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 |
|---|---|---|---|---|
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $2,808.71 – $11,257.00 | 4 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $4,422.65 – $11,257.00 | 4 |
| Egfr gene com variants CPT 81235 | $966.90 | $1,758.00 | $243.44 – $2,404.39 | 5 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $107.25 | $195.00 | $26.32 – $255.96 | 5 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | not published | not published | $14.68 – $136.24 | 5 |
| Elb disart prosth tiss shap HCPCS L6450 | not published | not published | $3,284.37 – $4,379.16 | 2 |
| Elb mold sock flex hinge pad HCPCS L6100 | not published | not published | $2,323.10 – $3,097.46 | 2 |
| Elbow arthroscopy CPT 29830 | not published | not published | $2,383.65 – $16,310.00 | 4 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $2,383.65 – $16,310.00 | 4 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Elbow inter loc elbow forarm HCPCS L6250 | not published | not published | $2,972.05 – $3,962.73 | 2 |
| Elbow mold doub splt soc ste HCPCS L6120 | not published | not published | $2,779.65 – $3,706.20 | 2 |
| Elbow mold outsid lock hinge HCPCS L6200 | not published | not published | $3,020.91 – $4,027.88 | 2 |
| Elbow mold sock suspension t HCPCS L6110 | not published | not published | $2,457.68 – $3,276.91 | 2 |
| Elbow socket ins use without lck HCPCS L6695 | not published | not published | $604.87 – $806.49 | 2 |
| Elbow socket ins use w/lock HCPCS L6694 | not published | not published | $725.86 – $967.82 | 2 |
| Elbow stump activated lock h HCPCS L6130 | not published | not published | $2,932.59 – $3,910.12 | 2 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | not published | not published | $223.75 – $4,401.00 | 4 |
| Elec hand ind art digits HCPCS L6880 | not published | not published | $22,065.16 – $29,420.21 | 2 |
| Elec knee-shin swing/stance HCPCS L5856 | not published | not published | $22,169.84 – $29,559.78 | 2 |
| Elec stim unattend for press HCPCS G0281 | not published | not published | $8.42 – $11.23 | 2 |
| Elect analysis of infusion pump 62367 CPT 62367 | not published | not published | $223.75 – $4,401.00 | 4 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | not published | not published | $223.75 – $4,401.00 | 4 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $34.51 – $4,401.00 | 4 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | $13.75 | $25.00 | not published | 0 |
| Electrocochleography CPT 92584 | not published | not published | $93.74 – $124.98 | 2 |
| Electroconvulsive therapy 90870 CPT 90870 | not published | not published | $625.59 – $834.12 | 2 |
| Electrode stimulation brain CPT 95961 | not published | not published | $625.59 – $834.12 | 2 |
| Electroejaculation CPT 55870 | not published | not published | $670.98 – $4,401.00 | 4 |
| Electrogastrography CPT 91132 | not published | not published | $157.30 – $1,676.00 | 3 |
| Electrogastrography w/test CPT 91133 | not published | not published | $96.93 – $1,676.00 | 3 |
| Electrolyte panel CPT 80051 | $102.85 | $187.00 | $5.26 – $69.69 | 5 |
| Electromagntic tx for ulcers HCPCS G0329 | not published | not published | $7.58 – $103.69 | 3 |
| Electron elbow child switch HCPCS L7186 | not published | not published | $9,818.33 – $13,091.11 | 2 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | not published | not published | $69.26 – $92.35 | 2 |
| Electronic elbo simultaneous HCPCS L7181 | not published | not published | $37,003.64 – $49,338.18 | 2 |
| Electronic elbow sequential HCPCS L7180 | not published | not published | $35,939.99 – $47,919.99 | 2 |
| Electron microscopy diagnostic CPT 88348 | $2,509.10 | $4,562.00 | $586.94 – $1,869.91 | 3 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $96.93 – $129.23 | 2 |
| Electrophysiologic study CPT 93624 | not published | not published | $5,682.05 – $16,310.00 | 3 |
| Electrophysiology evaluation CPT 93619 | not published | not published | $5,682.05 – $16,310.00 | 3 |
| Electrophysiology evaluation CPT 93620 | not published | not published | $5,682.05 – $16,310.00 | 3 |
| Electrophysiology evaluation CPT 93621 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Electrophysiology evaluation CPT 93622 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Electrophysiology evaluation CPT 93641 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Electrophysiology evaluation CPT 93642 | not published | not published | $886.98 – $3,179.00 | 3 |
