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 |
|---|---|---|---|---|
| Endo knee-shin frct swg & st HCPCS L5818 | not published | not published | $881.75 – $1,175.67 | 2 |
| Endo knee-shin hydral swg ph HCPCS L5814 | not published | not published | $3,429.84 – $4,573.12 | 2 |
| Endo knee-shin mnl lck ultra HCPCS L5811 | not published | not published | $724.85 – $966.47 | 2 |
| Endo knee-shin pneum swg frc HCPCS L5822 | not published | not published | $1,617.56 – $2,156.75 | 2 |
| Endo knee-shin pneum/swg pha HCPCS L5830 | not published | not published | $1,834.93 – $2,446.57 | 2 |
| Endo knee-shin polyc mch sta HCPCS L5816 | not published | not published | $780.87 – $1,041.16 | 2 |
| Endoluminal bx biliary tree CPT 47543 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Endoluminal bx urtr rnl plvs CPT 50606 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Endoluminl ivus oct c 1st CPT 92978 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Endoluminl ivus oct c ea CPT 92979 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $3,644.28 – $11,044.00 | 4 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $3,644.28 – $14,304.00 | 4 |
| Endo outlet restrict w/tube HCPCS C9785 | not published | not published | $7,743.83 – $18,408.00 | 3 |
| Endo poly hip, pneu/hyd/rot HCPCS L5961 | not published | not published | $4,408.21 – $5,877.61 | 2 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $2,567.95 – $11,257.00 | 4 |
| Endoscopic pancreatoscopy CPT 43273 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Endoscopic vein harvest 33508 CPT 33508 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $677.47 – $4,401.00 | 4 |
| Endoscopy ligate perf veins 37500 CPT 37500 | not published | not published | $11,044.00 – $16,310.00 | 2 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $5,141.35 – $17,411.00 | 4 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $677.47 – $4,401.00 | 4 |
| Endoscopy of ureter CPT 50951 | not published | not published | $2,567.95 – $4,867.00 | 4 |
| Endoscopy of ureter CPT 50953 | not published | not published | $2,567.95 – $11,257.00 | 4 |
| Endoscopy swallow (fees) vid CPT 92612 | not published | not published | $39.37 – $52.49 | 2 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | not published | not published | $1,296.65 – $4,867.00 | 4 |
| Endoskeletal axial rotation HCPCS L5984 | not published | not published | $593.80 – $791.74 | 2 |
| Endoskel knee-shin mnl lock HCPCS L5810 | not published | not published | $525.25 – $700.33 | 2 |
| Endoskel posit rotat unit HCPCS L5926 | not published | not published | $593.80 – $791.74 | 2 |
| Endo sleeve gastro w/tube HCPCS C9784 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Endovasc prosth delayed 33886 CPT 33886 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Endovasc tempory vessel occl CPT 61623 | not published | not published | $8,409.93 – $23,826.00 | 4 |
| Endovasc visc aorta 1 graft CPT 34841 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Endovasc visc aorta 2 graft CPT 34842 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Endovasc visc aorta 3 graft CPT 34843 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Endovasc visc aorta 4 graft CPT 34844 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Endovas iliac a device addon CPT 34808 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Endovenous laser vein addon 36479 CPT 36479 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $2,300.22 – $11,257.00 | 4 |
| Endovenous mchnchem add-on CPT 36474 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Endovenous rf abl vein addl CPT 36476 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | not published | not published | $4,053.72 – $16,310.00 | 4 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Energy storing foot HCPCS L5976 | not published | not published | $542.73 – $723.64 | 2 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | not published | not published | $27.49 – $69.66 | 5 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | not published | not published | $0.75 – $1.08 | 3 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $39.05 | $71.00 | $8.98 – $119.16 | 5 |
| Entamoeb hist dispr ag ia CPT 87336 | not published | not published | $12.00 – $119.16 | 5 |
| Enterectomy cong add-on CPT 44128 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Enterectomy without taper cong CPT 44126 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Enterectomy w/taper cong CPT 44127 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $2,808.71 – $11,257.00 | 4 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $1,397.92 – $11,257.00 | 4 |
| Enterovirus antibody dfa CPT 87267 | not published | not published | $10.06 – $119.16 | 5 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $33.02 – $179.50 | 5 |
| Enzyme histochemistry CPT 88319 | $1,327.15 | $2,413.00 | $425.91 – $782.58 | 3 |
| Eo, adj lock joint prefab ot HCPCS L3761 | not published | not published | $419.52 – $559.36 | 2 |
| Eo elas w/metal jnts pre ots HCPCS L3710 | not published | not published | $119.78 – $159.70 | 2 |
| Ep & ablate supravent arrhyt CPT 93653 | not published | not published | $14,312.00 – $38,664.00 | 4 |
| Ep & ablate ventric tachy CPT 93654 | not published | not published | $14,312.00 – $38,664.00 | 4 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $43.49 – $105.75 | 5 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $1,503.10 – $4,867.00 | 4 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $1,503.10 – $4,867.00 | 4 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $2,145.55 | $3,901.00 | $1,676.00 – $1,676.00 | 1 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $644.34 – $4,401.00 | 4 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $644.34 – $4,401.00 | 4 |
| Epiglottidectomy CPT 31420 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Epikeratoplasty CPT 65767 | not published | not published | $6,687.00 – $11,257.00 | 2 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $1,836.42 – $17,866.78 | 5 |
| Ep induct arrhy by elect pacing CPT 93618 | not published | not published | $886.98 – $3,179.00 | 3 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | not published | not published | $4.13 – $4.13 | 1 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | not published | not published | $2.51 – $2.51 | 1 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | not published | not published | $1.10 – $1.10 | 1 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | not published | not published | $4.34 – $4.34 | 1 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $2,383.65 – $14,304.00 | 4 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $2,383.65 – $14,304.00 | 4 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $2.35 – $3.02 | 3 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $1.03 – $1.46 | 3 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | not published | not published | $5.98 – $14.38 | 5 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | not published | not published | $5.16 – $14.58 | 5 |
| Epoetin beta esrd use HCPCS J0887 | not published | not published | $1.83 – $2.69 | 3 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $1.83 – $2.69 | 3 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $23.32 – $30.78 | 3 |
| Epstein barr early antigen antibody CPT 86663 | $18.70 | $34.00 | $9.84 – $130.40 | 5 |
| Epstein barr nuclear antigen antibody CPT 86664 | $18.70 | $34.00 | $11.47 – $152.05 | 5 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $18.70 | $34.00 | $13.60 – $180.39 | 5 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $15.83 – $37.71 | 5 |
| Ercp biliary & pancreas CPT 74330 | not published | not published | $1,319.88 – $1,319.88 | 1 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $4,422.65 – $11,044.00 | 4 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $2,808.71 – $11,257.00 | 4 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $2,808.71 – $11,257.00 | 4 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $4,422.65 – $11,044.00 | 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.