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 |
|---|---|---|---|---|
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $2,383.65 – $16,310.00 | 4 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $5,286.15 – $16,310.00 | 4 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Hip canad sing axi cons fric HCPCS L5250 | not published | not published | $5,163.61 – $6,884.81 | 2 |
| Hip clevis/thrust bearing fr HCPCS L2600 | not published | not published | $196.59 – $262.12 | 2 |
| Hip clevis/thrust bearing lo HCPCS L2610 | not published | not published | $217.24 – $289.65 | 2 |
| Hip clevis type 2 posit jnt HCPCS L2570 | not published | not published | $410.50 – $547.34 | 2 |
| Hip disart canadian sach ft HCPCS L5331 | not published | not published | $4,832.34 – $6,443.12 | 2 |
| Hip disartic sach thermopls HCPCS L5595 | not published | not published | $4,231.36 – $5,641.82 | 2 |
| Hip disart sach laminat mold HCPCS L5600 | not published | not published | $4,815.92 – $6,421.23 | 2 |
| Hip flexible cover system HCPCS L5966 | not published | not published | $1,333.59 – $1,778.12 | 2 |
| Hip flex inner socket ext fr HCPCS L5643 | not published | not published | $1,850.05 – $2,466.73 | 2 |
| Hip joint adjustable flexion HCPCS L2622 | not published | not published | $293.30 – $391.07 | 2 |
| Hip X-ray CPT 73502 | $283.80 | $516.00 | $63.40 – $322.55 | 3 |
| Histamine CPT 83088 | $37.40 | $68.00 | $22.15 – $293.56 | 5 |
| Histochemical stains add-on CPT 88314 | $394.90 | $718.00 | $380.98 – $380.98 | 1 |
| Histoplasmosis skin test CPT 86510 | not published | not published | $27.21 – $41.42 | 3 |
| Hiv-1 ag ia CPT 87390 | not published | not published | $18.04 – $175.35 | 5 |
| Hiv-1 dna dir probe CPT 87534 | not published | not published | $16.44 – $199.35 | 5 |
| Hiv-2 ag ia CPT 87391 | not published | not published | $16.42 – $175.35 | 5 |
| HIV 2 pcr qual - sendout CPT 87537 | not published | not published | $16.44 – $199.35 | 5 |
| Hiv-2 quant&revrse trnscripj CPT 87539 | not published | not published | $43.96 – $425.78 | 5 |
| HIV prep, ftc/taf 200/25mg HCPCS J0751 | not published | not published | $53.57 – $135.42 | 5 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | not published | not published | $0.34 – $3.37 | 5 |
| HIV prep, inj, cabotegravir HCPCS J0739 | not published | not published | $5.47 – $13.36 | 5 |
| Hizentra injection HCPCS J1559 | not published | not published | $11.16 – $26.83 | 5 |
| Hkafo torsion ball bearing j HCPCS L2060 | not published | not published | $561.81 – $749.08 | 2 |
| Hkafo torsion bil rot straps HCPCS L2040 | not published | not published | $186.47 – $248.63 | 2 |
| Hkafo torsion cable hip pelv HCPCS L2050 | not published | not published | $449.16 – $598.88 | 2 |
| Hkafo torsion unilat rot str HCPCS L2070 | not published | not published | $143.06 – $190.75 | 2 |
| Hkafo unilat torsion ball br HCPCS L2090 | not published | not published | $458.30 – $611.07 | 2 |
| Hkafo unilat torsion cable HCPCS L2080 | not published | not published | $343.97 – $458.63 | 2 |
| Hla class i high defin qual CPT 86832 | not published | not published | $242.81 – $1,261.11 | 5 |
| Hla class ii high defin qual CPT 86833 | not published | not published | $244.35 – $1,146.50 | 5 |
| Hla class i&ii antibody qual CPT 86828 | not published | not published | $48.14 – $393.37 | 5 |
| Hla class i/ii antibody qual CPT 86829 | not published | not published | $48.14 – $295.02 | 5 |
| Hla class ii phenotype qual CPT 86831 | not published | not published | $61.41 – $687.89 | 5 |
| Hla class ii semiquant panel CPT 86835 | not published | not published | $242.22 – $3,210.10 | 5 |
| Hla class i phenotype qual CPT 86830 | not published | not published | $71.64 – $802.53 | 5 |
| Hla class i semiquant panel CPT 86834 | not published | not published | $268.17 – $3,554.08 | 5 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $303.39 – $2,392.43 | 5 |
| Hla i & ii typing hr CPT 81378 | not published | not published | $259.18 – $3,434.85 | 5 |
| Hla i & ii typing lr CPT 81370 | not published | not published | $301.59 – $3,997.07 | 5 |
| Hla ii typing 1 loc hr CPT 81382 | $765.05 | $1,391.00 | $92.76 – $1,229.39 | 5 |
| Hla ii typing ag equiv lr CPT 81375 | $306.35 | $557.00 | $165.56 – $2,194.17 | 5 |
| Hla i low res one antigen equiv ea CPT 81374 | $202.40 | $368.00 | $55.75 – $723.13 | 5 |
| Hla i typing 1 locus hr CPT 81380 | not published | not published | $132.94 – $1,761.84 | 5 |
