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 |
|---|---|---|---|---|
| Insti hexaminolevulinate hcl HCPCS A9589 | not published | not published | $1,998.69 – $2,706.23 | 3 |
| Instillation anticarcinogenic agent bladder CPT 51720 | not published | not published | $507.98 – $4,401.00 | 4 |
| Instill pharm renal pelvis HCPCS C9789 | not published | not published | $891.68 – $4,867.00 | 3 |
| Instll rx agnt into rnal tub CPT 50391 | not published | not published | $182.01 – $4,401.00 | 4 |
| Ins trurl ablt trnsdc thr Ultrasound CPT 51721 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | not published | not published | $4,053.72 – $16,310.00 | 4 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $2,310.00 | $4,200.00 | $4,053.72 – $16,310.00 | 4 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | not published | not published | $2,300.22 – $11,257.00 | 4 |
| Ins tun intraperit dia cath CPT 49421 | not published | not published | $2,608.32 – $11,257.00 | 4 |
| Inst via cath agent pleurds CPT 32560 | not published | not published | $456.99 – $4,401.00 | 4 |
| Insulin for insulin pump use HCPCS J1817 | not published | not published | $3.61 – $6.15 | 3 |
| Insulin suppression panel CPT 80432 | not published | not published | $124.21 – $568.07 | 5 |
| Insulin tolerance panel CPT 80434 | not published | not published | $213.77 – $1,005.66 | 5 |
| Insulin tolerance panel CPT 80435 | not published | not published | $77.25 – $1,023.98 | 5 |
| Insulin total CPT 83525 | $13.75 | $25.00 | $8.57 – $113.63 | 5 |
| Ins vag brachytx device CPT 57156 | not published | not published | $222.00 – $4,401.00 | 4 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | not published | not published | $2,166.81 – $2,961.13 | 3 |
| Intens cardiac rehab no exer HCPCS G0423 | not published | not published | $93.91 – $125.21 | 2 |
| Intens cardiac rehab w/exerc HCPCS G0422 | not published | not published | $93.91 – $125.21 | 2 |
| Intercalary algrft compl CPT 20934 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Interdental fixation CPT 21110 | not published | not published | $1,130.33 – $4,867.00 | 4 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $1,130.33 – $4,867.00 | 4 |
| Interdiscal perq aspir dx CPT 62267 | not published | not published | $515.87 – $4,401.00 | 4 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | not published | not published | $102.90 – $102.90 | 1 |
| Interfyl, 1 mg HCPCS Q4171 | not published | not published | $17.59 – $22.03 | 3 |
| Intermediate visual field xm CPT 92082 | not published | not published | $42.98 – $57.30 | 2 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Interrogate subq defib CPT 93261 | not published | not published | $27.19 – $36.25 | 2 |
| Interrogation vad in person CPT 93750 | not published | not published | $69.26 – $1,676.00 | 3 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $27.19 – $36.25 | 2 |
| Interrog device eval heart CPT 93289 | not published | not published | $27.19 – $36.25 | 2 |
| Interrog evl pm/ldls pm ip CPT 93288 | $115.50 | $210.00 | $27.19 – $36.25 | 2 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $69.26 – $92.35 | 2 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $69.26 – $92.35 | 2 |
| Interscap-thor myoelectronic HCPCS L6975 | not published | not published | $16,375.66 – $21,834.21 | 2 |
| Interscapular-thor switch CT HCPCS L6970 | not published | not published | $14,856.76 – $19,809.02 | 2 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $9,352.97 – $16,310.00 | 4 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Intestine transplnt cadaver CPT 44135 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $2,022.07 – $6,687.00 | 4 |
| Int hrhc lig 2+hroid without img CPT 46946 | $6,645.10 | $12,082.00 | $2,022.07 – $6,687.00 | 4 |
| Intl custm cong/latyp insert HCPCS L5681 | not published | not published | $1,214.80 – $1,619.74 | 2 |
| Intra-atrial pacing CPT 93610 | not published | not published | $3,179.00 – $7,576.07 | 3 |
| Intra-atrial recording CPT 93602 | not published | not published | $3,179.00 – $7,576.07 | 3 |
| Intracard echo interv w/s&i CPT 93662 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Intracranial angioplasty CPT 61630 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Intracranial complete study CPT 93886 | not published | not published | $173.82 – $231.76 | 2 |
| Intracranial limited study CPT 93888 | not published | not published | $76.16 – $101.55 | 2 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $1,130.33 – $4,867.00 | 4 |
| Intranasal reconstruction CPT 30620 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $392.90 – $4,401.00 | 4 |
| Intraoral periapical first HCPCS D0220 | not published | not published | $63.40 – $84.53 | 2 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $159.52 – $212.70 | 2 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $321.40 – $4,401.00 | 4 |
| Intraventricular pacing CPT 93612 | not published | not published | $3,179.00 – $7,576.07 | 3 |
| Intrinsic factor antibody CPT 86340 | $31.90 | $58.00 | $11.31 – $100.92 | 5 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $96.99 – $129.32 | 2 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $1,146.77 – $4,867.00 | 4 |
| Intro cath dialysis circuit w/pta CPT 36902 | not published | not published | $4,146.30 – $17,411.00 | 4 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $8,409.93 – $23,826.00 | 4 |
| Intro catheter aorta CPT 36200 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Intro cath svc/ivc CPT 36010 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Intro long gi tube CPT 44500 | $889.90 | $1,618.00 | $660.74 – $4,401.00 | 4 |
| Intro long gi tube w/mult fluo CPT 74340 | $667.70 | $1,214.00 | $872.47 – $872.47 | 1 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $1,296.65 – $4,867.00 | 4 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Intubation endotracheal emergency procedure CPT 31500 | $609.40 | $1,108.00 | $172.55 – $4,401.00 | 4 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $42.98 – $57.30 | 2 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $27.19 – $36.25 | 2 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | not published | not published | $0.59 – $0.85 | 3 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | not published | not published | $0.20 – $0.29 | 3 |
| Io radiation tx management CPT 77469 | not published | not published | $3,552.18 – $3,552.18 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $142.82 – $348.49 | 5 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.52 – $0.75 | 3 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $2.38 – $3.64 | 3 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $49.40 – $123.98 | 5 |
| Iron CPT 83540 | $119.35 | $217.00 | $4.85 – $64.37 | 5 |
| Iron binding capacity CPT 83550 | $78.10 | $142.00 | $6.56 – $86.91 | 5 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $14.24 – $34.25 | 5 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $5.16 – $64.28 | 5 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | not published | not published | $0.35 – $0.43 | 3 |
| Irradiation of blood product each unit reference CPT 86945 | $53.90 | $98.00 | $27.21 – $197.24 | 3 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $91.30 | $166.00 | $42.98 – $57.30 | 2 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $1,130.33 – $4,867.00 | 4 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $42.98 – $4,401.00 | 4 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $66.12 – $157.43 | 5 |
| Island pedicle flap graft CPT 15740 | not published | not published | $1,503.10 – $4,867.00 | 4 |
| Ivc venogram s&i CPT 75825 | not published | not published | $866.60 – $3,066.96 | 3 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $85.80 | $156.00 | $52.45 – $69.94 | 2 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $85.80 | $156.00 | not published | 0 |
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.