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 |
|---|---|---|---|---|
| Nelarabine injection HCPCS J9261 | not published | not published | $49.06 – $138.31 | 5 |
| Neox 100 or clarix 100 HCPCS Q4156 | not published | not published | $90.66 – $126.06 | 5 |
| Nephrectomy open 50220 CPT 50220 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Nephrectomy partial CPT 50240 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Nephrotomy w/exploration CPT 50045 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 | not published | not published | $157.30 – $209.73 | 2 |
| Nerve conduction studies 1-2 CPT 95907 | not published | not published | $157.30 – $209.73 | 2 |
| Nerve conduction studies 3-4 CPT 95908 | not published | not published | $157.30 – $209.73 | 2 |
| Nerve conduction studies 5-6 CPT 95909 | not published | not published | $157.30 – $209.73 | 2 |
| Nerve graft add-on CPT 64901 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Nerve graft add-on CPT 64902 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Nerve graft head/neck <4 cm CPT 64885 | not published | not published | $6,393.20 – $14,304.00 | 4 |
| Nerve graft head/neck >4 cm CPT 64886 | not published | not published | $6,393.20 – $14,304.00 | 4 |
| Nerve palsy fascial graft CPT 15840 | not published | not published | $2,581.60 – $11,257.00 | 4 |
| Nerve palsy microsurg graft CPT 15842 | not published | not published | $1,503.10 – $4,867.00 | 4 |
| Nerve palsy muscle graft CPT 15841 | not published | not published | $2,581.60 – $11,257.00 | 4 |
| Nerve pedicle transfer CPT 64905 | not published | not published | $6,393.20 – $14,304.00 | 4 |
| Nerve pedicle transfer CPT 64907 | not published | not published | $6,393.20 – $14,304.00 | 4 |
| Nerve repair w/allograft CPT 64910 | not published | not published | $6,393.20 – $14,304.00 | 4 |
| Nerve surgery CPT 64859 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Nerve teasing preparations CPT 88362 | not published | not published | $586.94 – $1,034.09 | 3 |
| Neurectomy foot CPT 28055 | not published | not published | $1,422.56 – $6,687.00 | 4 |
| Neurectomy hamstring CPT 27325 | not published | not published | $1,422.56 – $4,867.00 | 4 |
| Neurectomy popliteal CPT 27326 | not published | not published | $1,422.56 – $4,867.00 | 4 |
| Neuroeltrd stim post tibial CPT 64566 | not published | not published | $223.61 – $4,401.00 | 4 |
| Neuroendoscopy add-on CPT 62160 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Neurolysis celiac plexus CPT 64680 | not published | not published | $644.34 – $4,401.00 | 4 |
| Neurolysis trigeminal nerve CPT 64600 | not published | not published | $644.34 – $4,401.00 | 4 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | not published | not published | $93.74 – $124.98 | 2 |
| Neuroplasty digital 1/both same digit CPT 64702 | not published | not published | $1,422.56 – $6,687.00 | 4 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | not published | not published | $1,422.56 – $6,687.00 | 4 |
| Neurorraphy w/vein autograft CPT 64911 | not published | not published | $6,393.20 – $14,304.00 | 4 |
| Neurovascular pedicle flap CPT 15750 | not published | not published | $2,581.60 – $11,257.00 | 4 |
| Neutrlzg antb sarscov2 scr CPT 86408 | not published | not published | $31.60 – $307.40 | 5 |
| Neutrlzg antb sarscov2 titer CPT 86409 | not published | not published | $59.71 – $437.86 | 5 |
| Neutron beam tx complex CPT 77423 | not published | not published | $402.53 – $1,052.85 | 3 |
| New Patient Office Visit (level 4) CPT 99204 | $145.20 | $264.00 | not published | 0 |
| New Patient Office Visit (level 5) CPT 99205 | $169.40 | $308.00 | not published | 0 |
| Nfct agt gntyp alys sarscov2 CPT 87913 | not published | not published | $193.09 – $1,877.99 | 5 |
| Nfct ds bv&vaginitis dna alg CPT 81514 | not published | not published | $197.24 – $1,919.00 | 5 |
| Nfros nfrot w/drg CPT 50040 | not published | not published | $6,687.00 – $11,044.00 | 2 |
| N. gonorrhoeae assay w/optic CPT 87850 | not published | not published | $18.42 – $119.16 | 5 |
| N.gonorrhoeae dna quant CPT 87592 | not published | not published | $32.13 – $425.78 | 5 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | not published | not published | $0.13 – $0.16 | 3 |
| Nikaidoh proc CPT 33782 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Nikaidoh proc w/ostia implt CPT 33783 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| N-invas est c ffr sw aly cta CPT 75580 | not published | not published | $625.59 – $7,892.94 | 3 |
| Nipple/areola reconst 19350 CPT 19350 | not published | not published | $2,852.39 – $11,257.00 | 4 |
| Nipple exploration CPT 19110 | not published | not published | $2,852.39 – $11,257.00 | 4 |