| Hla i typing complete hr CPT 81379 | not published | not published | $251.54 – $3,333.64 | 5 |
| Hla i typing complete lr CPT 81372 | $612.70 | $1,114.00 | $302.69 – $2,195.70 | 5 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $324.50 | $590.00 | $127.42 – $940.11 | 5 |
| Hla i typing low res one locus ea CPT 81373 | $498.30 | $906.00 | $95.57 – $1,106.93 | 5 |
| Hla typing a b or c CPT 86813 | not published | not published | $43.50 – $576.47 | 5 |
| Hla typing dr/dq CPT 86816 | not published | not published | $22.63 – $276.92 | 5 |
| Hla x-match noncytotoxc addl CPT 86826 | not published | not published | $27.40 – $266.13 | 5 |
| Hla x-math non-cytotoxic CPT 86825 | not published | not published | $82.12 – $798.38 | 5 |
| Ho abduction hip adjustable HCPCS L1650 | not published | not published | $227.30 – $303.07 | 2 |
| Ho abduction static plastic HCPCS L1660 | not published | not published | $166.56 – $222.08 | 2 |
| Ho bi thighcuffs w sprdr bar HCPCS L1652 | not published | not published | $328.57 – $438.09 | 2 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | not published | not published | $0.42 – $0.54 | 3 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | not published | not published | $0.32 – $0.41 | 3 |
| Ho flex frejka w/cov pre cst HCPCS L1600 | not published | not published | $118.78 – $158.37 | 2 |
| Ho flex pavlik harns pre cst HCPCS L1620 | not published | not published | $144.82 – $193.10 | 2 |
| Ho frejka cov only pre cst HCPCS L1610 | not published | not published | $50.44 – $67.26 | 2 |
| Home sleep test/type 2 porta HCPCS G0398 | not published | not published | $157.30 – $209.73 | 2 |
| Home sleep test/type 3 porta HCPCS G0399 | $640.20 | $1,164.00 | $157.30 – $209.73 | 2 |
| Home sleep test/type 4 porta HCPCS G0400 | not published | not published | $157.30 – $209.73 | 2 |
| Homocysteine CPT 83090 | $29.15 | $53.00 | $13.44 – $167.69 | 5 |
| Homogenization tissue CPT 87176 | $39.60 | $72.00 | $4.41 – $58.46 | 5 |
| Homovanillic acid (hva) CPT 83150 | $41.25 | $75.00 | $16.81 – $138.72 | 5 |
| Hook to hand cable adapter HCPCS L6670 | not published | not published | $44.03 – $58.71 | 2 |
| Ho post-op hip abduction HCPCS L1686 | not published | not published | $863.67 – $1,151.56 | 2 |
| Hpa-15 genotyping CPT 81112 | $118.25 | $215.00 | $91.66 – $1,058.70 | 5 |
| Hpa-1 genotyping CPT 81105 | $118.25 | $215.00 | $91.66 – $1,058.70 | 5 |
| Hpa-2 genotyping CPT 81106 | $118.25 | $215.00 | $91.66 – $1,058.70 | 5 |
| Hpa-3 genotyping CPT 81107 | $118.25 | $215.00 | $91.66 – $1,058.70 | 5 |
| Hpa-4 genotyping CPT 81108 | $118.25 | $215.00 | $91.66 – $1,058.70 | 5 |
| Hpa-5 genotyping CPT 81109 | $118.25 | $215.00 | $91.66 – $1,058.70 | 5 |
| Hpa-6 genotyping CPT 81110 | $118.25 | $215.00 | $91.66 – $1,058.70 | 5 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $91.66 – $1,058.70 | 5 |
| Hpv combo assay ca screen HCPCS G0476 | not published | not published | $26.32 – $351.26 | 5 |
| Hpv low-risk types CPT 87623 | not published | not published | $26.32 – $348.80 | 5 |
| Hpv types 16 & 18 only CPT 87625 | $135.30 | $246.00 | $30.41 – $348.80 | 5 |
| H pylori ag ia CPT 87339 | not published | not published | $12.00 – $119.16 | 5 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $50.52 – $669.49 | 5 |
| H pylori (c-13) breath CPT 83013 | $100.10 | $182.00 | $50.52 – $669.49 | 5 |
| H pylori drug admin CPT 83014 | not published | not published | $5.90 – $78.16 | 5 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $977.96 – $6,796.88 | 5 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | not published | not published | $548.66 – $4,393.43 | 3 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $438.68 – $5,854.48 | 5 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $438.68 – $5,066.40 | 5 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $1,503.10 – $4,867.00 | 3 |
| Hsv dna dir probe CPT 87528 | not published | not published | $15.04 – $199.35 | 5 |
| Htt gene charac alleles CPT 81274 | not published | not published | $206.12 – $2,005.39 | 5 |
| Htt gene detc abnor alleles CPT 81271 | $323.95 | $589.00 | $102.75 – $999.67 | 5 |
| Human epididymis protein 4 (he4) CPT 86305 | not published | not published | $15.61 – $206.87 | 5 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | not published | not published | $46.65 – $59.95 | 3 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $0.73 – $0.95 | 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.