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 |
|---|---|---|---|---|
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,171.42 – $7,789.00 | 4 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $2,581.60 – $11,257.00 | 4 |
| Measure kidney pressure CPT 50396 | not published | not published | $507.98 – $4,401.00 | 4 |
| Measurement post void urine by ultrasound CPT 51798 | $205.15 | $373.00 | $42.98 – $1,676.00 | 3 |
| Measure ureter pressure CPT 50686 | not published | not published | $93.74 – $4,401.00 | 4 |
| Mech hip extension assist HCPCS L5855 | not published | not published | $283.57 – $378.09 | 2 |
| #mec-opiates CPT 80356 | $156.75 | $285.00 | $172.28 – $172.28 | 1 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $112.50 – $1,052.44 | 5 |
| Mecp2 gene full seq CPT 81302 | $267.85 | $487.00 | $395.90 – $3,703.65 | 5 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $90.00 – $841.93 | 5 |
| Medial canthopexy CPT 21280 | not published | not published | $2,415.31 – $14,304.00 | 4 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Med physic dos eval rad exps CPT 76145 | $176.55 | $321.00 | $271.85 – $9,111.62 | 3 |
| Meg evoked single CPT 95966 | not published | not published | $625.59 – $834.12 | 2 |
| Meg spontaneous CPT 95965 | not published | not published | $625.59 – $834.12 | 2 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | not published | not published | $90.66 – $487.20 | 5 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $90.66 – $265.33 | 5 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $38.15 – $53.13 | 3 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $90.66 – $346.14 | 5 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $90.66 – $317.85 | 5 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $90.66 – $156.58 | 5 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $90.66 – $120.88 | 5 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | not published | not published | $12.88 – $29.82 | 3 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $24.21 – $59.52 | 5 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | not published | not published | $0.62 – $0.83 | 3 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $1.97 – $2.92 | 3 |
| Metabolic Blood Panel (Basic) CPT 80048 | $188.65 | $343.00 | $6.34 – $84.06 | 5 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $228.25 | $415.00 | $7.92 – $105.01 | 5 |
| Metabolic panel ionized ca CPT 80047 | not published | not published | $10.30 – $84.06 | 5 |
| Metal frame recipro hip & ca HCPCS L2628 | not published | not published | $1,443.92 – $1,925.23 | 2 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $2.36 – $3.28 | 3 |
| Methadone injection HCPCS J1230 | not published | not published | $30.32 – $43.54 | 3 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | not published | not published | $9.09 – $12.15 | 3 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | not published | not published | $0.29 – $0.38 | 3 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | not published | not published | $3.74 – $6.23 | 3 |
| Methotrexate therapeutic drug level CPT 80204 | $138.60 | $252.00 | $28.93 – $281.44 | 5 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | not published | not published | $30.87 – $41.91 | 3 |
| Methylphenidate CPT 80360 | $174.35 | $317.00 | $172.28 – $172.28 | 1 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | not published | not published | $0.35 – $0.46 | 3 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | not published | not published | $0.16 – $0.23 | 3 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | not published | not published | $0.36 – $0.50 | 3 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | not published | not published | $1.64 – $1.91 | 3 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | not published | not published | $0.25 – $0.25 | 1 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | not published | not published | $0.04 – $0.06 | 3 |
| Metyrapone panel CPT 80436 | not published | not published | $68.37 – $906.12 | 5 |
| Mgmt promoter methylation analysis CPT 81287 | $416.35 | $757.00 | $93.48 – $606.29 | 5 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | not published | not published | $0.41 – $0.59 | 3 |
| Microalbumin urine screen CPT 82044 | not published | not published | $4.67 – $30.15 | 5 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $30.13 – $103.04 | 5 |
| Microdissection laser CPT 88380 | not published | not published | $602.17 – $602.17 | 1 |
| Microdissection manual CPT 88381 | $1,267.20 | $2,304.00 | $639.61 – $639.61 | 1 |
| Microfluid analy tears CPT 83861 | not published | not published | $16.86 – $164.18 | 5 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | not published | not published | $4,203.26 – $5,604.34 | 2 |
| Microsatellite instability CPT 81301 | $423.50 | $770.00 | $261.42 – $2,878.19 | 5 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $93.74 – $124.98 | 2 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $14,304.00 – $18,408.00 | 2 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | not published | not published | $0.19 – $0.30 | 3 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | not published | not published | $0.25 – $0.32 | 3 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $76.16 – $619.63 | 3 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | not published | not published | $2.28 – $2.67 | 3 |
| Milwaukee type superstructur HCPCS L1230 | not published | not published | $614.90 – $819.86 | 2 |
| Miroderm HCPCS Q4175 | not published | not published | $90.66 – $128.66 | 5 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $53.99 – $132.09 | 5 |
| Mitochondrial gene CPT 81440 | not published | not published | $2,493.00 – $23,321.88 | 5 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $25.58 – $85.75 | 5 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $247.45 – $603.10 | 5 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $22.28 – $112.52 | 5 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Mlh1 gene CPT 81288 | $367.40 | $668.00 | $144.24 – $1,164.87 | 5 |
| Mlh1 gene dup/delete variant CPT 81294 | $1,023.00 | $1,860.00 | $151.80 – $1,389.27 | 5 |
| Mlh1 gene full seq CPT 81292 | $1,023.00 | $1,860.00 | $506.55 – $4,708.38 | 5 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $248.25 – $1,887.49 | 5 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $12.77 – $17.03 | 2 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $3.56 – $4.75 | 2 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $9,352.97 – $18,408.00 | 4 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $63.40 – $525.06 | 3 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $1,171.42 – $4,867.00 | 4 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $1,171.42 – $4,867.00 | 4 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $1,130.33 – $4,867.00 | 4 |
| Mnt subs tx for change dx HCPCS G0270 | not published | not published | $16.15 – $21.53 | 2 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $600.49 – $800.65 | 2 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Modification of contact lens CPT 92325 | not published | not published | $96.93 – $129.23 | 2 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $577.50 | $1,050.00 | $28.30 – $87.93 | 5 |
| Molded inner boot HCPCS L2280 | not published | not published | $520.34 – $693.78 | 2 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $2,519.67 – $3,359.56 | 2 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $3,953.20 – $5,270.94 | 2 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $1,478.86 – $1,971.82 | 2 |
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $4,340.44 – $5,787.25 | 2 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $8.51 – $21.56 | 5 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $270.21 – $360.28 | 2 |
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.