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 |
|---|---|---|---|---|
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $121.89 – $914.20 | 5 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $36.66 – $92.00 | 5 |
| Gammaglobulin iga CPT 82784 | $126.50 | $230.00 | $6.98 – $92.46 | 5 |
| Gammaglobulin ige CPT 82785 | $13.75 | $25.00 | $12.34 – $163.68 | 5 |
| Gamma glutamyltransferase CPT 82977 | $37.40 | $68.00 | $5.40 – $71.59 | 5 |
| Gammagraft HCPCS Q4111 | not published | not published | $11.02 – $120.88 | 5 |
| Gammaplex injection HCPCS J1557 | not published | not published | $49.70 – $118.69 | 5 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $36.76 – $91.26 | 5 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $46.53 – $75.28 | 3 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $26.32 – $348.80 | 5 |
| Gardner vag dna quant CPT 87512 | not published | not published | $31.32 – $415.03 | 5 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $5.03 – $54.14 | 5 |
| Gastric emptying imag study CPT 78265 | not published | not published | $291.23 – $3,939.35 | 3 |
| Gastric emptying imag study CPT 78266 | not published | not published | $395.55 – $4,714.91 | 3 |
| Gastric motility studies CPT 91020 | not published | not published | $271.85 – $1,676.00 | 3 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $291.23 – $2,406.84 | 3 |
| Gastrin test CPT 82938 | not published | not published | $13.27 – $175.85 | 5 |
| Gastroduodenostomy CPT 43810 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $291.23 – $2,372.12 | 3 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $271.85 – $1,676.00 | 3 |
| Gastrointestinal repair CPT 43360 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Gastrointestinal repair CPT 43361 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $660.74 – $4,401.00 | 4 |
| Gated heart multiple CPT 78473 | not published | not published | $291.23 – $2,451.56 | 3 |
| Gba gene CPT 81251 | $228.80 | $416.00 | $35.44 – $331.53 | 5 |
| Gc stocking full lngth 18-30 HCPCS A6536 | not published | not published | $55.46 – $73.95 | 2 |
| Gc stocking full lngth 30-40 HCPCS A6537 | not published | not published | $65.75 – $87.67 | 2 |
| Gc stocking full lngth 40+ HCPCS A6538 | not published | not published | $76.99 – $102.65 | 2 |
| Gc stocking thighlngth 18-30 HCPCS A6533 | not published | not published | $41.14 – $54.86 | 2 |
| Gc stocking thighlngth 30-40 HCPCS A6534 | not published | not published | $46.99 – $62.65 | 2 |
| Gc stocking thighlngth 40+ HCPCS A6535 | not published | not published | $54.10 – $72.13 | 2 |
| Gc stocking waistlngth 18-30 HCPCS A6539 | not published | not published | $73.40 – $97.86 | 2 |
| Gc stocking waistlngth 30-40 HCPCS A6540 | not published | not published | $87.51 – $116.68 | 2 |
| Gc stocking waistlngth 40+ HCPCS A6541 | not published | not published | $103.66 – $138.21 | 2 |
| Gel cap app device for trach HCPCS L8515 | not published | not published | $58.30 – $77.74 | 2 |
| Gel cap for trach voice pros HCPCS L8512 | not published | not published | $2.01 – $2.68 | 2 |
| Gel-one HCPCS J7326 | not published | not published | $400.19 – $995.63 | 5 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.44 – $1.24 | 5 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $4.32 – $5.62 | 3 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $185.53 – $449.57 | 5 |
| General health panel CPT 80050 | $484.00 | $880.00 | $317.09 – $317.09 | 1 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $1,836.42 – $17,866.79 | 5 |
| Genioplasty augmentation CPT 21120 | not published | not published | $4,312.59 – $11,044.00 | 4 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $2,415.31 – $6,687.00 | 4 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $2,415.31 – $6,687.00 | 4 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $4,312.59 – $11,044.00 | 4 |
| Genome re-evaluation CPT 81427 | not published | not published | $1,753.24 – $17,057.49 | 5 |
| Genome sequence analysis CPT 81425 | not published | not published | $3,773.40 – $36,711.94 | 5 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,032.46 – $19,774.12 | 5 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | not published | not published | $3.58 – $4.97 | 3 |
