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 |
|---|---|---|---|---|
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $31.35 | $57.00 | $16.25 – $131.78 | 5 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $2,291.30 | $4,166.00 | not published | 0 |
| Mayo hemosiderin qualitative urine CPT 83070 | $17.60 | $32.00 | $3.56 – $47.22 | 5 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $147.40 | $268.00 | $26.32 – $348.80 | 5 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $528.00 | $960.00 | $26.32 – $348.80 | 5 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $24.20 | $44.00 | $10.34 – $111.58 | 5 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $63.25 | $115.00 | $19.36 – $256.56 | 5 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $141.35 | $257.00 | $6.67 – $88.38 | 5 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $215.60 | $392.00 | $10.14 – $134.35 | 5 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $45.10 | $82.00 | $20.38 – $270.06 | 5 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $330.00 | $600.00 | $12.95 – $128.65 | 5 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $704.55 | $1,281.00 | $11.24 – $149.00 | 5 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $29.70 | $54.00 | $15.61 – $206.87 | 5 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $78.10 | $142.00 | $15.61 – $206.87 | 5 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $26.32 – $193.00 | 5 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $119.90 | $218.00 | $12.05 – $119.16 | 5 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $158.40 | $288.00 | $8.98 – $119.16 | 5 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $137.50 | $250.00 | $26.32 – $348.80 | 5 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $160.60 | $292.00 | $26.32 – $256.06 | 5 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $140.80 | $256.00 | $26.32 – $348.80 | 5 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $242.00 | $440.00 | $26.32 – $193.00 | 5 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $131.45 | $239.00 | $32.13 – $425.78 | 5 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $274.45 | $499.00 | $54.14 – $526.76 | 5 |
| Mayo infliximab therapeutic drug level CPT 80230 | $251.35 | $457.00 | $28.93 – $281.47 | 5 |
| Mayo inhab inhibin a CPT 86336 | $117.70 | $214.00 | $11.69 – $154.92 | 5 |
| Mayo insft insulin free CPT 83527 | not published | not published | $9.71 – $128.71 | 5 |
| Mayo insulin antibodies CPT 86337 | $75.90 | $138.00 | $16.06 – $212.77 | 5 |
| Mayo iodine CPT 83789 | $429.00 | $780.00 | $18.08 – $179.50 | 5 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $88.55 | $161.00 | $20.33 – $197.83 | 5 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $160.05 | $291.00 | $20.33 – $197.84 | 5 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $34.65 | $63.00 | $9.94 – $131.78 | 5 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $15.40 | $28.00 | $9.59 – $127.18 | 5 |
| Mayo legionella antibody CPT 86713 | $42.90 | $78.00 | $11.48 – $152.15 | 5 |
| Mayo leptospira antibody igm CPT 86720 | $55.00 | $100.00 | $12.15 – $57.79 | 5 |
| Mayo lipoprotein electrophoresis CPT 83700 | $31.90 | $58.00 | $8.44 – $111.86 | 5 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $89.65 | $163.00 | $11.62 – $153.96 | 5 |
| Mayo manganese CPT 83785 | $22.55 | $41.00 | $19.99 – $244.51 | 5 |
| Mayo metanephrines plasma CPT 83835 | $111.10 | $202.00 | $12.70 – $168.36 | 5 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $125.40 | $228.00 | $172.28 – $172.28 | 1 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $89.10 | $162.00 | $9.04 – $134.25 | 5 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $55.55 | $101.00 | $13.80 – $105.25 | 5 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $27.50 | $50.00 | $10.91 – $144.62 | 5 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $1,517.45 | $2,759.00 | $13.98 – $136.18 | 5 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $1,199.00 | $2,180.00 | $102.75 – $961.23 | 5 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $138.90 – $1,351.38 | 5 |
| Mayo muramidase CPT 85549 | $19.25 | $35.00 | $14.06 – $186.35 | 5 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $437.25 | $795.00 | $13.80 – $105.25 | 5 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $42.90 | $78.00 | $13.54 – $179.44 | 5 |
| Mayo myoglobin CPT 83874 | $101.20 | $184.00 | $9.69 – $128.38 | 5 |
