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 |
|---|---|---|---|---|
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $705.10 | $1,282.00 | $1,676.00 – $1,676.00 | 1 |
| Fine needle asp without image guide 10021 CPT 10021 | $421.30 | $766.00 | $296.15 – $4,401.00 | 4 |
| Finger tendon transfer CPT 26497 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Finger tendon transfer CPT 26498 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $6,687.00 – $11,044.00 | 2 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $42.98 – $57.30 | 2 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $42.98 – $57.30 | 2 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $27.21 – $36.28 | 2 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $27.21 – $36.28 | 2 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $147.28 – $4,401.00 | 4 |
| Fixation of ankle joint CPT 27860 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Fixation of knee joint CPT 27570 | not published | not published | $1,171.42 – $4,867.00 | 4 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Fix g/colon tube w/device CPT 49460 | not published | not published | $660.74 – $4,401.00 | 4 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Flecainide (tambocor)-sendout CPT 80181 | $26.95 | $49.00 | $13.98 – $136.01 | 5 |
| Fl exam g/colon tube w contrast CPT 49465 | not published | not published | $173.82 – $4,401.00 | 4 |
| Flex/ext wrist w/wo friction HCPCS L6621 | not published | not published | $2,112.38 – $2,816.50 | 2 |
| Flex foot system HCPCS L5980 | not published | not published | $3,508.19 – $4,677.59 | 2 |
| Flexible keel foot HCPCS L5972 | not published | not published | $365.42 – $487.23 | 2 |
| Flexible metal hinge pair HCPCS L6610 | not published | not published | $203.83 – $271.77 | 2 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $677.47 – $4,401.00 | 4 |
| Flexion/extension wrist unit HCPCS L6620 | not published | not published | $345.88 – $461.17 | 2 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $5,286.15 – $16,310.00 | 4 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Flex thermoplastic collar mo HCPCS L0130 | not published | not published | $140.69 – $187.59 | 2 |
| Flex-walk sys low ext prosth HCPCS L5981 | not published | not published | $3,151.20 – $4,201.60 | 2 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $1,203.19 – $4,867.00 | 4 |
| Flow cytometry interp 16 or more CPT 88189 | not published | not published | $812.49 – $812.49 | 1 |
| Flow cytometry marker each additional CPT 88185 | $281.60 | $512.00 | $322.07 – $322.07 | 1 |
| Flow cytometry one marker technical component CPT 88184 | $595.10 | $1,082.00 | $261.13 – $530.76 | 3 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $90.66 – $176.91 | 5 |
| #flow interp 9 - 15 markers CPT 88188 | not published | not published | $657.35 – $657.35 | 1 |
| Floxuridine injection HCPCS J9200 | not published | not published | $3,297.37 – $7,838.55 | 5 |
| Flt3 gene CPT 81245 | $931.15 | $1,693.00 | $124.13 – $1,208.94 | 5 |
| Flt3 gene analysis CPT 81246 | $466.40 | $848.00 | $62.25 – $605.92 | 5 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | not published | not published | $4.29 – $5.19 | 3 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | not published | $86.32 – $311.36 | 3 |
| Fluidotherapy charges pt CPT 97022 | $102.85 | $187.00 | $11.30 – $15.06 | 2 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $515.87 – $4,401.00 | 4 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $387.30 – $945.81 | 5 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $254.10 – $645.55 | 5 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $157.30 – $209.73 | 2 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $157.30 – $209.73 | 2 |
| Fluorescent antibody titer dna CPT 86256 | $715.55 | $1,301.00 | $9.04 – $119.77 | 5 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $378.40 | $688.00 | $604.23 – $604.23 | 1 |
| Fluoroguide needle placement CPT 77002 | $497.20 | $904.00 | $700.67 – $700.67 | 1 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $14.18 – $187.97 | 5 |
| Fluoroscopy up to 1 hour CPT 76000 | $378.40 | $688.00 | $173.82 – $415.15 | 3 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | not published | not published | $3.20 – $4.13 | 3 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | not published | not published | $12.80 – $17.41 | 3 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $173.82 – $6,644.89 | 3 |