| Gentamicin peak therapeutic drug level CPT 80170 | $180.95 | $329.00 | $12.28 – $162.85 | 5 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $2.86 – $11.44 | 5 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $625.59 – $1,676.00 | 3 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Ghs abscess perianal iandd CPT 46050 | $2,135.65 | $3,883.00 | $677.47 – $4,401.00 | 4 |
| Ghs abscess postoperative iandd complex CPT 10180 | not published | not published | $2,116.08 – $11,257.00 | 4 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $24.75 | $45.00 | $7.36 – $76.32 | 5 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $101.20 | $184.00 | $12.83 – $159.81 | 5 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $880.00 | $1,600.00 | $76.70 – $717.48 | 5 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $96.93 – $129.23 | 2 |
| Ghs antibodies (torch) igm CPT 86694 | $23.65 | $43.00 | $10.79 – $143.08 | 5 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $182.01 – $4,401.00 | 4 |
| Ghs bladder cath - complex-foley CPT 51703 | $438.35 | $797.00 | $93.74 – $4,401.00 | 4 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $3.62 – $33.72 | 5 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | not published | not published | $514.23 – $4,401.00 | 4 |
| Ghs central line insert < age 5, failed CPT 36555 | $1,326.60 | $2,412.00 | $2,300.22 – $4,867.00 | 4 |
| Ghs change cysto/gastrost CPT 43762 | $647.90 | $1,178.00 | $182.01 – $4,401.00 | 4 |
| Ghs chemo >8 hrs CPT 96416 | not published | not published | $240.63 – $320.84 | 2 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $240.63 – $320.84 | 2 |
| Ghs chemo IV push, ea addtl CPT 96411 | not published | not published | $52.45 – $69.94 | 2 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $50.60 | $92.00 | $26.32 – $348.80 | 5 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $311.30 | $566.00 | $179.70 – $4,401.00 | 4 |
| Ghs closed reduction ankle dislocation CPT 27840 | $411.95 | $749.00 | $179.70 – $4,401.00 | 4 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,133.00 | $2,060.00 | $1,171.42 – $4,867.00 | 4 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $179.70 – $4,401.00 | 4 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,642.30 | $2,986.00 | $1,171.42 – $4,867.00 | 4 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $2,581.60 – $4,867.00 | 4 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | $179.70 – $4,401.00 | 4 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $1,642.30 | $2,986.00 | $1,171.42 – $4,867.00 | 4 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | not published | not published | $1,171.42 – $4,867.00 | 4 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $944.90 | $1,718.00 | $179.70 – $4,401.00 | 4 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $411.95 | $749.00 | $179.70 – $4,401.00 | 4 |
| Ghs community re-entry 15 minutes CPT 97537 | not published | not published | $23.38 – $31.17 | 2 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $323.95 | $589.00 | $325.44 – $4,401.00 | 4 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $248.05 | $451.00 | $96.93 – $4,401.00 | 4 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $323.95 | $589.00 | $325.44 – $4,401.00 | 4 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $323.95 | $589.00 | $96.93 – $4,401.00 | 4 |
| Ghs cricothyroidotomy CPT 31605 | $1,680.25 | $3,055.00 | $172.55 – $4,401.00 | 4 |
| Ghs cutdown placement age 1 and over CPT 36425 | $995.50 | $1,810.00 | $325.44 – $4,401.00 | 4 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $96.93 – $4,401.00 | 4 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $96.25 | $175.00 | $11.41 – $57.79 | 5 |
| Ghs dislocation elbow closed treatment CPT 24600 | $356.95 | $649.00 | $179.70 – $4,401.00 | 4 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $660.74 – $4,401.00 | 4 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $316.80 | $576.00 | $203.76 – $4,401.00 | 4 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,155.55 | $2,101.00 | $514.23 – $4,401.00 | 4 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | not published | not published | $157.30 – $209.73 | 2 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $93.74 – $124.98 | 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.