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 |
|---|---|---|---|---|
| Manipulat palm cord post inj CPT 26341 | not published | not published | $179.70 – $4,401.00 | 4 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $3.28 – $4.70 | 3 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $68.02 – $90.70 | 2 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $3.80 – $37.00 | 5 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Map tachycard site(s) CPT 93609 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $42.33 – $95.86 | 5 |
| Marker biop eviva buckle ss HCPCS A4648 | $752.07 | $1,367.40 | not published | 0 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Mastectomy form HCPCS L8020 | not published | not published | $208.80 – $278.40 | 2 |
| Mastectomy partial CPT 19301 | not published | not published | $2,852.39 – $11,257.00 | 4 |
| Mast mod rad CPT 19307 | not published | not published | $4,837.36 – $17,411.00 | 4 |
| Mastoidectomy CPT 69501 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $4,312.59 – $11,044.00 | 4 |
| Mastoids complete CPT 70130 | not published | not published | $76.16 – $399.69 | 3 |
| Mastoid surgery revision CPT 69603 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Mastopexy CPT 19316 | not published | not published | $4,837.36 – $17,411.00 | 4 |
| Mast radical CPT 19305 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Mast rad urban type CPT 19306 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Mast simple complete CPT 19303 | not published | not published | $4,837.36 – $17,411.00 | 4 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $90.66 – $157.31 | 5 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $31.18 – $120.88 | 5 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $26.32 – $348.80 | 5 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $20.47 – $199.35 | 5 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $32.13 – $425.78 | 5 |
| Maxillofacial fixation CPT 21100 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $29.70 | $54.00 | $10.84 – $143.75 | 5 |
| Mayo aathr protein s free CPT 85306 | $86.35 | $157.00 | $11.49 – $141.99 | 5 |
| Mayo activated protein c resistance assay CPT 85307 | $86.35 | $157.00 | $11.49 – $141.99 | 5 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $301.95 | $549.00 | $28.93 – $281.47 | 5 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $111.65 | $203.00 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $145.75 | $265.00 | $172.28 – $172.28 | 1 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $98.45 | $179.00 | $11.08 – $146.95 | 5 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $257.95 | $469.00 | $172.28 – $172.28 | 1 |
| Mayo alpha 1 antitrypsin CPT 82103 | $41.25 | $75.00 | $10.08 – $133.54 | 5 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $23.10 | $42.00 | $11.31 – $149.87 | 5 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $24.75 | $45.00 | not published | 0 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $124.85 | $227.00 | $172.28 – $172.28 | 1 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $700.70 | $1,274.00 | $91.22 – $1,208.94 | 5 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $1,026.30 | $1,866.00 | $68.74 – $911.16 | 5 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $542.30 | $986.00 | $102.75 – $999.67 | 5 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $5,252.50 | $9,550.00 | $870.00 – $8,138.80 | 5 |
| Mayo androstenedione CPT 82157 | $51.70 | $94.00 | $21.96 – $290.99 | 5 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $20.35 | $37.00 | $10.95 – $145.16 | 5 |
| Mayo antithrombin iii antigen CPT 85301 | $44.00 | $80.00 | $8.11 – $107.49 | 5 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $65.45 | $119.00 | $11.29 – $57.79 | 5 |
| Mayo avwpr vw factor activity CPT 85397 | $271.15 | $493.00 | $23.14 – $228.04 | 5 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $125.40 | $228.00 | $26.32 – $255.96 | 5 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $102.30 | $186.00 | $172.28 – $172.28 | 1 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $21.45 | $39.00 | $7.64 – $57.79 | 5 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $337.70 | $614.00 | $108.63 – $1,439.68 | 5 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $130.90 | $238.00 | $160.96 – $1,598.73 | 5 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $26.40 | $48.00 | $9.68 – $57.79 | 5 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $253.00 | $460.00 | $172.28 – $172.28 | 1 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $102.30 | $186.00 | $9.89 – $57.79 | 5 |
