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 |
|---|---|---|---|---|
| Legg perthes orthosis trilat HCPCS L1720 | not published | not published | $1,359.70 – $1,812.94 | 2 |
| Legg perthes orth scottish r HCPCS L1730 | not published | not published | $1,147.89 – $1,530.52 | 2 |
| Legg perthes patten bottom t HCPCS L1755 | not published | not published | $1,650.34 – $2,200.45 | 2 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $15.04 – $199.35 | 5 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $31.32 – $415.03 | 5 |
| Leg perthes orth toronto typ HCPCS L1700 | not published | not published | $1,434.03 – $1,912.04 | 2 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $2,300.22 – $11,257.00 | 4 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,547.15 | $2,813.00 | $173.82 – $231.76 | 2 |
| Leishmania antibody CPT 86717 | not published | not published | $9.19 – $57.79 | 5 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Lengthening of palate CPT 42227 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $5,286.15 – $16,310.00 | 4 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $5,286.15 – $11,257.00 | 4 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $2,383.65 – $14,304.00 | 4 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $9,352.97 – $16,310.00 | 4 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $9,352.97 – $18,408.00 | 4 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $5,286.15 – $14,304.00 | 4 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $319.12 | $580.21 | not published | 0 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | not published | not published | $5.09 – $7.70 | 3 |
| Leukacyte transfusion CPT 86950 | not published | not published | $124.11 – $511.83 | 3 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $7.79 – $79.37 | 5 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | not published | not published | $120.26 – $334.46 | 5 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | not published | not published | $1,380.95 – $3,300.48 | 5 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $16.48 – $16.48 | 1 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $320.07 – $687.29 | 5 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $31.54 – $103.43 | 5 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.41 – $0.57 | 3 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.13 – $0.17 | 3 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | not published | not published | $0.07 – $0.09 | 3 |
| Levetiracetam therapeutic drug level CPT 80177 | $52.80 | $96.00 | $9.94 – $131.78 | 5 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | not published | not published | $1.49 – $3.72 | 3 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | not published | not published | $9.97 – $14.63 | 3 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $2,361.75 – $14,304.00 | 4 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | not published | not published | $0.01 – $0.02 | 3 |
| Lidocaine therapeutic drug level CPT 80176 | $151.25 | $275.00 | $11.02 – $146.01 | 5 |
| Lift assist for elbow HCPCS L6635 | not published | not published | $190.70 – $254.26 | 2 |
| Lift heel adj small gl60404sm HCPCS L3332 | not published | not published | $67.99 – $90.65 | 2 |
| Lift heel adjustable med HCPCS L3334 | not published | not published | $35.15 – $46.87 | 2 |
| Lifts elevation metal extens HCPCS L3330 | not published | not published | $521.63 – $695.51 | 2 |
| Ligate esophagus veins CPT 43400 | not published | not published | $11,044.00 – $16,310.00 | 2 |
| Ligate leg veins open CPT 37761 | not published | not published | $2,300.22 – $4,867.00 | 4 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $2,300.22 – $11,257.00 | 4 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $2,300.22 – $11,257.00 | 4 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $2,300.22 – $11,257.00 | 4 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $1,203.19 – $4,867.00 | 4 |
| Ligation common iliac vein CPT 37660 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $2,300.22 – $11,257.00 | 4 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $2,300.22 – $11,257.00 | 4 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $2,300.22 – $11,257.00 | 4 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $2,300.22 – $4,867.00 | 4 |
| Ligation major artery chest CPT 37616 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Ligation major artery neck CPT 37615 | not published | not published | $2,300.22 – $4,867.00 | 4 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $2,300.22 – $11,257.00 | 4 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $4,053.72 – $11,257.00 | 4 |
| Ligation of femoral vein CPT 37650 | not published | not published | $2,300.22 – $11,257.00 | 4 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $4,053.72 – $16,310.00 | 4 |
| Ligation of neck artery CPT 37606 | not published | not published | $2,300.22 – $11,257.00 | 4 |
| Ligation of salivary duct CPT 42665 | not published | not published | $2,415.31 – $6,687.00 | 4 |
| Ligation of shunt CPT 49428 | not published | not published | $3,179.00 – $11,257.00 | 2 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $2,300.22 – $11,257.00 | 4 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $2,300.22 – $11,257.00 | 4 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $2,300.22 – $11,257.00 | 4 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $2,300.22 – $11,257.00 | 4 |
| Limb exercise test CPT 95875 | not published | not published | $93.74 – $124.98 | 2 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Limited ankle motion ea jnt HCPCS L2200 | not published | not published | $46.31 – $61.75 | 2 |
| Limited autopsy CPT 88036 | not published | not published | $808.91 – $808.91 | 1 |
| Limited autopsy CPT 88037 | not published | not published | $719.04 – $719.04 | 1 |
| Limited motion knee joint HCPCS L2184 | not published | not published | $106.76 – $142.35 | 2 |
| Limited visual field xm CPT 92081 | not published | not published | $42.98 – $57.30 | 2 |
| Lincomycin injection HCPCS J2010 | not published | not published | $9.05 – $12.45 | 3 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | not published | not published | $5.03 – $6.59 | 3 |
| Lipase CPT 83690 | $85.25 | $155.00 | $5.17 – $68.42 | 5 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $2,415.31 – $6,687.00 | 4 |
| Lipoprotein blood high res frac & quant CPT 83701 | $170.50 | $310.00 | $25.40 – $246.78 | 5 |
| Lipoprotein blood quant CPT 83704 | $96.80 | $176.00 | $25.64 – $313.62 | 5 |
| Lipoprotein direct measurement hdl CPT 83718 | $94.05 | $171.00 | $6.14 – $81.45 | 5 |
| Lipoprotein direct measurement ldl CPT 83721 | $26.95 | $49.00 | $7.88 – $94.86 | 5 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $25.64 – $255.83 | 5 |
| Lip surgery procedure CPT 40799 | not published | not published | $172.55 – $14,312.00 | 4 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $434,677.96 – $1,029,107.75 | 5 |
| Listeria monocytogenes CPT 86723 | not published | not published | $9.89 – $57.79 | 5 |
| Lith ion batt cid, ear level HCPCS L8624 | not published | not published | $148.93 – $198.57 | 2 |
| Lith ion batt cid,non-earlvl HCPCS L8623 | not published | not published | $59.74 – $79.65 | 2 |
| Lithium ion battery charger HCPCS L7368 | not published | not published | $466.10 – $621.46 | 2 |
| Lithium therapeutic drug level CPT 80178 | $172.70 | $314.00 | $4.96 – $65.75 | 5 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $132.14 – $1,007.81 | 5 |
| Liver elastography 91200 CPT 91200 | not published | not published | $93.74 – $164.33 | 3 |
| Liver Function Test CPT 80076 | $161.70 | $294.00 | $6.13 – $81.22 | 5 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $11,257.00 – $11,257.00 | 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.