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 |
|---|---|---|---|---|
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | not published | not published | $0.52 – $0.69 | 3 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | not published | not published | $6.38 – $9.86 | 3 |
| Hydration IV infusion each additional hour CPT 96361 | $85.80 | $156.00 | $34.11 – $45.48 | 2 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $402.05 | $731.00 | $154.95 – $206.61 | 2 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | not published | not published | $29.84 – $40.28 | 3 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | not published | not published | $0.16 – $0.20 | 3 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.01 – $0.02 | 3 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | not published | not published | $22.77 – $32.16 | 3 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $66.55 | $121.00 | $13.42 – $174.18 | 5 |
| Hymenotomy CPT 56442 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $13.60 – $33.14 | 5 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $4,312.59 – $11,044.00 | 4 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $7.64 – $57.79 | 5 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $507.38 – $7,436.73 | 3 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $280.98 – $3,682.42 | 3 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $402.53 – $3,288.86 | 3 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $402.53 – $9,875.27 | 3 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $402.53 – $10,380.60 | 3 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $13.76 – $34.93 | 5 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $7,789.00 – $16,781.00 | 2 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $7,789.00 – $16,781.00 | 2 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Hysterosalpingography s&i CPT 74740 | $526.90 | $958.00 | $173.82 – $600.34 | 3 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $3,644.28 – $11,044.00 | 4 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $3,644.28 – $11,044.00 | 4 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $3,644.28 – $11,044.00 | 4 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $3,644.28 – $11,044.00 | 4 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $3,644.28 – $6,687.00 | 4 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $113.85 | $207.00 | not published | 0 |
| Iaadi respiratory synctial virus CPT 87280 | $20.35 | $37.00 | $10.06 – $119.16 | 5 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $26.32 – $348.80 | 5 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $13.57 – $128.65 | 5 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $33.96 – $330.39 | 5 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $32.22 – $58.52 | 3 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $1,836.42 – $17,861.17 | 5 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $2.44 – $5.78 | 5 |
| Icatibant injection HCPCS J1744 | not published | not published | $181.71 – $181.71 | 1 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $157.30 – $209.73 | 2 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $27.21 – $36.28 | 2 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $42.98 – $57.30 | 2 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $4,867.00 – $16,310.00 | 4 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $2,415.31 – $4,867.00 | 4 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $63.09 – $86.58 | 3 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $1,203.19 – $4,867.00 | 4 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $425,983.34 – $1,028,394.85 | 5 |
| Identify sperm tissue CPT 89264 | not published | not published | $37.96 – $50.62 | 2 |
| Idet 1 or more levels CPT 22527 | not published | not published | $7,789.00 – $11,257.00 | 2 |
| Idet single level CPT 22526 | not published | not published | $7,789.00 – $11,257.00 | 2 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Idh1 common variants CPT 81120 | $698.50 | $1,270.00 | $144.94 – $1,355.89 | 5 |
| Idh2 common variants CPT 81121 | $698.50 | $1,270.00 | $221.84 – $2,075.32 | 5 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $2,022.07 – $6,687.00 | 4 |
| I&d lacrimal gland CPT 68400 | not published | not published | $726.23 – $4,867.00 | 4 |
| I&d lacrimal sac CPT 68420 | not published | not published | $1,732.00 – $4,867.00 | 4 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $2,116.08 – $6,687.00 | 4 |
| Idursulfase injection HCPCS J1743 | not published | not published | $427.53 – $1,061.26 | 5 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $2,116.08 – $11,257.00 | 4 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $2,116.08 – $4,867.00 | 4 |
| Ifnl3 gene CPT 81283 | not published | not published | $55.03 – $529.30 | 5 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | not published | not published | $35.70 – $46.38 | 3 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $155.48 – $1,512.70 | 5 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $51.41 – $433.88 | 5 |
| Igh gene rearrange amp meth CPT 81261 | $634.70 | $1,154.00 | $148.49 – $1,967.96 | 5 |
| Igh@ var region somatic mutation analy CPT 81263 | $1,763.30 | $3,206.00 | $220.89 – $2,927.42 | 5 |
| Igk rearrangeabn clonal pop CPT 81264 | $566.50 | $1,030.00 | $129.55 – $1,484.27 | 5 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $967.45 | $1,759.00 | $436.92 – $436.92 | 1 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $256.30 | $466.00 | $261.13 – $925.26 | 3 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $967.45 | $1,759.00 | $124.11 – $488.32 | 3 |
| Ikbkap gene CPT 81260 | $228.80 | $416.00 | $29.48 – $275.81 | 5 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Iliac revasc add-on 37222 CPT 37222 | not published | not published | $16,310.00 – $16,310.00 | 1 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $215.70 – $301.94 | 3 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $44.65 – $108.34 | 4 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $42.98 – $57.30 | 2 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $27.21 – $36.28 | 2 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $42.98 – $57.30 | 2 |
| Immob elbow child sm HCPCS L3762 | not published | not published | $90.19 – $120.25 | 2 |
| Immobilizer shldr cntor adlt HCPCS L3670 | not published | not published | $95.36 – $127.15 | 2 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $75.09 | $136.52 | $53.06 – $70.75 | 2 |
| Immobilizer shldr sling med HCPCS L3660 | not published | not published | $86.68 – $115.57 | 2 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $5,954.31 – $17,411.00 | 4 |
| Immune complex assay CPT 86332 | $287.65 | $523.00 | $18.28 – $242.27 | 5 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | not published | not published | $36.98 – $90.81 | 5 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $60.72 – $155.23 | 5 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $35.29 – $91.91 | 5 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $23.65 | $43.00 | $15.61 – $206.87 | 5 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $35.20 | $64.00 | $15.61 – $206.87 | 5 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $19.18 – $158.28 | 5 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $114.12 | $207.50 | $8.98 – $119.07 | 5 |
| Immunodiffusion nes CPT 86329 | $27.50 | $50.00 | $10.54 – $139.60 | 5 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $37.40 – $225.57 | 3 |
| Immunofixation electrophoresis serum CPT 86334 | $277.20 | $504.00 | $16.76 – $222.11 | 5 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $636.90 | $1,158.00 | $304.60 – $304.60 | 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.