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 |
|---|---|---|---|---|
| Kne-shin exo sng axi mnl loc HCPCS L5710 | not published | not published | $330.23 – $440.31 | 2 |
| Kne sing axis fric shin sach HCPCS L5200 | not published | not published | $3,357.02 – $4,476.02 | 2 |
| Ko dbl upright w/air pre cst HCPCS L1847 | not published | not published | $530.14 – $706.86 | 2 |
| Ko dbl upright w/air pre ots HCPCS L1848 | not published | not published | $530.14 – $706.86 | 2 |
| Ko derot ant cruciate custom HCPCS L1840 | not published | not published | $866.79 – $1,155.72 | 2 |
| Ko elastic w/joints pre ots HCPCS L1812 | not published | not published | $58.88 – $78.51 | 2 |
| Ko rigid without joints pre ots HCPCS L1836 | not published | not published | $75.02 – $100.03 | 2 |
| Ko single upright pre cst HCPCS L1843 | not published | not published | $827.03 – $1,102.71 | 2 |
| Ko single upright prefab ots HCPCS L1851 | not published | not published | $504.50 – $672.67 | 2 |
| Ko supracondylar socket mold HCPCS L1860 | not published | not published | $1,149.37 – $1,532.49 | 2 |
| Ko swedish type pre ots HCPCS L1850 | not published | not published | $172.80 – $230.40 | 2 |
| Ko w/0 joint rigid molded to HCPCS L1834 | not published | not published | $669.02 – $892.02 | 2 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | not published | not published | $1,078.44 – $1,437.92 | 2 |
| Ko w/adj jt rot cntrl molded HCPCS L1844 | not published | not published | $1,403.63 – $1,871.51 | 2 |
| Kras gene addl variants CPT 81276 | $459.25 | $835.00 | $144.94 – $1,438.87 | 5 |
| Kras gene variants exon 2 CPT 81275 | $459.25 | $835.00 | $144.94 – $1,438.87 | 5 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $12,773.37 – $23,826.00 | 4 |
| Kyphectomy 3 or more CPT 22819 | not published | not published | $12,773.37 – $23,826.00 | 4 |
| Kyphosis pad HCPCS L1020 | not published | not published | $99.32 – $132.43 | 2 |
| Kyphosis pad floating HCPCS L1025 | not published | not published | $143.30 – $191.06 | 2 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $224.40 | $408.00 | not published | 0 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | not published | not published | $0.54 – $0.74 | 3 |
| Labioplasty 56800 CPT 56800 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| Lacer molded to patient mode HCPCS L2330 | not published | not published | $338.41 – $451.21 | 2 |
| Lactate dehydrogenase (ldh) CPT 83615 | $79.20 | $144.00 | $4.53 – $60.00 | 5 |
| Lactated ringers intravenous solution HCPCS J7120 | not published | not published | $3.34 – $4.68 | 3 |
| Lactation class HCPCS S9443 | $400.40 | $728.00 | not published | 0 |
| Lactic acid CPT 83605 | $122.10 | $222.00 | $8.68 – $106.16 | 5 |
| Lactoferrin fecal qualitative CPT 83630 | $26.40 | $48.00 | $14.78 – $195.10 | 5 |
| Lactoferrin fecal quant CPT 83631 | $165.55 | $301.00 | $14.72 – $195.10 | 5 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Lam factc/frmt arthrd lum ea CPT 63053 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | not published | $20,477.00 – $23,826.00 | 2 |
| Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Lamination collar with couplin HCPCS L6629 | not published | not published | $179.11 – $238.81 | 2 |
| Laminotomy single cervical CPT 63040 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Lamiotoiotiotinotomy addl cervical 63043 CPT 63043 | not published | not published | $7,789.00 – $7,789.00 | 1 |
| Lam w/cordotomy 1stg thrc CPT 63197 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | not published | not published | $28.07 – $83.21 | 5 |
| Laparo ablate liver tumor rf CPT 47370 | not published | not published | $7,743.83 – $23,826.00 | 4 |
| Laparo ablate renal cyst CPT 50541 | not published | not published | $7,743.83 – $16,781.00 | 4 |
| Laparo ablate renal mass CPT 50542 | not published | not published | $7,743.83 – $23,826.00 | 4 |
| Laparo-asst vag hysterectomy CPT 58550 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Laparo cholecystectomy/explr CPT 47564 | not published | not published | $7,743.83 – $16,781.00 | 4 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Laparo cholecystoenterostomy CPT 47570 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Laparo drng lymphocele 49323 CPT 49323 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Laparo ligate spermatic vein CPT 55550 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Laparo-myomectomy complex CPT 58546 | not published | not published | $7,743.83 – $18,408.00 | 4 |
