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 |
|---|---|---|---|---|
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $90.75 | $165.00 | $34.11 – $45.48 | 2 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $417.45 | $759.00 | $154.95 – $206.61 | 2 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $291.23 – $504.02 | 3 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $325.44 – $4,401.00 | 4 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $127.78 – $1,206.13 | 3 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $800.25 | $1,455.00 | $127.78 – $912.89 | 3 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $104.82 – $263.48 | 5 |
| Jak2 targeted sequence analysis CPT 81279 | $363.00 | $660.00 | $138.90 – $1,351.38 | 5 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| John cunningham antibody CPT 86711 | not published | not published | $12.67 – $143.08 | 5 |
| J-tube placement CPT 44015 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | not published | not published | $1,015.75 – $1,354.33 | 2 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $998.39 – $1,331.19 | 2 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $1,477.83 – $1,970.44 | 2 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | not published | not published | $1,062.18 – $1,416.24 | 2 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $1,176.93 – $1,569.24 | 2 |
| Kafo femoral fx cast rigid HCPCS L2136 | not published | not published | $1,162.40 – $1,549.86 | 2 |
| Kafo femoral fx cast soft HCPCS L2132 | not published | not published | $897.02 – $1,196.02 | 2 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | not published | not published | $1,872.44 – $2,496.59 | 2 |
| Kafo plas sing free knee mol HCPCS L2037 | not published | not published | $1,528.52 – $2,038.02 | 2 |
| Kafo plastic pediatric size HCPCS L2035 | not published | not published | $159.68 – $212.91 | 2 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | not published | not published | $1,031.11 – $1,374.81 | 2 |
| Kafo sng/dbl mechanical act HCPCS L2005 | not published | not published | $3,776.95 – $5,035.93 | 2 |
| Kafo sng solid stirrup without j HCPCS L2010 | not published | not published | $804.26 – $1,072.34 | 2 |
| Kafo without joint multi-axis an HCPCS L2038 | not published | not published | $1,232.20 – $1,642.94 | 2 |
| Keratomileusis CPT 65760 | not published | not published | $6,687.00 – $11,257.00 | 2 |
| Keratophakia CPT 65765 | not published | not published | $6,687.00 – $11,257.00 | 2 |
| Keratoprosthesis CPT 65770 | not published | not published | $10,567.69 – $18,408.00 | 4 |
| Ketamine and metabolite screen - quest CPT 80357 | $300.30 | $546.00 | $172.28 – $172.28 | 1 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $11.60 – $140.90 | 5 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $29.15 | $53.00 | $6.13 – $81.22 | 5 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | not published | not published | $0.21 – $1.39 | 5 |
| Kidney endoscopy CPT 50551 | not published | not published | $3,179.00 – $11,044.00 | 4 |
| Kidney endoscopy CPT 50553 | not published | not published | $3,906.07 – $11,044.00 | 4 |
| Kidney endoscopy CPT 50570 | not published | not published | $2,567.95 – $11,257.00 | 4 |
| Kidney endoscopy CPT 50575 | not published | not published | $3,906.07 – $14,304.00 | 4 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $3,179.00 – $11,044.00 | 4 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $2,567.95 – $4,867.00 | 4 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $6,687.00 – $18,408.00 | 4 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $3,906.07 – $11,044.00 | 4 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $3,179.00 – $11,044.00 | 4 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $3,179.00 – $11,044.00 | 4 |
| Kidney function study CPT 78725 | not published | not published | $291.23 – $1,002.35 | 3 |