| Electrophysiology evaluation CPT 93644 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Electrophys map 3d add-on CPT 93613 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Elisa hiv-1/hiv-2 screen HCPCS G0433 | not published | not published | $13.72 – $136.24 | 5 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $239.64 – $582.91 | 5 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | not published | not published | $6.14 – $14.97 | 5 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | not published | not published | $144.36 – $352.09 | 5 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Embolization s&i CPT 75894 | not published | not published | $9,490.60 – $9,490.60 | 1 |
| Embo or occlude vascular arterial s&i CPT 37242 | not published | not published | $13,354.59 – $23,826.00 | 4 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | not published | not published | $8,409.93 – $23,826.00 | 4 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | not published | not published | $8,409.93 – $23,826.00 | 4 |
| Embo or occlude vascular venous s&i CPT 37241 | not published | not published | $8,409.93 – $23,826.00 | 4 |
| Embryo hatching CPT 89253 | not published | not published | $124.11 – $165.49 | 2 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $670.98 – $4,401.00 | 4 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | not published | not published | $4,053.72 – $16,310.00 | 4 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | not published | not published | $4,053.72 – $16,310.00 | 4 |
| Emb w/colposcopy 58110 CPT 58110 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Emb without cervical dilation 58100 CPT 58100 | not published | not published | $147.28 – $4,401.00 | 4 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | not published | not published | $96.93 – $129.23 | 2 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | not published | not published | $93.74 – $124.98 | 2 |
| Emg cranial nerve bilateral CPT 95868 | not published | not published | $157.30 – $209.73 | 2 |
| Emg needle test 1-extremity CPT 95860 | not published | not published | $96.93 – $129.23 | 2 |
| Emg needle test 4-extremities CPT 95864 | not published | not published | $93.74 – $124.98 | 2 |
| Emg thor paraspinal without t1/t2 CPT 95869 | not published | not published | $157.30 – $209.73 | 2 |
| Emr hd pmp elec/combo, rep HCPCS Q0494 | not published | not published | $198.14 – $264.19 | 2 |
| Emr pwr cbl combo vad, rep HCPCS Q0493 | not published | not published | $234.16 – $312.22 | 2 |
| Emr pwr cbl elec vad, rep HCPCS Q0492 | not published | not published | $82.25 – $109.67 | 2 |
| Emr pwr source combo vad rep HCPCS Q0491 | not published | not published | $1,020.82 – $1,361.10 | 2 |
| Emr pwr source elec vad, rep HCPCS Q0490 | not published | not published | $649.34 – $865.78 | 2 |
| Encephalitis, california igg/igm CPT 86651 | $61.05 | $111.00 | $9.89 – $57.79 | 5 |
| Encephalitis, st louis igg/igm CPT 86653 | $61.05 | $111.00 | $9.89 – $57.79 | 5 |
| Encephalitis, western equine igg/igm CPT 86654 | $61.05 | $111.00 | $9.89 – $57.79 | 5 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | not published | not published | $2,300.22 – $11,257.00 | 4 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | not published | not published | $2,300.22 – $11,257.00 | 4 |
| Endo ak/hip alignable system HCPCS L5920 | not published | not published | $487.18 – $649.58 | 2 |
| Endo ak/hip knee extens assi HCPCS L5850 | not published | not published | $117.46 – $156.61 | 2 |
| Endo ak ultra-light material HCPCS L5950 | not published | not published | $714.35 – $952.47 | 2 |
| Endo assay seven anal CPT 81506 | not published | not published | $51.69 – $568.53 | 5 |
| Endo below knee alignable sy HCPCS L5910 | not published | not published | $332.54 – $443.39 | 2 |
| Endo bk ultra-light material HCPCS L5940 | not published | not published | $460.58 – $614.10 | 2 |
| Endo cath bile duct s&i CPT 74328 | not published | not published | $891.75 – $891.75 | 1 |
| Endo cath panc duct s&i CPT 74329 | not published | not published | $715.09 – $715.09 | 1 |
| Endocerv curettage w/scope 57456 CPT 57456 | not published | not published | $222.00 – $4,401.00 | 4 |
| Endocervical curettage 57505 CPT 57505 | not published | not published | $670.98 – $4,401.00 | 4 |
| Endo cholangiopancreatograph CPT 43261 | not published | not published | $2,808.71 – $11,257.00 | 4 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $2,808.71 – $11,257.00 | 4 |
| Endo defect closure gi tract HCPCS C9901 | not published | not published | $7,743.83 – $18,408.00 | 3 |
| Endo hip ultra-light materia HCPCS L5960 | not published | not published | $1,068.14 – $1,424.19 | 2 |
| Endo knee-shin fluid swg/sta HCPCS L5828 | not published | not published | $2,721.37 – $3,628.49 | 2 |
| Endo knee-shin fluid swing p HCPCS L5824 | not published | not published | $1,529.07 – $2,038.76 | 2 |
| Endo knee-shin frct swg & st HCPCS L5812 | not published | not published | $545.48 – $727.31 | 2 |
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.