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 |
|---|---|---|---|---|
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | not published | not published | $9.04 – $87.93 | 5 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $16,310.00 – $16,310.00 | 1 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | not published | $4,867.00 – $16,310.00 | 2 |
| Antinuclear antibodies CPT 86038 | $91.85 | $167.00 | $9.07 – $103.54 | 5 |
| Antinuclear antibodies titer CPT 86039 | $67.10 | $122.00 | $8.37 – $110.91 | 5 |
| Antiphosphatidylserine antibody CPT 86148 | not published | not published | $12.05 – $57.79 | 5 |
| Antistreptolysin o screen CPT 86063 | $58.30 | $106.00 | $4.33 – $57.36 | 5 |
| Antistreptolysin o titer CPT 86060 | $35.20 | $64.00 | $5.48 – $72.60 | 5 |
| Antithrombin iii activity CPT 85300 | $67.10 | $122.00 | $8.89 – $117.85 | 5 |
| Antithrombin iii injection HCPCS J7197 | not published | not published | $3.13 – $7.76 | 5 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | not published | not published | $4,161.72 – $9,524.91 | 5 |
| Antithymocyte globuln rabbit HCPCS J7511 | not published | not published | $793.34 – $1,893.14 | 5 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $3,644.28 – $14,304.00 | 4 |
| Ant sgm img ir flrscn angrph CPT 92287 | not published | not published | $96.93 – $129.23 | 2 |
| Ant sgm img i&r speclr mic CPT 92286 | not published | not published | $96.93 – $129.23 | 2 |
| Aortic circulation assist 33971 CPT 33971 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Aortic dysfunction/dilation CPT 81410 | not published | not published | $378.00 – $3,536.16 | 5 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $1,012.64 – $9,473.21 | 5 |
| Aortic hemiarch graft 33866 CPT 33866 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $150.00 – $1,403.24 | 5 |
| Apc gene full sequence CPT 81201 | $1,023.00 | $1,860.00 | $585.00 – $5,472.64 | 5 |
| Apc gene known fam variants CPT 81202 | not published | not published | $210.00 – $1,964.53 | 5 |
| Aphakia prosth service temp CPT 92358 | not published | not published | $42.98 – $57.30 | 2 |
| Apheresis immunoads slctv CPT 36516 | not published | not published | $3,172.98 – $14,304.00 | 4 |
| Apheresis plasma CPT 36514 | not published | not published | $1,134.58 – $4,867.00 | 4 |
| Apheresis platelets CPT 36513 | not published | not published | $321.40 – $4,401.00 | 4 |
| Apheresis rbc CPT 36512 | not published | not published | $1,134.58 – $4,867.00 | 4 |
| Apheresis wbc CPT 36511 | not published | not published | $1,134.58 – $4,867.00 | 4 |
| Apl(pml-rara) quant - sendout CPT 81315 | $1,567.50 | $2,850.00 | $155.48 – $2,060.62 | 5 |
| Appendectomy CPT 44950 | not published | not published | $4,716.17 – $11,257.00 | 4 |
| Appendectomy add-on 44955 CPT 44955 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | not published | not published | $1,503.10 – $4,867.00 | 4 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | not published | not published | $1,503.10 – $11,257.00 | 4 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $118.38 – $4,401.00 | 4 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $203.76 – $4,401.00 | 4 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $203.76 – $4,401.00 | 4 |
| Appl body cast sho to hips CPT 29035 | not published | not published | $203.76 – $4,401.00 | 4 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $203.76 – $4,401.00 | 4 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $203.76 – $4,401.00 | 4 |
| Appl cast shoulder spica CPT 29055 | not published | not published | $203.76 – $4,401.00 | 4 |
| Appl halo type body cast CPT 29000 | not published | not published | $203.76 – $4,401.00 | 4 |
| Appl hip spica cast1&1/2 CPT 29325 | not published | not published | $203.76 – $4,401.00 | 4 |
| Appl hip spica cast 1 leg CPT 29305 | not published | not published | $203.76 – $4,401.00 | 4 |
| Application clubfoot cast CPT 29450 | not published | not published | $118.38 – $4,401.00 | 4 |
| Application finger splntstatic 29130 CPT 29130 | $293.70 | $534.00 | $96.93 – $4,401.00 | 4 |
| Application halo femoral CPT 20663 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Application halo pelvic CPT 20662 | not published | not published | $1,171.42 – $6,687.00 | 4 |
| Application long leg splint 29505 CPT 29505 | $332.75 | $605.00 | $118.38 – $4,401.00 | 4 |
| Application lower leg splint 29515 CPT 29515 | $355.85 | $647.00 | $118.38 – $4,401.00 | 4 |