| Laparo new ureter/bladder CPT 50947 | not published | not published | $7,743.83 – $16,781.00 | 4 |
| Laparo new ureter/bladder CPT 50948 | not published | not published | $7,743.83 – $18,408.00 | 4 |
| Laparo partial colectomy 44204 CPT 44204 | not published | not published | $14,304.00 – $16,781.00 | 2 |
| Laparo partial nephrectomy CPT 50543 | not published | not published | $7,743.83 – $18,408.00 | 4 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Laparo radical nephrectomy CPT 50545 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Laparo removal donor kidney CPT 50547 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Laparo remove w/ureter CPT 50548 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Laparoscope proc rectum CPT 45499 | not published | not published | $4,404.16 – $14,312.00 | 4 |
| Laparoscopic myomectomy CPT 58545 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Laparoscopic nephrectomy CPT 50546 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Laparoscopic proc CPT 45400 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Laparoscopic salpingostomy 58673 CPT 58673 | not published | not published | $7,743.83 – $16,781.00 | 4 |
| Laparoscopy adrenalectomy CPT 60650 | not published | not published | $14,304.00 – $16,781.00 | 2 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Laparoscopye procstom 43659 CPT 43659 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Laparoscopy fundoplasty CPT 43280 | not published | not published | $7,743.83 – $18,408.00 | 4 |
| Laparoscopy gastrostomy CPT 43653 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Laparoscopy islet cell trans HCPCS G0342 | not published | not published | $14,312.00 – $14,312.00 | 1 |
| Laparoscopy lymphadenectomy CPT 38571 | not published | not published | $7,743.83 – $18,408.00 | 4 |
| Laparoscopy lymphadenectomy CPT 38572 | not published | not published | $7,743.83 – $18,408.00 | 4 |
| Laparoscopy lymph node biop CPT 38570 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Laparoscopy lysis CPT 58660 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Laparoscopy orchiectomy CPT 54690 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Laparoscopy orchiopexy CPT 54692 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Laparoscopy pyeloplasty CPT 50544 | not published | not published | $7,743.83 – $18,408.00 | 4 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Laparoscopy splenectomy CPT 38120 | not published | not published | $7,743.83 – $18,408.00 | 4 |
| Laparoscopy surg colpopexy CPT 57425 | not published | not published | $7,743.83 – $18,408.00 | 4 |
| Laparoscopy tubal block 58671 CPT 58671 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Laparoscopy ureterolithotomy CPT 50945 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Laparoscopy vagus nerve CPT 43651 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Laparoscopy vagus nerve CPT 43652 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Laparo sling operation 51992 CPT 51992 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Laparotomy; inject/aspirate liver cyst 47015 CPT 47015 | not published | not published | $3,179.00 – $4,867.00 | 2 |
| Laparotomy islet cell transp HCPCS G0343 | not published | not published | $14,312.00 – $14,312.00 | 1 |
| Laparo total proctocolectomy CPT 44212 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Laparo urethral suspension CPT 51990 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Laparo-vag hyst incl t/o CPT 58552 | not published | not published | $7,743.83 – $18,408.00 | 4 |
| Laparo-vag hyst w/t/o compl CPT 58554 | not published | not published | $7,743.83 – $18,408.00 | 4 |
| Laparscpy ablat 1>lvr tum cryo CPT 47371 | not published | not published | $7,743.83 – $23,826.00 | 4 |
| Lap close enterostomy with resect 44227 CPT 44227 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Lap colectomy/coloproctostomy 44207 CPT 44207 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Lap colectomy/coloproctostomy w/clst 44208 CPT 44208 | not published | not published | $16,781.00 – $16,781.00 | 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.