| Mayo brcmg brucella antibody igm CPT 86622 | $52.80 | $96.00 | $6.70 – $57.79 | 5 |
| Mayo c1 esterase inhibitor CPT 83883 | $277.20 | $504.00 | $10.20 – $135.13 | 5 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $249.15 | $453.00 | $172.28 – $172.28 | 1 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $49.50 | $90.00 | $12.65 – $143.25 | 5 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $199.65 | $363.00 | $20.08 – $266.13 | 5 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $272.80 | $496.00 | $91.66 – $1,214.88 | 5 |
| Mayo ceruloplasmin CPT 82390 | $13.75 | $25.00 | $8.06 – $106.76 | 5 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $337.15 | $613.00 | $10.59 – $140.40 | 5 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $211.75 | $385.00 | $9.66 – $57.79 | 5 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $17.60 | $32.00 | $8.86 – $57.79 | 5 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $17.60 | $32.00 | $9.51 – $57.79 | 5 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $306.17 | $556.67 | $87.37 – $495.11 | 5 |
| Mayo chromium CPT 82495 | $22.55 | $41.00 | $15.21 – $72.32 | 5 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $249.15 | $453.00 | $172.28 – $172.28 | 1 |
| Mayo coccidioides antibody CPT 86635 | $26.40 | $48.00 | $8.60 – $57.79 | 5 |
| Mayo cocou cortisone urine CPT 82542 | $429.00 | $780.00 | $18.07 – $179.50 | 5 |
| Mayo cortisol free CPT 82530 | $24.75 | $45.00 | $12.53 – $166.08 | 5 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $98.45 | $179.00 | $31.60 – $307.40 | 5 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $62.15 | $113.00 | $9.09 – $57.79 | 5 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $51.70 | $94.00 | not published | 0 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $124.85 | $227.00 | not published | 0 |
| Mayo cyanide CPT 82600 | $93.50 | $170.00 | $14.55 – $192.85 | 5 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $1,370.05 | $2,491.00 | $124.11 – $4,037.57 | 3 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $27.50 | $50.00 | $9.94 – $124.94 | 5 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $44.00 | $80.00 | $18.95 – $251.16 | 5 |
| Mayo dihydrotestosterone CPT 82642 | $53.35 | $97.00 | $21.96 – $237.36 | 5 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $7.23 – $84.21 | 5 |
| Mayo efpo chloride stool CPT 82438 | $49.50 | $90.00 | $3.75 – $48.60 | 5 |
| Mayo estriol CPT 82677 | $20.90 | $38.00 | $18.14 – $240.36 | 5 |
| Mayo estrone CPT 82679 | $44.00 | $80.00 | $18.71 – $248.08 | 5 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $22.00 | $40.00 | $12.26 – $162.43 | 5 |
| Mayo everolimus therapeutic drug level CPT 80169 | $65.45 | $119.00 | $10.30 – $136.53 | 5 |
| Mayo factor ii CPT 85210 | $74.25 | $135.00 | $9.74 – $57.79 | 5 |
| Mayo factor v CPT 85220 | $63.80 | $116.00 | $13.24 – $175.41 | 5 |
| Mayo factor vii CPT 85230 | $193.60 | $352.00 | $13.42 – $178.00 | 5 |
| Mayo factor viii vw factor antigen CPT 85246 | $112.20 | $204.00 | $17.20 – $228.04 | 5 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $93.50 | $170.00 | $17.20 – $228.04 | 5 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $282.70 | $514.00 | $17.20 – $228.04 | 5 |
| Mayo factor x CPT 85260 | $63.80 | $116.00 | $13.42 – $178.00 | 5 |
| Mayo factor xi CPT 85270 | $92.95 | $169.00 | $13.42 – $178.00 | 5 |
| Mayo fat/lipids feces quantitative CPT 82710 | $34.10 | $62.00 | $12.60 – $167.04 | 5 |
| Mayo fbl culture fungi blood CPT 87103 | $265.10 | $482.00 | $15.34 – $89.62 | 5 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $48.40 | $88.00 | $60.34 – $140.81 | 5 |
| Mayo ffspg allergen clam igg CPT 86001 | $45.10 | $82.00 | $5.86 – $32.26 | 5 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $10.84 – $84.44 | 5 |
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.