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 |
|---|---|---|---|---|
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Oral aprepitant HCPCS J8501 | not published | not published | $4.41 – $5.29 | 3 |
| Oral everolimus HCPCS J7527 | not published | not published | $2.93 – $4.29 | 3 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $8.98 – $119.16 | 5 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $12.35 – $35.20 | 3 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $17.19 – $43.05 | 3 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $355.53 – $778.09 | 5 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Orchiectomy partial CPT 54522 | not published | not published | $2,567.95 – $6,687.00 | 4 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $2,608.32 – $11,257.00 | 4 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $2,608.32 – $11,257.00 | 4 |
| Organic acids total quant ea spec CPT 83918 | not published | not published | $17.70 – $163.52 | 5 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $35.56 – $80.14 | 5 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $22.30 – $54.19 | 5 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $1,130.33 – $4,867.00 | 4 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | not published | not published | $17.88 – $25.88 | 3 |
| Ortho dvc repair per 15 min HCPCS L4205 | not published | not published | $22.44 – $29.92 | 2 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $108.20 | $196.72 | $242.23 – $322.97 | 2 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | not published | not published | $419.52 – $559.36 | 2 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | not published | not published | $1,075.61 – $1,434.15 | 2 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | not published | not published | $627.74 – $836.99 | 2 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | not published | not published | $227.18 – $302.90 | 2 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | not published | not published | $269.46 – $359.28 | 2 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | not published | not published | $88.58 – $118.11 | 2 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | not published | not published | $227.18 – $302.90 | 2 |
| Orthopantogram CPT 70355 | not published | not published | $63.40 – $98.75 | 3 |
| Orthopedic shoe add rub insl HCPCS L3510 | not published | not published | $26.95 – $35.93 | 2 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $42.98 – $57.30 | 2 |
| Ortho shoe add full sole HCPCS L3540 | not published | not published | $46.89 – $62.52 | 2 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $29.31 – $39.08 | 2 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $26.95 – $35.93 | 2 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $38.66 – $51.54 | 2 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $120.08 – $160.11 | 2 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | not published | not published | $373.17 – $497.56 | 2 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $75.25 – $185.63 | 5 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $114.11 | $207.48 | $298.82 – $398.43 | 2 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | not published | not published | $831.87 – $1,109.16 | 2 |
| Oscillation chest wall mechanical per session CPT 94669 | $223.30 | $406.00 | $159.52 – $212.70 | 2 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $29.31 – $39.08 | 2 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $21.08 – $28.11 | 2 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $78.56 – $104.74 | 2 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $59.78 – $79.70 | 2 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $8.24 – $10.99 | 2 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $49.24 – $65.66 | 2 |
| Osmolality blood CPT 83930 | $112.75 | $205.00 | $4.96 – $65.75 | 5 |
| Osmolality urine CPT 83935 | $122.65 | $223.00 | $5.12 – $67.79 | 5 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $9,352.97 – $18,408.00 | 4 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Osteoplasty humerus CPT 24420 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $5,286.15 – $16,310.00 | 4 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $1,676.00 – $18,408.00 | 2 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $5,286.15 – $16,310.00 | 4 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $5,286.15 – $16,310.00 | 4 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $9,352.97 – $16,310.00 | 4 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Ot evaluation high complexity patient/family CPT 97167 | $321.20 | $584.00 | $73.70 – $98.26 | 2 |
| Ot evaluation low complexity patient/family CPT 97165 | $160.60 | $292.00 | $73.70 – $98.26 | 2 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $241.45 | $439.00 | $73.70 – $98.26 | 2 |
| Other bone graft microvasc CPT 20962 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $17.35 – $222.34 | 5 |
| Oth resp proc, group HCPCS G0239 | $299.75 | $545.00 | $27.21 – $36.28 | 2 |
| Oth resp proc, indiv HCPCS G0238 | $80.30 | $146.00 | not published | 0 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $103.40 | $188.00 | $36.34 – $48.45 | 2 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $106.15 | $193.00 | $33.48 – $44.64 | 2 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $122.65 | $223.00 | $20.20 – $26.94 | 2 |
| Otoplasty 69300 CPT 69300 | not published | not published | $2,415.31 – $6,687.00 | 4 |
| Ot re-evaluation patient/family CPT 97168 | $104.50 | $190.00 | $50.05 – $66.73 | 2 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $108.35 | $197.00 | $25.50 – $34.00 | 2 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $99.55 | $181.00 | $13.70 – $18.27 | 2 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $99.55 | $181.00 | $14.52 – $19.36 | 2 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $127.60 | $232.00 | $21.19 – $28.25 | 2 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $106.15 | $193.00 | $23.88 – $31.84 | 2 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $125.40 | $228.00 | $23.59 – $31.45 | 2 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Outrigger HCPCS L1080 | not published | not published | $48.22 – $64.30 | 2 |
| Outrigger bil with vert extens HCPCS L1085 | not published | not published | $161.45 – $215.27 | 2 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $3,644.28 – $11,044.00 | 4 |
| Ovulation tests CPT 84830 | not published | not published | $9.52 – $99.67 | 5 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $0.93 – $1.98 | 3 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | not published | not published | $0.07 – $0.17 | 3 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $102.75 – $999.67 | 5 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | not published | not published | $0.19 – $0.20 | 3 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | not published | not published | $4.94 – $25.05 | 5 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $507.38 – $2,064.29 | 5 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $226.01 – $2,199.06 | 5 |
| Palifermin injection HCPCS J2425 | not published | not published | $29.02 – $68.24 | 5 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $90.66 – $677.45 | 4 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | not published | not published | $11.57 – $28.66 | 5 |
| Palonosetron hcl HCPCS J2469 | not published | not published | $0.73 – $1.09 | 3 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | not published | not published | $20.13 – $23.27 | 3 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Pancreatectomy CPT 48146 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Pancreatectomy CPT 48152 | not published | not published | $11,257.00 – $11,257.00 | 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.