| Kidney imaging morphology CPT 78700 | not published | not published | $291.23 – $1,681.46 | 3 |
| Kidney imag w/bld flow multi CPT 78709 | $1,296.35 | $2,357.00 | $395.55 – $3,319.71 | 3 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $711.15 | $1,293.00 | $395.55 – $2,086.57 | 3 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $921.25 | $1,675.00 | $76.16 – $828.01 | 3 |
| Kit case 4.2mm spinejack HCPCS C1062 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Kit gene analys d816 variant CPT 81273 | $636.90 | $1,158.00 | $93.65 – $911.16 | 5 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $33.71 – $120.88 | 5 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | not published | not published | $1,590.44 – $2,120.58 | 2 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $1,171.42 – $7,789.00 | 4 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $1,171.42 – $16,310.00 | 4 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $9,352.97 – $18,408.00 | 4 |
| Knee cap medial or lateral p HCPCS L2800 | not published | not published | $92.82 – $123.76 | 2 |
| Knee control condylar pad HCPCS L2810 | not published | not published | $75.28 – $100.38 | 2 |
| Knee control full kneecap HCPCS L2795 | not published | not published | $75.60 – $100.80 | 2 |
| Knee disart expand wall sock HCPCS L5653 | not published | not published | $624.61 – $832.81 | 2 |
| Knee disarticulat leather so HCPCS L5640 | not published | not published | $676.66 – $902.21 | 2 |
| Knee disc/dial lock/adj flex HCPCS L2425 | not published | not published | $132.13 – $176.17 | 2 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | not published | not published | $132.13 – $176.17 | 2 |
| Knee joint cam lock each joi HCPCS L2415 | not published | not published | $111.98 – $149.30 | 2 |
| Knee joint drop lock ea jnt HCPCS L2405 | not published | not published | $80.36 – $107.14 | 2 |
| Knee lift loop drop lock rin HCPCS L2492 | not published | not published | $108.11 – $144.15 | 2 |
| Knee MRI (with and without contrast) CPT 73723 | $2,448.60 | $4,452.00 | $254.15 – $3,909.37 | 3 |
| Knee MRI (with contrast) CPT 73722 | $2,384.25 | $4,335.00 | $571.09 – $3,237.99 | 3 |
| Knee MRI (without contrast) CPT 73721 | $2,318.25 | $4,215.00 | $173.82 – $1,810.36 | 3 |
| Knee orth pos locking joint HCPCS L1831 | not published | not published | $271.28 – $361.70 | 2 |
| Knee-shin exo fluid swing ph HCPCS L5724 | not published | not published | $1,595.45 – $2,127.27 | 2 |
| Knee-shin exo frct swg & sta HCPCS L5718 | not published | not published | $851.19 – $1,134.92 | 2 |
| Knee-shin exo frict swg & st HCPCS L5712 | not published | not published | $395.64 – $527.52 | 2 |
| Knee-shin exo mech stance ph HCPCS L5716 | not published | not published | $796.02 – $1,061.36 | 2 |
| Knee-shin exo mnl lock ultra HCPCS L5711 | not published | not published | $554.23 – $738.97 | 2 |
| Knee-shin exo variable frict HCPCS L5714 | not published | not published | $402.56 – $536.75 | 2 |
| Knee-shin ext jnts fld swg e HCPCS L5726 | not published | not published | $1,899.45 – $2,532.60 | 2 |
| Knee-shin fluid swg & stance HCPCS L5728 | not published | not published | $2,225.95 – $2,967.93 | 2 |
| Knee-shin pneum/hydra pneum HCPCS L5780 | not published | not published | $1,225.55 – $1,634.07 | 2 |
| Knee-shin pneum swg frct exo HCPCS L5722 | not published | not published | $1,035.11 – $1,380.15 | 2 |
| Knee-shin pro flex/ext cont HCPCS L5859 | not published | not published | $13,399.60 – $17,866.14 | 2 |
| Knee-shin sys hydraul stance HCPCS L5848 | not published | not published | $993.09 – $1,324.12 | 2 |
| Knee-shin sys stance flexion HCPCS L5845 | not published | not published | $1,655.29 – $2,207.05 | 2 |
| Knee X-ray CPT 73564 | $328.35 | $597.00 | $76.16 – $303.23 | 3 |
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.