| Application multi layer compression below knee (both sides) CPT 29581 | $669.35 | $1,217.00 | $118.38 – $4,401.00 | 4 |
| Application of body cast CPT 29010 | not published | not published | $203.76 – $4,401.00 | 4 |
| Application of body cast CPT 29015 | not published | not published | $203.76 – $4,401.00 | 4 |
| Application of cylinder cast 29365 CPT 29365 | not published | not published | $203.76 – $4,401.00 | 4 |
| Application of forearm cast 29075 CPT 29075 | $396.55 | $721.00 | $203.76 – $4,401.00 | 4 |
| Application of long arm cast 29065 CPT 29065 | not published | not published | $203.76 – $4,401.00 | 4 |
| Application of long leg cast CPT 29355 | not published | not published | $203.76 – $4,401.00 | 4 |
| Application of long leg cast 29345 CPT 29345 | not published | not published | $203.76 – $4,401.00 | 4 |
| Application of paste boot 29580 CPT 29580 | $612.70 | $1,114.00 | $118.38 – $4,401.00 | 4 |
| Application short leg cast 29405 CPT 29405 | not published | not published | $203.76 – $4,401.00 | 4 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | not published | not published | $538.41 – $4,867.00 | 4 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | not published | not published | $538.41 – $4,867.00 | 4 |
| Appl long leg cast brace CPT 29358 | not published | not published | $203.76 – $4,401.00 | 4 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $7,789.00 – $18,408.00 | 4 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $102.85 | $187.00 | $4.22 – $5.63 | 2 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $102.85 | $187.00 | $8.66 – $11.55 | 2 |
| Appl modality 1+lllt po pain CPT 97037 | not published | not published | $27.21 – $36.28 | 2 |
| Appl multlay comprs arm/hand CPT 29584 | $347.05 | $631.00 | $118.38 – $4,401.00 | 4 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $203.76 – $4,401.00 | 4 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Apply finger cast 29086 CPT 29086 | not published | not published | $118.38 – $4,401.00 | 4 |
| Apply forearm splintdynamic 29126 CPT 29126 | not published | not published | $96.93 – $4,401.00 | 4 |
| Apply halo w/removal cranial CPT 20661 | not published | not published | $1,171.42 – $4,867.00 | 4 |
| Apply hand/wrist cast 29085 CPT 29085 | not published | not published | $118.38 – $4,401.00 | 4 |
| Apply interstit radiat compl CPT 77778 | not published | not published | $507.38 – $3,986.25 | 3 |
| Apply intrcav radiat compl CPT 77763 | not published | not published | $507.38 – $3,095.80 | 3 |
| Apply intrcav radiat interm CPT 77762 | not published | not published | $402.53 – $2,394.40 | 3 |
| Apply intrcav radiat simple CPT 77761 | not published | not published | $402.53 – $2,087.30 | 3 |
| Apply of finger splint 29131 CPT 29131 | not published | not published | $42.98 – $4,401.00 | 4 |
| Apply rem fixation device CPT 20660 | not published | not published | $1,171.42 – $4,867.00 | 4 |
| Apply rigid leg cast 29445 CPT 29445 | not published | not published | $203.76 – $4,401.00 | 4 |
| Apply short leg castambul type 29425 CPT 29425 | not published | not published | $203.76 – $4,401.00 | 4 |
| Apply surf ldr radionuclide CPT 77789 | not published | not published | $74.33 – $658.24 | 3 |
| App mltpln uni xtrnl fix 1st CPT 20696 | not published | not published | $7,789.00 – $26,356.16 | 4 |
| App mltpln uni xtrnl fix xch CPT 20697 | not published | not published | $1,171.42 – $4,867.00 | 4 |
| App skn cll ssp f/n/g/hf 1st CPT 15017 | not published | not published | $1,503.10 – $4,867.00 | 3 |
| App skn cl ssp agrft t/a/l 1 CPT 15015 | not published | not published | $1,503.10 – $4,867.00 | 3 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | not published | not published | $1.19 – $3.37 | 5 |
| #aptt mix-1:1 incubated CPT 87532 | not published | not published | $26.32 – $348.80 | 5 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $528.00 | $960.00 | $28.30 – $87.93 | 5 |
| Aquaporin-4 antibody cba each CPT 86052 | not published | not published | $9.04 – $87.93 | 5 |
| Aquaporin-4 antibody elisa CPT 86051 | not published | not published | $8.65 – $84.13 | 5 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $102.85 | $187.00 | $26.98 – $35.97 | 2 |
| Aquatic exercise - group charge CPT 97150 | $120.45 | $219.00 | $13.10 – $17.47 | 2 |
| Aqueous shunt eye w/graft CPT 66180 | not published | not published | $3,876.57 – $14,304.00 | 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.