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 |
|---|---|---|---|---|
| Discography cerv/thor spine CPT 72285 | not published | not published | $573.35 – $1,896.75 | 3 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $59.56 – $79.41 | 2 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $197.85 – $263.80 | 2 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $1,296.65 – $4,867.00 | 4 |
| Dissect brain w/scope CPT 62161 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | not published | not published | $339.07 – $339.07 | 1 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $4,401.00 – $4,401.00 | 1 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $4,053.72 – $16,310.00 | 4 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $3,179.00 – $11,044.00 | 2 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $172.28 – $172.28 | 1 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $209.25 – $1,022.58 | 5 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $206.12 – $2,005.39 | 5 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $102.75 – $999.67 | 5 |
| Dna antibody native/double stranded CPT 86225 | $250.80 | $456.00 | $10.30 – $136.53 | 5 |
| Dna gardnerella CPT 87510 | $40.15 | $73.00 | $15.04 – $199.35 | 5 |
| Dna probe chlamydia CPT 87490 | not published | not published | $17.06 – $199.35 | 5 |
| Dna probe gc CPT 87590 | not published | not published | $20.16 – $199.35 | 5 |
| Dna trichomonas CPT 87660 | $40.15 | $73.00 | $15.04 – $199.35 | 5 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | not published | not published | $11.82 – $15.16 | 3 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.72 – $1.35 | 3 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $34.72 – $96.59 | 5 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | not published | not published | $1.03 – $1.42 | 3 |
| Doppler echo complete CPT 93320 | $303.60 | $552.00 | not published | 0 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $622.05 | $1,131.00 | $157.30 – $209.73 | 2 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | not published | not published | $96.93 – $129.23 | 2 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $77.71 – $104.80 | 3 |
| Dorsi & plantar flex ass/res HCPCS L2220 | not published | not published | $74.57 – $99.43 | 2 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $188.47 – $463.26 | 5 |
| Double transfer toe-hand CPT 26554 | not published | not published | $5,286.15 – $14,304.00 | 4 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $4.57 – $6.14 | 3 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $87.45 – $251.69 | 5 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | not published | not published | $0.17 – $0.22 | 2 |
| Dpyd gene common variants CPT 81232 | $669.35 | $1,217.00 | $131.11 – $1,226.51 | 5 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $675.95 | $1,229.00 | $515.87 – $4,401.00 | 4 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $515.87 – $4,401.00 | 4 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $1,203.19 – $4,867.00 | 4 |
| Drainage external ear simple 69000 CPT 69000 | $622.60 | $1,132.00 | $515.87 – $4,401.00 | 4 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $2,116.08 – $4,867.00 | 4 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $2,116.08 – $6,687.00 | 4 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $172.55 – $4,401.00 | 4 |
| Drainage of abdomen CPT 48000 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Drainage of arm bursa 23931 CPT 23931 | $1,206.70 | $2,194.00 | $1,203.19 – $4,867.00 | 4 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $2,116.08 – $11,257.00 | 4 |
| Drainage of bone lesion CPT 26992 | not published | not published | $2,383.65 – $14,304.00 | 4 |
| Drainage of bone lesion CPT 27303 | not published | not published | $2,383.65 – $14,304.00 | 4 |
| Drainage of eye CPT 65800 | not published | not published | $1,676.00 – $4,867.00 | 4 |
| Drainage of eye CPT 65810 | not published | not published | $1,681.25 – $6,687.00 | 4 |
| Drainage of eye CPT 65815 | not published | not published | $1,681.25 – $6,687.00 | 4 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,171.42 – $6,687.00 | 4 |
| Drainage of kidney lesion CPT 50390 | $1,484.45 | $2,699.00 | $515.87 – $4,401.00 | 4 |
| Drainage of mouth lesion CPT 41005 | $587.40 | $1,068.00 | $172.55 – $4,401.00 | 4 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,130.33 – $4,867.00 | 4 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $1,130.33 – $4,867.00 | 4 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $2,415.31 – $4,867.00 | 4 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $392.90 – $4,401.00 | 4 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $392.90 – $4,401.00 | 4 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $4,312.59 – $11,044.00 | 4 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $2,415.31 – $4,867.00 | 4 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,130.33 – $4,867.00 | 4 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $172.55 – $4,401.00 | 4 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $392.90 – $4,401.00 | 4 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,171.42 – $6,687.00 | 4 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $2,567.95 – $11,257.00 | 4 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $2,567.95 – $6,687.00 | 4 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $2,567.95 – $11,257.00 | 4 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $871.75 – $4,867.00 | 4 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $2,022.07 – $4,867.00 | 4 |
| Drainage of salivary gland CPT 42305 | not published | not published | $2,415.31 – $6,687.00 | 4 |
| Drainage of salivary gland CPT 42320 | not published | not published | $392.90 – $4,401.00 | 4 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Drainage of throat abscess CPT 42725 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $2,567.95 – $6,687.00 | 4 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $1,522.84 – $6,687.00 | 4 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $507.98 – $6,687.00 | 4 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $1,522.84 – $6,687.00 | 4 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $625.59 – $4,867.00 | 4 |
| Drain blood from under nail 11740 CPT 11740 | $660.00 | $1,200.00 | $96.93 – $4,401.00 | 4 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $1,772.10 | $3,222.00 | $1,203.19 – $4,867.00 | 4 |
| Drain cath image guided visceral pq CPT 49405 | $2,000.90 | $3,638.00 | $1,203.19 – $4,867.00 | 4 |
| Drain cerebro spinal fluid 62272 CPT 62272 | not published | not published | $514.23 – $4,401.00 | 4 |
| Drain chest lesion CPT 21502 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Drain finger abscess;simple 26010 CPT 26010 | $272.80 | $496.00 | $146.16 – $4,401.00 | 4 |
| Drain lower leg bursa CPT 27604 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $2,116.08 – $11,257.00 | 4 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $2,116.08 – $11,257.00 | 4 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| Drain ovary abscess open CPT 58820 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Drain penis lesion CPT 54015 | not published | not published | $1,203.19 – $4,867.00 | 4 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,171.42 – $6,687.00 | 4 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $2,116.08 – $6,687.00 | 4 |
| Drain shoulder lesion CPT 23030 | not published | not published | $2,116.08 – $11,257.00 | 4 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $2,116.08 – $11,257.00 | 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.