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 |
|---|---|---|---|---|
| Ecg external < 48 hours recording CPT 93225 | $391.60 | $712.00 | $96.93 – $129.23 | 2 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $532.40 | $968.00 | $42.98 – $57.30 | 2 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $27.21 – $36.28 | 2 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $27.21 – $36.28 | 2 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,404.15 | $2,553.00 | $398.06 – $530.75 | 2 |
| Echocardiography doppler color flow mapping CPT 93325 | $290.95 | $529.00 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,628.55 | $2,961.00 | $571.09 – $761.45 | 2 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $773.30 | $1,406.00 | $173.82 – $231.76 | 2 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $470.80 | $856.00 | $254.15 – $338.87 | 2 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $174.35 | $317.00 | not published | 0 |
| Echo exam of eye CPT 76516 | not published | not published | $76.16 – $519.33 | 3 |
| Echo exam of eye CPT 76519 | not published | not published | $76.16 – $577.18 | 3 |
| Echo exam of eye CPT 76529 | not published | not published | $63.40 – $507.74 | 3 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $21.07 – $56.31 | 3 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $398.06 – $2,099.74 | 3 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $173.82 – $1,329.62 | 3 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $76.16 – $511.61 | 3 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $76.16 – $272.39 | 3 |
| Echo exam uterus 76831- CPT 76831 | $449.35 | $817.00 | $173.82 – $893.60 | 3 |
| Echograp trans r pros study CPT 76873 | not published | not published | $76.16 – $974.63 | 3 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $256.96 – $256.96 | 1 |
| Echo guidance radiotherapy HCPCS G6001 | not published | not published | $237.66 – $237.66 | 1 |
| Echo guide for amniocentesis CPT 76946 | $820.60 | $1,492.00 | $141.20 – $141.20 | 1 |
| Echo guide for artery repair CPT 76936 | not published | not published | $157.30 – $1,879.81 | 3 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $593.23 – $593.23 | 1 |
| Echo guide for transfusion CPT 76941 | not published | not published | $627.93 – $627.93 | 1 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $430.59 – $430.59 | 1 |
| Echo guide villus sampling CPT 76945 | not published | not published | $664.96 – $664.96 | 1 |
| Echo stress CPT 93350 | $821.15 | $1,493.00 | $398.06 – $530.75 | 2 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $398.06 – $530.75 | 2 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,078.55 | $1,961.00 | $398.06 – $530.75 | 2 |
| Echo transesophageal CPT 93313 | not published | not published | $398.06 – $530.75 | 2 |
| Echo transesophageal CPT 93315 | not published | not published | $398.06 – $530.75 | 2 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $398.06 – $530.75 | 2 |
| Echo transthoracic CPT 93303 | not published | not published | $398.06 – $530.75 | 2 |
| Echo transthoracic CPT 93304 | not published | not published | $398.06 – $530.75 | 2 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | not published | not published | $173.82 – $231.76 | 2 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $27.19 – $36.25 | 2 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $9.50 – $119.16 | 5 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $1,681.25 – $6,687.00 | 4 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | not published | not published | $33.15 – $85.06 | 4 |
| Eculizumab injection HCPCS J1300 | not published | not published | $414.70 – $414.70 | 1 |
| Edetate calcium disodium inj HCPCS J0600 | not published | not published | $4,642.12 – $12,263.68 | 5 |
| Ed svc ckd grp per session HCPCS G0421 | not published | not published | $19.72 – $26.29 | 2 |
| Ed svc ckd ind per session HCPCS G0420 | not published | not published | $81.71 – $108.95 | 2 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $60.50 | $110.00 | not published | 0 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | not published | not published | $157.30 – $209.73 | 2 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $625.59 – $834.12 | 2 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $471.90 | $858.00 | $157.30 – $209.73 | 2 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | not published | not published | $157.30 – $209.73 | 2 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | not published | not published | $157.30 – $209.73 | 2 |
| Eeg recording awake and asleep CPT 95819 | $485.65 | $883.00 | $157.30 – $209.73 | 2 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | not published | not published | $157.30 – $209.73 | 2 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | not published | not published | $157.30 – $209.73 | 2 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | not published | not published | $157.30 – $209.73 | 2 |
| E equine encephalitis igg CPT 86652 | $61.05 | $111.00 | $9.89 – $57.79 | 5 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $24.41 – $61.55 | 5 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Egd control bleeding any CPT 43255 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Egd dilate stricture CPT 43245 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $4,422.65 – $11,044.00 | 4 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $7,743.83 – $18,408.00 | 4 |
| Egd flx trnsorl dplmnt balo CPT 43290 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $660.74 – $4,401.00 | 4 |
| Egd guide wire insertion CPT 43248 | not published | not published | $660.74 – $4,401.00 | 4 |
| Egd injection varices CPT 43243 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Egd lesion ablation CPT 43270 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $1,397.92 – $11,257.00 | 4 |
| Egd remove foreign body CPT 43247 | not published | not published | $660.74 – $4,401.00 | 4 |
| Egd remove lesion snare CPT 43251 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Egd varices ligation CPT 43244 | not published | not published | $1,397.92 – $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.