| Mayo nickel CPT 83885 | not published | not published | $18.38 – $243.57 | 5 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $151.80 | $276.00 | $172.28 – $172.28 | 1 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $240.35 | $437.00 | $172.28 – $172.28 | 1 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $259.60 | $472.00 | $172.28 – $172.28 | 1 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $42.90 | $78.00 | $15.91 – $163.52 | 5 |
| Mayo organic acids qualitative each specimen CPT 83919 | $73.15 | $133.00 | $12.34 – $163.52 | 5 |
| Mayo oxalate 24 hour urine CPT 83945 | $92.95 | $169.00 | $10.84 – $127.92 | 5 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $8.65 – $114.64 | 5 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $31.90 | $58.00 | $11.27 – $149.44 | 5 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $938.85 | $1,707.00 | $9.04 – $119.77 | 5 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $111.10 | $202.00 | $26.32 – $348.80 | 5 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $361.90 | $658.00 | $13.48 – $178.70 | 5 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $27.50 | $50.00 | $10.32 – $116.68 | 5 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $46.20 | $84.00 | $6.33 – $83.92 | 5 |
| Mayo pregnenolone CPT 84140 | $45.10 | $82.00 | $15.50 – $205.49 | 5 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $13.75 | $25.00 | $12.44 – $164.96 | 5 |
| Mayo proinsulin CPT 84206 | $35.20 | $64.00 | $20.02 – $177.04 | 5 |
| Mayo psaft prostate specific antigen free CPT 84154 | $44.00 | $80.00 | $13.79 – $182.85 | 5 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $465.85 | $847.00 | $13.80 – $134.27 | 5 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $112.75 | $205.00 | $10.02 – $132.79 | 5 |
| Mayo receptor assay transferrin soluble CPT 84238 | $26.40 | $48.00 | $27.43 – $363.51 | 5 |
| Mayo renin CPT 84244 | $20.35 | $37.00 | $16.49 – $218.61 | 5 |
| Mayo repu protein electrophoresis urine CPT 84166 | $175.45 | $319.00 | $13.37 – $177.24 | 5 |
| Mayo selenium CPT 84255 | $22.55 | $41.00 | $19.15 – $253.78 | 5 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $11.62 – $154.03 | 5 |
| Mayo serotonin CPT 84260 | $55.55 | $101.00 | $23.24 – $307.92 | 5 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $66.00 | $120.00 | $14.51 – $192.42 | 5 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $78.10 | $142.00 | $10.30 – $136.53 | 5 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $103.95 | $189.00 | $69.02 – $92.03 | 2 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $86.90 | $158.00 | $3.20 – $42.45 | 5 |
| Mayo tau phosphorylated 217 each CPT 84393 | $275.00 | $500.00 | $96.69 – $128.92 | 2 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $653.40 | $1,188.00 | $156.69 – $2,076.61 | 5 |
| Mayo tgrp testosterone free CPT 84402 | $37.40 | $68.00 | $19.10 – $253.13 | 5 |
| Mayo tgrp testosterone total CPT 84403 | $88.55 | $161.00 | $19.36 – $250.49 | 5 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $100.10 | $182.00 | $16.63 – $161.73 | 5 |
| Mayo thyroglobulin CPT 84432 | $417.45 | $759.00 | $12.04 – $159.65 | 5 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $26.95 | $49.00 | $7.64 – $57.79 | 5 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $36.85 | $67.00 | $9.29 – $57.79 | 5 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $100.10 | $182.00 | $172.28 – $172.28 | 1 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $45.08 | $81.97 | $38.46 – $529.38 | 5 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $55.00 | $100.00 | $10.62 – $103.42 | 5 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | not published | not published | $10.16 – $134.71 | 5 |
| Mayo vasoactive intestinal peptide CPT 84586 | $77.55 | $141.00 | $26.50 – $126.73 | 5 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $67.10 | $122.00 | $15.18 – $201.18 | 5 |
| Mayo vitamin b3 (niacin) CPT 84591 | $167.20 | $304.00 | $12.80 – $115.37 | 5 |
| Mayo vitamin k CPT 84597 | $81.95 | $149.00 | $10.29 – $136.36 | 5 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $86.35 | $157.00 | $9.94 – $131.78 | 5 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Mcoln1 gene CPT 81290 | $228.80 | $416.00 | $29.48 – $275.81 | 5 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $2,383.65 – $16,310.00 | 4 |
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.