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 |
|---|---|---|---|---|
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $447.70 | $814.00 | $124.11 – $385.95 | 3 |
| Immunoglobulin assay CPT 86023 | $266.75 | $485.00 | $9.34 – $123.83 | 5 |
| Impedence cardiogram CPT 93701 | not published | not published | $96.93 – $129.23 | 2 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $12,773.37 – $18,408.00 | 3 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | not published | not published | $788.78 – $1,051.71 | 2 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $4,867.00 – $15,988.94 | 3 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Implant brain electrodes CPT 61531 | not published | not published | $3,179.00 – $20,477.00 | 2 |
| Implant brain electrodes CPT 61533 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Implant brain electrodes CPT 61760 | not published | not published | $3,179.00 – $20,477.00 | 2 |
| Implant cochlear device CPT 69930 | not published | not published | $14,312.00 – $48,722.00 | 4 |
| Implant eye drug system CPT 67027 | not published | not published | $10,164.72 – $14,312.00 | 4 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $325.44 – $4,401.00 | 4 |
| Implant nerve end CPT 64787 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Implant neuroelectrode CPT 61863 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Implant neuroelectrode CPT 61867 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $14,132.97 – $23,826.00 | 4 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $8,117.45 – $18,408.00 | 4 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $4,642.72 – $18,408.00 | 4 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $4,642.72 – $18,408.00 | 4 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Implant neurostim arrays CPT 61886 | not published | not published | $14,312.00 – $48,722.00 | 4 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | not published | not published | $716.51 – $955.35 | 2 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $11,044.00 – $14,304.00 | 2 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Implant spinal canal cath CPT 62351 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Implant spine infusion pump CPT 62361 | not published | not published | $13,130.37 – $39,754.00 | 4 |
| Implant spine infusion pump CPT 62362 | not published | not published | $13,130.37 – $39,754.00 | 4 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Implant ureter in bowel CPT 50800 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Impl ear abutment ba300 9mm HCPCS L8693 | not published | not published | $1,400.35 – $1,867.13 | 2 |
| Impl eye bio-eye 16mm HCPCS L8042 | not published | not published | $3,100.45 – $4,133.93 | 2 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $4,642.72 – $18,408.00 | 4 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $6,393.20 – $14,304.00 | 4 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $9,352.97 – $18,408.00 | 4 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $9,352.97 – $18,408.00 | 4 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $9,352.97 – $23,826.00 | 4 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $3,011.20 – $14,304.00 | 4 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $14,312.00 – $14,312.00 | 1 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $2,415.31 – $14,304.00 | 4 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $2,415.31 – $14,304.00 | 4 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $2,415.31 – $14,304.00 | 4 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $2,415.31 – $14,304.00 | 4 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $172.55 – $4,401.00 | 4 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $2,415.31 – $14,304.00 | 4 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $2,415.31 – $14,304.00 | 4 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $2,415.31 – $14,304.00 | 4 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $1,130.33 – $4,867.00 | 4 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $32.49 – $82.25 | 5 |
| In-111 autol wbc diag per dose HCPCS A9570 | $1,370.60 | $2,492.00 | not published | 0 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $2,383.65 – $14,304.00 | 4 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $5,286.15 – $16,310.00 | 4 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $5,286.15 – $16,310.00 | 4 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $5,286.15 – $16,310.00 | 4 |
| Incis addl spine segment CPT 22216 | not published | not published | $1,676.00 – $11,257.00 | 2 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $1,422.56 – $4,867.00 | 4 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $726.23 – $4,867.00 | 4 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $1,171.42 – $4,867.00 | 4 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $1,422.56 – $4,867.00 | 4 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $1,422.56 – $11,044.00 | 4 |
| Incise inner ear CPT 69801 | not published | not published | $1,130.33 – $4,867.00 | 4 |
| Incise inner ear nerve CPT 69915 | not published | not published | $2,415.31 – $14,304.00 | 4 |
| Incise inner ear nerve CPT 69950 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $400.67 – $4,401.00 | 4 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $1,681.25 – $6,687.00 | 4 |
| Incise inner eye adhesions CPT 65870 | not published | not published | $1,681.25 – $6,687.00 | 4 |
| Incise inner eye adhesions CPT 65875 | not published | not published | $1,681.25 – $6,687.00 | 4 |
| Incise inner eye adhesions CPT 65880 | not published | not published | $3,011.20 – $11,044.00 | 4 |
| Incise inner eye strands CPT 67030 | not published | not published | $1,681.25 – $6,687.00 | 4 |
| Incise nerve back of head CPT 64744 | not published | not published | $1,422.56 – $6,687.00 | 4 |
| Incise perq finger tendon 26060 CPT 26060 | not published | not published | $1,171.42 – $4,867.00 | 4 |
| Incise skull/brain surgery CPT 61720 | not published | not published | $6,393.20 – $14,304.00 | 4 |
| Incise skull/brain surgery CPT 61735 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Incise skull for treatment CPT 61770 | not published | not published | $2,488.66 – $14,304.00 | 4 |
| Incise skull repair CPT 62121 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Incise skull/sutures CPT 61556 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Incise skull/sutures CPT 61557 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Incise sperm duct pouch CPT 55600 | not published | not published | $1,522.84 – $6,687.00 | 4 |
| Incise spinal cord tract(s) CPT 63170 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Incise spine accessory nerve CPT 63191 | not published | not published | $20,477.00 – $23,826.00 | 2 |
| Incise spine nrv >2 segmnts CPT 63190 | not published | not published | $20,477.00 – $23,826.00 | 2 |
| Incise spine nrv half segmnt CPT 63185 | not published | not published | $20,477.00 – $23,826.00 | 2 |
| Incise tear duct opening 68440 CPT 68440 | not published | not published | $231.23 – $4,401.00 | 4 |
| Incise tendon(s) & muscle(s) CPT 23406 | not published | not published | $5,286.15 – $11,257.00 | 4 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Incise & treat bladder CPT 51030 | not published | not published | $6,687.00 – $11,257.00 | 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.