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 |
|---|---|---|---|---|
| Debride nail1-5 11720 CPT 11720 | not published | not published | $42.98 – $4,401.00 | 4 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | $42.98 – $4,401.00 | 4 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $515.87 – $4,401.00 | 4 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $2,116.08 – $11,257.00 | 4 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $4,401.00 – $4,401.00 | 1 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $4,401.00 – $4,401.00 | 1 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $146.16 – $4,401.00 | 4 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $515.87 – $4,401.00 | 4 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | not published | not published | $538.41 – $4,401.00 | 4 |
| Decalcification CPT 88311 | $43.45 | $79.00 | $58.91 – $58.91 | 1 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $2.57 – $4.31 | 3 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $464.20 | $844.00 | $240.63 – $4,401.00 | 4 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $1,171.42 – $7,789.00 | 4 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,171.42 – $6,687.00 | 4 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Decompress fingers/hand CPT 26035 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Decompression fasct forearm CPT 24495 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Decompression of leg CPT 27892 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Decompression of leg CPT 27893 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Decompression of leg CPT 27894 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Decompression of lower leg CPT 27600 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Decompression of lower leg CPT 27601 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $1,171.42 – $7,789.00 | 4 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $5,286.15 – $14,312.00 | 4 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $1,422.56 – $6,687.00 | 4 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $1,422.56 – $6,687.00 | 4 |
| Decompressive craniotomy CPT 61322 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Decompress optic nerve CPT 67570 | not published | not published | $2,864.02 – $11,257.00 | 4 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Decompress small bowel CPT 44021 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Decompress spine cord add-on CPT 63066 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $2,116.08 – $11,257.00 | 4 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | not published | $11.90 – $17.13 | 3 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $3.36 – $8.28 | 5 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $5,954.31 – $18,408.00 | 4 |
| Delay flap arms/legs CPT 15610 | not published | not published | $1,503.10 – $6,687.00 | 4 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $1,503.10 – $4,867.00 | 4 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $1,503.10 – $4,867.00 | 4 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $2,581.60 – $11,257.00 | 4 |
| Delivery of placenta 59414 CPT 59414 | $2,622.95 | $4,769.00 | $2,358.24 – $6,687.00 | 4 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $96.99 – $129.32 | 2 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $199.10 | $362.00 | $159.52 – $212.70 | 2 |
| Denervation of hip joint CPT 27035 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | not published | not published | $22.58 – $55.55 | 5 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $365.75 | $665.00 | $96.93 – $4,401.00 | 4 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $61.36 – $89.13 | 3 |
| Dermabrasion other than face CPT 15782 | not published | not published | $2,116.08 – $4,867.00 | 4 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $515.87 – $4,401.00 | 4 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $296.15 – $4,401.00 | 4 |
| Dermabrasion total face CPT 15780 | not published | not published | $2,116.08 – $11,257.00 | 4 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $2,581.60 – $11,257.00 | 4 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $90.66 – $1,655.60 | 5 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $79.20 – $120.88 | 5 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $2,581.60 – $11,257.00 | 4 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $1,503.10 – $6,687.00 | 4 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $90.66 – $430.51 | 5 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $90.66 – $3,277.58 | 5 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Design custom breast implant CPT 19396 | not published | not published | $2,852.39 – $11,257.00 | 4 |
| Design mlc device for imrt CPT 77338 | $2,511.85 | $4,567.00 | $272.77 – $3,100.52 | 3 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | not published | not published | $6.51 – $9.16 | 3 |
| Desoxycorticosterone CPT 82633 | not published | not published | $23.24 – $307.92 | 5 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $146.16 – $4,401.00 | 4 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $146.16 – $4,401.00 | 4 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $146.16 – $4,401.00 | 4 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $146.16 – $4,401.00 | 4 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $146.16 – $4,401.00 | 4 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $146.16 – $4,401.00 | 4 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $146.16 – $4,401.00 | 4 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $146.16 – $4,401.00 | 4 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $146.16 – $4,401.00 | 4 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $146.16 – $4,401.00 | 4 |
| Destroy cervthor facet jnt 64633 CPT 64633 | not published | not published | $1,422.56 – $6,687.00 | 4 |
| Destroy cth facet jnt addl 64634 CPT 64634 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $871.75 – $4,867.00 | 4 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $215.05 | $391.00 | $146.16 – $4,401.00 | 4 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $1,503.10 – $4,867.00 | 4 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $1,503.10 – $4,867.00 | 4 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $146.16 – $4,401.00 | 4 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $538.41 – $4,401.00 | 4 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $296.15 – $4,401.00 | 4 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $1,503.10 – $4,867.00 | 4 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Destruction anal lesion(s) CPT 46910 | 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.