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 |
|---|---|---|---|---|
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $507.38 – $2,389.82 | 3 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $507.38 – $4,352.95 | 3 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $507.38 – $6,868.53 | 3 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $280.98 – $1,847.35 | 3 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $280.98 – $3,036.50 | 3 |
| Head CT scan (with and without contrast) CPT 70470 | $1,923.90 | $3,498.00 | $127.78 – $1,372.04 | 3 |
| Head CT scan (with contrast) CPT 70460 | $1,797.95 | $3,269.00 | $127.78 – $1,128.98 | 3 |
| Head CT scan (without contrast) CPT 70450 | $1,390.40 | $2,528.00 | $76.16 – $785.54 | 3 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $509.68 – $4,768.02 | 5 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $1,218.75 – $11,401.33 | 5 |
| Heart first pass add-on CPT 78496 | not published | not published | $222.23 – $222.23 | 1 |
| Heart first pass multiple CPT 78483 | not published | not published | $395.55 – $1,916.79 | 3 |
| Heart image spect CPT 78494 | not published | not published | $291.23 – $1,874.35 | 3 |
| Heart infarct image CPT 78466 | not published | not published | $291.23 – $1,777.89 | 3 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $395.55 – $1,781.75 | 3 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Heavy duty control cable HCPCS L6660 | not published | not published | $94.68 – $126.24 | 2 |
| Heavy metal qual any number CPT 83015 | not published | not published | $15.70 – $187.17 | 5 |
| Heel leather reinforced HCPCS L3440 | not published | not published | $70.33 – $93.77 | 2 |
| Heinz bodies direct CPT 85441 | not published | not published | $3.15 – $41.81 | 5 |
| Heinz bodies induced CPT 85445 | not published | not published | $5.12 – $67.79 | 5 |
| Helicobacter pylori antibody igm CPT 86677 | $28.05 | $51.00 | $12.64 – $57.79 | 5 |
| Helicoll, per square cm HCPCS Q4164 | not published | not published | $90.66 – $3,117.77 | 4 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $6.14 – $77.50 | 5 |
| Hematocrit CPT 85014 | $39.05 | $71.00 | $1.78 – $23.57 | 5 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $169.99 – $890.46 | 3 |
| Hemicrt intrclry algrft prtl CPT 20933 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $2,383.65 – $14,304.00 | 4 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | not published | not published | $26.87 – $64.91 | 5 |
| Hemipelvect canad sing axis HCPCS L5280 | not published | not published | $5,592.40 – $7,456.53 | 2 |
| Hemipelvectomy canadian sach HCPCS L5341 | not published | not published | $5,136.70 – $6,848.94 | 2 |
| Hemodialysis one evaluation CPT 90935 | $1,227.05 | $2,231.00 | not published | 0 |
| Hemoglobin CPT 85018 | $39.05 | $71.00 | $1.78 – $23.57 | 5 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $3.01 – $23.50 | 5 |
| Hemoglobin fetal qualitative CPT 83033 | $15.95 | $29.00 | $6.00 – $59.25 | 5 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $8.06 – $82.16 | 5 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $84.15 | $153.00 | $6.15 – $29.12 | 5 |
| Hemoglobin-oxygen affinity CPT 82820 | not published | not published | $10.00 – $99.33 | 5 |
| Hemoglobin plasma CPT 83051 | $22.55 | $41.00 | $5.48 – $34.57 | 5 |
| Hemoglobin thermolabile CPT 83065 | not published | not published | $6.75 – $68.42 | 5 |
| Hemoglobin urine CPT 83069 | not published | not published | $2.96 – $39.26 | 5 |
| Hemolysin acid CPT 85475 | not published | not published | $6.65 – $88.22 | 5 |
| Hemolysins/agglutinins auto CPT 86940 | not published | not published | $6.58 – $81.52 | 5 |
| Hemolysins and agglutinins incubated CPT 86941 | not published | not published | $9.08 – $120.34 | 5 |
| Hemophilus influenza antibdy CPT 86684 | $96.25 | $175.00 | $11.88 – $157.48 | 5 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $2,022.07 – $6,687.00 | 4 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $677.47 – $4,401.00 | 4 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $2,022.07 – $7,789.00 | 4 |
| Hepagam b im injection HCPCS J1571 | not published | not published | $49.21 – $136.16 | 5 |
| Hepagam b intravenous, inj HCPCS J1573 | not published | not published | $49.21 – $136.16 | 5 |
| Heparin assay CPT 85520 | $117.70 | $214.00 | $9.82 – $111.06 | 5 |