| Nitroblue tetrazolium dye CPT 86384 | not published | not published | $10.21 – $113.17 | 5 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | not published | not published | $1.94 – $2.70 | 3 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | not published | not published | $25.67 – $62.70 | 5 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | not published | not published | $154.13 – $375.53 | 5 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | not published | not published | $644.34 – $4,401.00 | 4 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | not published | not published | $514.23 – $4,401.00 | 4 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | $1,642.30 | $2,986.00 | $644.34 – $4,401.00 | 4 |
| Njx aa&/strd vagus nrv CPT 64408 | not published | not published | $223.61 – $4,401.00 | 4 |
| Njx cath slct p angrph mapca CPT 93575 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Njx cath slct p-art angrp bi CPT 93573 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Njx cath slct pulm vn angrph CPT 93574 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Njx chemonucleolysis lmbr CPT 62292 | not published | not published | $1,422.56 – $6,687.00 | 4 |
| Njx cth slct p-art angrp uni CPT 93569 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Njx interlaminar crv/thrc CPT 62324 | $916.30 | $1,666.00 | $644.34 – $4,401.00 | 4 |
| Njx interlaminar crv/thrc CPT 62325 | not published | not published | $644.34 – $4,401.00 | 4 |
| Njx interlaminar lmbr/sac CPT 62326 | not published | not published | $644.34 – $4,401.00 | 4 |
| Njx interlaminar lmbr/sac CPT 62327 | not published | not published | $644.34 – $4,401.00 | 4 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | not published | not published | $507.98 – $4,401.00 | 4 |
| Njx px peyronie ds exps plaq CPT 54205 | not published | not published | $3,906.07 – $11,044.00 | 4 |
| Nl comp cgen kdn abnormality CPT 50070 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Nl removal calculus CPT 50060 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Nl rmvl lg staghorn calculus CPT 50075 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Nl sec surg operj calculus CPT 50065 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,451.45 | $2,639.00 | $291.23 – $3,335.14 | 3 |
| Nm imaging bone/joint whole body CPT 78306 | $1,225.95 | $2,229.00 | $291.23 – $2,360.54 | 3 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,727.55 | $3,141.00 | $291.23 – $2,044.14 | 3 |
| Nm imaging gastric emptying study CPT 78264 | $789.80 | $1,436.00 | $291.23 – $3,346.73 | 3 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,172.05 | $2,131.00 | $291.23 – $3,369.87 | 3 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $1,238.05 | $2,251.00 | $395.55 – $4,556.73 | 3 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $768.90 | $1,398.00 | $395.55 – $1,290.16 | 3 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $2,332.55 | $4,241.00 | $395.55 – $3,173.11 | 3 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,168.75 | $2,125.00 | $291.23 – $2,433.85 | 3 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | not published | not published | $169.99 – $533.20 | 3 |
| No knee/ankle joints with ft b HCPCS L5210 | not published | not published | $2,665.46 – $3,553.95 | 2 |
| No knee joint with artic ali HCPCS L5220 | not published | not published | $2,936.18 – $3,914.91 | 2 |
| Non-blind interatrial shunt HCPCS C9760 | not published | not published | $18,408.00 – $48,722.00 | 4 |
| Non-card vasc flow imaging CPT 78445 | not published | not published | $291.23 – $1,700.74 | 3 |
| Non-corrosive finish HCPCS L2780 | not published | not published | $58.33 – $77.77 | 2 |
| Non-cov proc, clinical trial HCPCS G0294 | not published | not published | $27.21 – $36.28 | 2 |
| Non-cov surg proc,clin trial HCPCS G0293 | not published | not published | $27.21 – $36.28 | 2 |
| Non-imaging heart function CPT 78414 | not published | not published | $395.55 – $556.20 | 3 |
| Non-molded lacer HCPCS L2320 | not published | not published | $177.81 – $237.08 | 2 |
| Non-ophthalmic fva HCPCS C9733 | not published | not published | $254.15 – $338.87 | 2 |
| Noonan spectrum disorders CPT 81442 | not published | not published | $1,607.70 – $4,393.43 | 5 |
| Novachor 1 sq cm HCPCS Q4194 | not published | not published | $90.66 – $1,589.00 | 5 |
| Npm1 gene CPT 81310 | $847.00 | $1,540.00 | $184.89 – $1,800.66 | 5 |
| Nps surg dilat eust tube bi CPT 69706 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Nps surg dilat eust tube uni CPT 69705 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Nqhp ol dig assmt&mgmt 11-20 CPT 98971 | not published | not published | $13.82 – $18.42 | 2 |
| Nqhp ol dig assmt&mgmt 21+ CPT 98972 | not published | not published | $21.11 – $28.15 | 2 |
| Nqhp ol dig assmt&mgmt 5-10 CPT 98970 | not published | not published | $7.54 – $10.05 | 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.