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 |
|---|---|---|---|---|
| Ghs elect torsion swing CPT 92546 | not published | not published | $93.74 – $124.98 | 2 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $296.15 – $4,401.00 | 4 |
| Ghs excision ingrown nail CPT 11765 | $326.15 | $593.00 | $296.15 – $4,401.00 | 4 |
| Ghs eye exam CPT 92002 | not published | not published | $96.99 – $129.32 | 2 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $344.30 | $626.00 | $231.23 – $4,401.00 | 4 |
| Ghs fat & muscle CPT 89160 | not published | not published | $3.64 – $36.63 | 5 |
| Ghs fb removal foot - deep - left CPT 28192 | not published | not published | $1,203.19 – $4,867.00 | 4 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $2,116.08 – $11,257.00 | 4 |
| Ghs fb removal - incisional CPT 10121 | $3,203.75 | $5,825.00 | $1,203.19 – $4,867.00 | 4 |
| Ghs fb removal - non-incisional CPT 20520 | $2,135.65 | $3,883.00 | $1,203.19 – $4,867.00 | 4 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $77.55 | $141.00 | $5.24 – $69.40 | 5 |
| Ghs fish cytogen CPT 88271 | $999.35 | $1,817.00 | $16.06 – $143.90 | 5 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $486.75 | $885.00 | $38.39 – $399.14 | 5 |
| Ghs flow volume loop CPT 94375 | not published | not published | $157.30 – $209.73 | 2 |
| Ghs gastric intub aspiration lavage CPT 43753 | $426.80 | $776.00 | $157.30 – $4,401.00 | 4 |
| Ghs hcv amplificaiton CPT 87521 | not published | not published | $26.32 – $348.80 | 5 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $17.23 – $63.77 | 5 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $11.62 – $153.96 | 5 |
| Ghs hgb stability-thal CPT 83068 | $93.50 | $170.00 | $7.10 – $84.14 | 5 |
| Ghs histoplasma antigen CPT 87385 | $222.75 | $405.00 | $9.94 – $119.16 | 5 |
| Ghs HIV antibody CPT 86703 | $92.95 | $169.00 | $10.28 – $136.24 | 5 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $79.60 – $639.92 | 5 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | not published | not published | $1,522.84 – $6,687.00 | 4 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $2,135.65 | $3,883.00 | $871.75 – $4,867.00 | 4 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $2,135.65 | $3,883.00 | $515.87 – $4,401.00 | 4 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $644.05 | $1,171.00 | $515.87 – $4,401.00 | 4 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $22.44 – $222.79 | 5 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $396.55 | $721.00 | $182.01 – $4,401.00 | 4 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $105.05 | $191.00 | $145.41 – $4,401.00 | 4 |
| Ghs inf midline insertion CPT 36140 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Ghs inhibitor screen CPT 85335 | $574.75 | $1,045.00 | $9.65 – $127.92 | 5 |
| Ghs init tx 1st degree burn CPT 16000 | $298.10 | $542.00 | $146.16 – $4,401.00 | 4 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $644.34 – $4,401.00 | 4 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $644.34 – $4,401.00 | 4 |
| Ghs inj tendon origin/insertion CPT 20551 | not published | not published | $223.61 – $4,401.00 | 4 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $3,897.85 | $7,087.00 | $1,676.00 – $1,676.00 | 1 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $3,927.55 | $7,141.00 | $644.34 – $4,401.00 | 4 |
| Ghs insertion of needle - bone CPT 36680 | $416.35 | $757.00 | $325.44 – $4,401.00 | 4 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $743.05 | $1,351.00 | $296.15 – $4,401.00 | 4 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,068.10 | $1,942.00 | $538.41 – $4,401.00 | 4 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $2,079.55 | $3,781.00 | $1,503.10 – $4,867.00 | 4 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $584.65 | $1,063.00 | $182.01 – $4,401.00 | 4 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | not published | not published | $34.11 – $45.48 | 2 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $380.60 | $692.00 | not published | 0 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $567.05 | $1,031.00 | not published | 0 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $492.80 | $896.