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 |
|---|---|---|---|---|
| Nras gene variants exon 2&3 CPT 81311 | not published | not published | $221.84 – $2,158.35 | 5 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $8,078.95 | $14,689.00 | $1,302.59 – $14,800.58 | 3 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | not published | not published | $2,488.66 – $14,304.00 | 4 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | not published | not published | $6,393.20 – $14,304.00 | 4 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | not published | not published | $6,393.20 – $14,304.00 | 4 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | not published | not published | $6,393.20 – $14,304.00 | 4 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | not published | not published | $6,393.20 – $14,304.00 | 4 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | not published | not published | $6,393.20 – $14,304.00 | 4 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | not published | not published | $6,393.20 – $14,304.00 | 4 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | not published | not published | $6,393.20 – $14,304.00 | 4 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | not published | not published | $6,393.20 – $14,304.00 | 4 |
| Nrv rpr w/nrv algrft ea addl CPT 64913 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | not published | not published | $5,141.35 – $17,411.00 | 4 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | not published | not published | $5,141.35 – $17,411.00 | 4 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $5,141.35 – $17,411.00 | 4 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $5,141.35 – $17,411.00 | 4 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | not published | not published | $5,141.35 – $17,411.00 | 4 |
| Nsl/sins ndsc surg max sins CPT 31295 | not published | not published | $5,141.35 – $17,411.00 | 4 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $5,141.35 – $17,411.00 | 4 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $5,141.35 – $17,411.00 | 4 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $5,141.35 – $17,411.00 | 4 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $5,141.35 – $17,411.00 | 4 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $2,716.10 – $11,257.00 | 4 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | not published | not published | $4,312.59 – $11,044.00 | 3 |
| Nsl/sinus ndsc rf abltj pnn CPT 31242 | not published | not published | $4,312.59 – $11,044.00 | 3 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $1,296.65 – $6,687.00 | 4 |
| Ntrk1 translocation analysis CPT 81191 | not published | not published | $155.48 – $1,512.70 | 5 |
| Ntrk2 translocation analysis CPT 81192 | not published | not published | $155.48 – $1,512.70 | 5 |
| Ntrk3 translocation analysis CPT 81193 | not published | not published | $155.48 – $1,512.70 | 5 |
| Ntrk translocation analysis CPT 81194 | not published | not published | $388.71 – $3,781.81 | 5 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $1,806.20 | $3,284.00 | $3,736.43 – $3,736.43 | 1 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $1,684.65 | $3,063.00 | $3,729.59 – $3,729.59 | 1 |
| Nuclear exam of tear flow CPT 78660 | not published | not published | $291.23 – $1,723.89 | 3 |
| Nuclear matrix protein 22 CPT 86386 | not published | not published | $16.34 – $158.79 | 5 |
| Nuclear rx intra-arterial CPT 79445 | not published | not published | $169.99 – $1,013.63 | 3 |
| Nuclear rx intra-articular CPT 79440 | not published | not published | $169.99 – $546.33 | 3 |
| Nuclear rx intracav admin CPT 79200 | not published | not published | $169.99 – $633.53 | 3 |
| Nuclear rx IV admin CPT 79101 | not published | not published | $169.99 – $519.33 | 3 |
| Nuclear Stress Test (Heart) CPT 78452 | $2,438.70 | $4,434.00 | $943.15 – $4,427.82 | 3 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $169.99 – $570.04 | 3 |
| Nudge control elbow lock HCPCS L6637 | not published | not published | $373.35 – $497.80 | 2 |
| Nudt15 gene common variants CPT 81306 | $227.70 | $414.00 | $218.52 – $2,126.00 | 5 |
| Nushield 1 square cm HCPCS Q4160 | not published | not published | $90.66 – $1,007.00 | 5 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | not published | not published | $63.35 – $149.08 | 5 |
| Obltrj a-pulm sep def w/byp CPT 33814 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Observation direct referral from physician office for admission HCPCS G0379 | $318.45 | $579.00 | $433.84 – $578.46 | 2 |
| Observation per hour HCPCS G0378 | $0.95 | $1.73 | not published | 0 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Obstetric panel inc HIV tstg CPT 80081 | not published | not published | $56.14 – $744.07 | 5 |
| Obstetrics panel CPT 80055 | not published | not published | $35.86 – $475.18 | 5 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $76.16 – $658.24 | 3 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | not published | not published | $326.41 – $326.41 | 1 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | not published | not published | $45.73 – $113.44 | 5 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | not published | not published | $0.86 – $1.50 | 3 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | not published | not published | $156.07 – $403.98 | 5 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $400.67 – $4,401.00 | 4 |
| Ocular reconst transplant CPT 65780 | not published | not published | $2,864.02 – $11,257.00 | 4 |
| Ocular reconst transplant CPT 65781 | not published | not published | $3,876.57 – $14,304.00 | 4 |
| Ocular reconst transplant CPT 65782 | not published | not published | $2,864.02 – $11,257.00 | 4 |
| Off/op cnsltj new/est low 30 CPT 99243 | $132.55 | $241.00 | not published | 0 |
| Off/op cnsltj new/est mod 40 CPT 99244 | $154.00 | $280.00 | not published | 0 |
| Offset knee joint each HCPCS L2390 | not published | not published | $94.34 – $125.79 | 2 |
| Offset knee joint heavy duty HCPCS L2395 | not published | not published | $134.85 – $179.80 | 2 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | not published | not published | $1.35 – $1.73 | 3 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $4.23 – $5.54 | 3 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | not published | not published | $34.94 – $77.07 | 5 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $2,904.75 – $28,262.72 | 5 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $1,882.66 – $21,743.38 | 5 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $2,904.75 – $27,173.78 | 5 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $2,904.75 – $28,260.72 | 5 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $2,904.75 – $28,259.02 | 5 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $5,394.75 – $52,486.27 | 5 |
| Oncology colon mrna CPT 81525 | not published | not published | $2,337.00 – $22,807.99 | 5 |
| Oncology colorectal scr CPT 81528 | not published | not published | $381.65 – $3,713.16 | 5 |
| Oncology gynecologic CPT 81535 | not published | not published | $434.60 – $2,569.23 | 5 |
| Oncology gynecologic CPT 81536 | not published | not published | $133.17 – $1,295.63 | 5 |
| Oncology lung CPT 81538 | not published | not published | $2,153.25 – $15,518.80 | 5 |
| Oncology prostate prob score CPT 81539 | $1,754.50 | $3,190.00 | $570.00 – $4,393.43 | 5 |
| Oncology tissue of origin CPT 81504 | not published | not published | $390.00 – $3,648.43 | 5 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $2,812.50 – $21,309.01 | 5 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $672.75 – $6,293.54 | 5 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $195.38 – $1,827.72 | 5 |
| Oncoprotein dcp CPT 83951 | not published | not published | $48.31 – $640.22 | 5 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $48.31 – $640.22 | 5 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $1,522.50 – $14,812.61 | 5 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $2,904.75 – $6,777.75 | 4 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $2,904.75 – $27,173.78 | 5 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $2,700.00 – $26,268.67 | 5 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $5,832.00 – $56,740.34 | 5 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | not published | not published | $0.01 – $0.03 | 3 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | not published | not published | $0.13 – $0.17 | 3 |
| Oocyte identification CPT 89254 | not published | not published | $124.11 – $165.49 | 2 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $7,789.00 – $11,044.00 | 2 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $18,408.00 – $18,408.00 | 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.