| Heparin bolus from bag HCPCS J1644 | not published | not published | $0.32 – $0.41 | 3 |
| Heparin neutralization CPT 85525 | $25.30 | $46.00 | $8.88 – $117.71 | 5 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | not published | not published | $0.03 – $0.04 | 3 |
| Heparin-protamine tolerance CPT 85530 | not published | not published | $9.82 – $140.90 | 5 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Hepatitis a antibody igm CPT 86709 | $138.60 | $252.00 | $8.44 – $111.86 | 5 |
| Hepatitis b core antibody igm CPT 86705 | $119.90 | $218.00 | $8.83 – $117.03 | 5 |
| Hepatitis b core antibody total CPT 86704 | $93.50 | $170.00 | $9.04 – $119.77 | 5 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | not published | not published | $102.71 – $270.67 | 5 |
| Hepatitis b surface ag quan CPT 87467 | not published | not published | $18.99 – $109.78 | 5 |
| Hepatitis b surface antibody CPT 86706 | $282.70 | $514.00 | $8.06 – $106.76 | 5 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $204.09 – $267.43 | 3 |
| Hepatitis c antibody CPT 86803 | $187.00 | $340.00 | $10.70 – $141.87 | 5 |
| Hepatitis c rna dir probe CPT 87520 | not published | not published | $23.42 – $199.35 | 5 |
| Hepatitis d quantification CPT 87523 | not published | not published | $32.13 – $245.04 | 5 |
| Hepatitis g dna amp probe CPT 87526 | not published | not published | $29.44 – $348.80 | 5 |
| Hepatitis g dna dir probe CPT 87525 | not published | not published | $22.35 – $199.35 | 5 |
| Hepatitis g dna quant CPT 87527 | not published | not published | $31.32 – $415.03 | 5 |
| Hepatobiliary system imaging CPT 78226 | $1,127.50 | $2,050.00 | $291.23 – $3,312.03 | 3 |
| Hep b vac 3ag 10mcg 3 dos im CPT 90759 | not published | not published | $107.04 – $140.25 | 3 |
| Hepb vacc 3 dose immunsup im CPT 90740 | not published | not published | $238.41 – $312.40 | 3 |
| Hereditary colon ca dsordrs CPT 81435 | not published | not published | $977.96 – $5,813.78 | 5 |
| Hereditary colon ca dsordrs CPT 81436 | not published | not published | $731.13 – $5,813.78 | 3 |
| Hered neuroend tum-rlt do 5+ CPT 81437 | not published | not published | $977.96 – $4,393.43 | 5 |
| Hered rta do gen seq 15 CPT 81434 | not published | not published | $448.43 – $4,393.43 | 5 |
| Heredtry nurondcrn tum dsrdr CPT 81438 | not published | not published | $548.66 – $4,393.43 | 3 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $2,608.32 – $11,257.00 | 4 |
| Herpes simplex 1 ag if CPT 87274 | not published | not published | $8.98 – $119.16 | 5 |
| Herpes simplex 2 ag if CPT 87273 | not published | not published | $8.98 – $119.16 | 5 |
| Herpes simplex type 1 antibody igg CPT 86695 | $40.15 | $73.00 | $9.89 – $131.11 | 5 |
| Herpes simplex type 2 antibody igg CPT 86696 | $40.15 | $73.00 | $14.51 – $192.42 | 5 |
| Herpes simplex virus isolation CPT 87255 | not published | not published | $25.40 – $336.61 | 5 |
| Heterophile antibodies screening CPT 86308 | $184.80 | $336.00 | $3.88 – $51.45 | 5 |
| Heterophile antibodies titer CPT 86309 | not published | not published | $4.85 – $64.28 | 5 |
| Heterophile antibody absrbj CPT 86310 | not published | not published | $5.53 – $73.26 | 5 |
| Hexa gene CPT 81255 | $228.80 | $416.00 | $38.59 – $360.97 | 5 |
| Hfo nontorsion jnts pre cst HCPCS L3929 | not published | not published | $76.62 – $102.16 | 2 |
| Hfo nontorsion jnts pre ots HCPCS L3930 | not published | not published | $76.62 – $102.16 | 2 |
| Hgb methemoglobin qual CPT 83045 | not published | not published | $4.87 – $49.29 | 5 |
| Hhv-6 dna dir probe CPT 87531 | not published | not published | $43.50 – $199.35 | 5 |
| Hhv-6 dna quant CPT 87533 | $374.00 | $680.00 | $31.32 – $415.03 | 5 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $1,171.42 – $7,789.00 | 4 |
| High activity knee frame HCPCS L5930 | not published | not published | $3,108.50 – $4,144.66 | 2 |
| Hinge extension/flex wrist/f HCPCS L3900 | not published | not published | $1,358.89 – $1,811.85 | 2 |
| Hinge ext/flex wrist finger HCPCS L3901 | not published | not published | $1,780.90 – $2,374.53 | 2 |
| Hip adj flex ext abduct cont HCPCS L2624 | not published | not published | $359.64 – $479.52 | 2 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $5,286.15 – $20,477.00 | 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.