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $447.70 | $814.00 | $240.63 – $4,401.00 | 4 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | not published | not published | $325.44 – $4,401.00 | 4 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $365.75 | $665.00 | $296.15 – $4,401.00 | 4 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $389.40 | $708.00 | $296.15 – $4,401.00 | 4 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $371.80 | $676.00 | $296.15 – $4,401.00 | 4 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $416.90 | $758.00 | $296.15 – $4,401.00 | 4 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $441.10 | $802.00 | $296.15 – $4,401.00 | 4 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $464.20 | $844.00 | $296.15 – $4,401.00 | 4 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $534.05 | $971.00 | $296.15 – $4,401.00 | 4 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $627.00 | $1,140.00 | $538.41 – $4,401.00 | 4 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $586.85 | $1,067.00 | $296.15 – $4,401.00 | 4 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $647.90 | $1,178.00 | $538.41 – $4,401.00 | 4 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $640.20 | $1,164.00 | $296.15 – $4,401.00 | 4 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $677.60 | $1,232.00 | $538.41 – $4,401.00 | 4 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $694.10 | $1,262.00 | $296.15 – $4,401.00 | 4 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $799.15 | $1,453.00 | $1,503.10 – $4,867.00 | 4 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $2,230.25 | $4,055.00 | $296.15 – $4,401.00 | 4 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $6.45 – $85.53 | 5 |
| Ghs mbp CPT 83873 | $29.15 | $53.00 | $12.90 – $171.04 | 5 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $122.10 | $222.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $212.30 | $386.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $212.30 | $386.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $59.95 | $109.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $205.15 | $373.00 | not published | 0 |
| Ghs myocardial strain img spckl track CPT 93356 | $238.70 | $434.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,068.10 | $1,942.00 | $538.41 – $4,401.00 | 4 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | not published | not published | $644.34 – $4,401.00 | 4 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,053.80 | $1,916.00 | $514.23 – $4,401.00 | 4 |
| Ghs nerve block axillary nerve CPT 64417 | $1,642.30 | $2,986.00 | $644.34 – $4,401.00 | 4 |
| Ghs nerve block brachial plexus CPT 64415 | $1,642.30 | $2,986.00 | $644.34 – $4,401.00 | 4 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $644.34 – $4,401.00 | 4 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $644.34 – $4,401.00 | 4 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $644.34 – $4,401.00 | 4 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,642.30 | $2,986.00 | $514.23 – $4,401.00 | 4 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $514.23 – $4,401.00 | 4 |
| Ghs ng placement w fluoro guidance CPT 43752 | $577.50 | $1,050.00 | $325.44 – $4,401.00 | 4 |
| Ghs o2 saturation CPT 82810 | not published | not published | $7.33 – $86.76 | 5 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $93.74 – $124.98 | 2 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $42.98 – $57.30 | 2 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $34.11 – $45.48 | 2 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $456.99 – $4,401.00 | 4 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $1,146.77 – $4,867.00 | 4 |
| Ghs optokenetic CPT 92544 | not published | not published | $93.74 – $124.98 | 2 |
| Ghs oscillating trac CPT 92545 | not published | not published | $157.30 – $209.73 | 2 |
| Ghs ot dds rom CPT 95851 | not published | not published | $4.81 – $6.41 | 2 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $6.80 – $9.07 | 2 |
| Ghs ot prosthetic training/15 min CPT 97761 | $102.85 | $187.00 | $29.40 – $39.20 | 2 |
| Ghs ot sensory integrative tech/15min CPT 97533 | not published | not published | $44.02 – $58.69 | 2 |
| Ghs ot work hardening-additional hours CPT 97546 | $134.20 | $244.00 | not published | 0 |
| Ghs pacing - transcutaneous CPT 92953 | $706.20 | $1,284.00 | $481.50 – $2,628.00 | 3 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $110.00 | $200.00 | $230.11 – $230.11 | 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.