $1.17 – $1.53 | 3 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $898.46 – $8,461.69 | 5 |
| Cytogenetics 25-99 CPT 88274 | $215.05 | $391.00 | $31.78 – $346.01 | 5 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $30.52 – $251.73 | 5 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $870.00 – $8,464.96 | 5 |
| Cytogenom microarray copy nmbr var CPT 81228 | $5,252.50 | $9,550.00 | $675.00 – $6,314.59 | 5 |
| Cytog genom-wid alys hem mal CPT 81195 | not published | not published | $1,397.42 – $6,949.42 | 5 |
| Cytomegalovirus ag ia CPT 87332 | not published | not published | $8.98 – $119.16 | 5 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $73.15 | $133.00 | $10.79 – $143.08 | 5 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $21.45 | $39.00 | $12.64 – $57.79 | 5 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $10.06 – $119.16 | 5 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,394.12 – $3,437.94 | 5 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $22.52 – $199.35 | 5 |
| Cyto/molecular report CPT 88291 | $548.35 | $997.00 | $228.79 – $228.79 | 1 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $19.03 – $212.42 | 5 |
| Cytopath c/v automated CPT 88147 | not published | not published | $37.92 – $105.01 | 5 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $20.73 – $105.01 | 5 |
| Cytopath c/v auto rescreen CPT 88148 | not published | not published | $13.90 – $105.01 | 5 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $10.99 – $59.56 | 5 |
| Cytopath c/v manual CPT 88150 | not published | not published | $13.90 – $105.01 | 5 |
| Cytopath c/v redo CPT 88153 | not published | not published | $18.02 – $105.01 | 5 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $17.28 – $201.41 | 5 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $21.07 – $383.48 | 3 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $240.90 | $438.00 | $37.96 – $301.09 | 3 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $19.96 – $262.04 | 5 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $108.35 | $197.00 | $15.20 – $201.41 | 5 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $70.40 | $128.00 | $27.21 – $343.52 | 3 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | not published | not published | $27.21 – $323.54 | 3 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | not published | not published | $52.43 – $52.43 | 1 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $155.65 | $283.00 | $124.11 – $165.49 | 3 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $500.50 | $910.00 | $37.96 – $564.72 | 3 |
| Cytopath smear other source CPT 88160 | $177.10 | $322.00 | $21.07 – $318.55 | 3 |
| Cytopath smear other source CPT 88162 | not published | not published | $37.96 – $447.37 | 3 |
| Cytopath smear oth prep screen & interp CPT 88161 | $202.40 | $368.00 | $21.07 – $273.62 | 3 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $13.90 – $105.01 | 5 |
| Cytopath tbs c/v manual CPT 88164 | $68.20 | $124.00 | $13.90 – $105.01 | 5 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $31.66 – $105.01 | 5 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $13.90 – $105.01 | 5 |
| Cytotoxic antibody screening CPT 86807 | $367.95 | $669.00 | $58.99 – $393.37 | 5 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $22.26 – $295.02 | 5 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $1,370.05 | $2,491.00 | $124.11 – $3,526.78 | 3 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $6.53 – $7.71 | 3 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $230.56 – $600.88 | 5 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $8.47 – $29.55 | 5 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $23.26 – $34.28 | 3 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | not published | not published | $0.04 – $0.07 | 3 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.07 – $0.10 | 3 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $42.79 – $103.87 | 5 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $2.19 – $5.69 | 5 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $2.19 – $5.69 | 5 |
| Dark field exam spec collj CPT 87164 | not published | not published | $8.06 – $88.73 | 5 |
| Dark field exam without collj CPT 87166 | not published | not published | $8.48 – $112.21 | 5 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $204.66 – $484.67 | 5 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $37.55 – $43.51 | 3 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $146.16 – $4,401.00 | 4 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| Dch glucoscan CPT 82948 | $6.05 | $11.00 | $3.78 – $31.51 | 5 |
| Dch validity tests CPT 81002 | $15.40 | $28.00 | $2.61 – $25.40 | 5 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $1,422.56 – $11,044.00 | 4 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $2,415.31 – $14,304.00 | 4 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $1,422.56 – $6,687.00 | 4 |
| D&c of cervical stump CPT 57558 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| Deamidated gliadin antibody iga CPT 86258 | $17.60 | $32.00 | $9.04 – $84.13 | 5 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $4,401.00 – $4,401.00 | 1 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $540.10 | $982.00 | $296.15 – $4,401.00 | 4 |
| Debridement (>20 cm) charge pt CPT 97598 | $173.80 | $316.00 | $1,676.00 – $1,676.00 | 1 |
| Debridement bone <= 20 sq cm CPT 11044 | not published | not published | $1,203.19 – $4,867.00 | 4 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | not published | not published | $296.15 – $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.