| Fmri brain by tech CPT 70554 | not published | not published | $173.82 – $3,711.01 | 3 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,409.65 | $2,563.00 | $515.87 – $4,401.00 | 4 |
| Fna bx w/ct gdn ea addl CPT 10010 | $705.10 | $1,282.00 | $1,676.00 – $1,676.00 | 1 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $515.87 – $4,401.00 | 4 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Foam stability fetal lung CPT 83662 | not published | not published | $14.18 – $187.97 | 5 |
| Folic acid CPT 82746 | $51.70 | $94.00 | $11.02 – $146.16 | 5 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | not published | not published | $0.09 – $0.11 | 2 |
| Follow-up angiography CPT 75898 | not published | not published | $475.32 – $3,066.96 | 3 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $96.99 – $129.32 | 2 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $1,732.00 – $6,687.00 | 4 |
| Fondaparinux sodium HCPCS J1652 | not published | not published | $1.24 – $1.37 | 3 |
| Fo nontorsion joint cf HCPCS L3935 | not published | not published | $185.30 – $247.07 | 2 |
| Foot arch support remov prem HCPCS L3030 | not published | not published | $70.33 – $93.77 | 2 |
| Foot arch supp premold metat HCPCS L3050 | not published | not published | $43.38 – $57.84 | 2 |
| Foot drp splt w/exp heel lg HCPCS L4398 | not published | not published | $71.19 – $94.92 | 2 |
| Foot external keel sach foot HCPCS L5970 | not published | not published | $200.60 – $267.47 | 2 |
| Foot insert plastazote or eq HCPCS L3002 | not published | not published | $148.86 – $198.48 | 2 |
| Foot insert remov molded spe HCPCS L3001 | not published | not published | $121.92 – $162.56 | 2 |
| Foot insert silicone gel eac HCPCS L3003 | not published | not published | $160.58 – $214.11 | 2 |
| Foot lamin/prepreg composite HCPCS L3031 | not published | not published | $112.88 – $150.51 | 2 |
| Foot longitudinal arch suppo HCPCS L3010 | not published | not published | $160.58 – $214.11 | 2 |
| Foot longitud/metatarsal sup HCPCS L3020 | not published | not published | $182.87 – $243.83 | 2 |
| Foot plas heel stabi pre ots HCPCS L3170 | not published | not published | $46.89 – $62.52 | 2 |
| Foot plate molded stirrup at HCPCS L2250 | not published | not published | $307.88 – $410.50 | 2 |
| Foot single axis ankle/foot HCPCS L5974 | not published | not published | $213.97 – $285.29 | 2 |
| Foot X-ray CPT 73630 | $297.55 | $541.00 | $63.40 – $222.23 | 3 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | not published | not published | $760.24 – $1,013.66 | 2 |
| Forearm/arm cuffs free motio HCPCS L3720 | not published | not published | $573.16 – $764.22 | 2 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $2,581.60 – $11,257.00 | 4 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $4,493.99 – $4,493.99 | 1 |
| Forensic cytopathology CPT 88125 | not published | not published | $37.96 – $66.38 | 3 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | not published | not published | $182.01 – $4,401.00 | 4 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $2.47 – $3.74 | 3 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | not published | not published | $0.17 – $0.22 | 3 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $29.61 – $70.82 | 3 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $21.38 – $261.36 | 5 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $63.40 – $287.81 | 3 |
| _fragile x methylation-sendout CPT 81244 | $804.65 | $1,463.00 | $33.67 – $314.95 | 5 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $2,567.95 – $16,310.00 | 4 |
| Frame typ sock above elb/dis HCPCS L6688 | not published | not published | $586.15 – $781.53 | 2 |
| Frame typ socket bel elbow/w HCPCS L6687 | not published | not published | $529.62 – $706.16 | 2 |
| Frame typ socket shoulder di HCPCS L6689 | not published | not published | $698.58 – $931.44 | 2 |
| Frame typ sock interscap-tho HCPCS L6690 | not published | not published | $822.47 – $1,096.63 | 2 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $6,687.00 – $11,257.00 | 2 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $11,257.00 – $11,257.00 | 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.