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 |
|---|---|---|---|---|
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $2,808.71 – $11,257.00 | 4 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $1,397.92 – $11,257.00 | 4 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $1,397.92 – $11,257.00 | 4 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $4,422.65 – $11,044.00 | 4 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $2,808.71 – $11,257.00 | 4 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | not published | not published | $44.98 – $246.64 | 5 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | not published | not published | $13.31 – $20.37 | 3 |
| ER Visit (level 1, minor) CPT 99281 | $217.80 | $396.00 | $61.43 – $81.91 | 2 |
| ER Visit (level 2) CPT 99282 | $276.10 | $502.00 | $111.86 – $149.14 | 2 |
| ER Visit (level 3) CPT 99283 | $498.85 | $907.00 | $198.86 – $265.15 | 2 |
| ER Visit (level 4) CPT 99284 | $1,046.10 | $1,902.00 | $303.98 – $405.30 | 2 |
| ER Visit (level 5, high severity) CPT 99285 | $1,650.55 | $3,001.00 | $433.84 – $578.46 | 2 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | not published | not published | $95.64 – $142.60 | 3 |
| Escharotomy ea addl incision CPT 16036 | not published | not published | $3,179.00 – $4,401.00 | 2 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $2,808.71 – $6,687.00 | 4 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.59 – $0.79 | 3 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | not published | not published | $0.39 – $0.54 | 3 |
| Esophageal dilat s&i CPT 74360 | not published | not published | $971.19 – $971.19 | 1 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Esophageal motility CPT 78258 | not published | not published | $291.23 – $2,078.87 | 3 |
| Esophageal recording CPT 93615 | not published | not published | $886.98 – $3,179.00 | 3 |
| Esophageal recording CPT 93616 | not published | not published | $886.98 – $3,179.00 | 3 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $660.74 – $4,401.00 | 4 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $4,422.65 – $11,044.00 | 4 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $660.74 – $4,401.00 | 4 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $660.74 – $4,401.00 | 4 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $2,808.71 – $11,257.00 | 4 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $1,397.92 – $6,687.00 | 4 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $2,808.71 – $11,257.00 | 4 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $4,312.59 – $11,044.00 | 4 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $1,397.92 – $11,257.00 | 4 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Esophagus motility study CPT 91010 | not published | not published | $271.85 – $1,676.00 | 3 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $271.85 – $1,676.00 | 3 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Esoph imped function test CPT 91037 | not published | not published | $157.30 – $1,676.00 | 3 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $271.85 – $1,676.00 | 3 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Essure 58565 CPT 58565 | not published | not published | $3,644.28 – $14,304.00 | 4 |
| Establish access to aorta CPT 36160 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Establish access to artery CPT 36100 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Established Patient Office Visit (level 1) CPT 99211 | $204.05 | $371.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $79.20 | $144.00 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $105.05 | $191.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $157.30 | $286.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $207.90 | $378.00 | not published | 0 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Estradiol total CPT 82670 | $284.90 | $518.00 | $20.96 – $277.72 | 5 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $10.59 – $14.69 | 3 |
| Estrogens total-sendout CPT 82672 | $45.10 | $82.00 | $16.28 – $215.70 | 5 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $410.45 – $987.08 | 5 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $2,415.31 – $6,687.00 | 4 |
| Ethylene glycol -sendout CPT 82693 | $47.85 | $87.00 | $11.18 – $56.18 | 5 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | not published | not published | $1.55 – $2.48 | 3 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $66.04 – $143.95 | 5 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $73.60 – $223.26 | 5 |
| Euglobulin lysis CPT 85360 | not published | not published | $6.31 – $83.57 | 5 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| Eval aud funcj ea addl 15 CPT 92627 | $44.55 | $81.00 | not published | 0 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $189.20 | $344.00 | $93.74 – $124.98 | 2 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $322.30 | $586.00 | $89.62 – $119.49 | 2 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $7.78 – $55.40 | 5 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $100.10 | $182.00 | $73.58 – $640.22 | 5 |
| Evaluation heart device CPT 93640 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Evaluation of speech fluency 92521 CPT 92521 | $365.75 | $665.00 | $97.95 – $130.60 | 2 |
| Evasc prlng admn rx agnt 1st CPT 61650 | not published | not published | $17,411.00 – $17,411.00 | 1 |
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.