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 |
|---|---|---|---|---|
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | not published | not published | $21.08 – $28.11 | 2 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $146.16 – $1,676.00 | 3 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,503.10 – $4,867.00 | 4 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $93.74 – $124.98 | 2 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $93.74 – $124.98 | 2 |
| Pediatric electric hand HCPCS L7008 | not published | not published | $5,230.76 – $6,974.35 | 2 |
| Pediatric electric hook HCPCS L7045 | not published | not published | $1,484.09 – $1,978.79 | 2 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $1,503.10 – $4,867.00 | 4 |
| Ped term dev, hand, vol clos HCPCS L6714 | not published | not published | $1,222.05 – $1,629.40 | 2 |
| Ped term dev, hand, vol open HCPCS L6713 | not published | not published | $1,442.80 – $1,923.74 | 2 |
| Ped term dev, hook, vol clos HCPCS L6712 | not published | not published | $1,143.21 – $1,524.28 | 2 |
| Ped term dev, hook, vol open HCPCS L6711 | not published | not published | $620.89 – $827.85 | 2 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $22,247.97 – $54,005.71 | 5 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $28.97 – $143.23 | 5 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $102.68 – $250.87 | 5 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $111.85 – $258.48 | 5 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $107.75 – $551.87 | 5 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $50.27 – $231.81 | 5 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $78.83 – $339.51 | 5 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $2,947.00 – $6,913.84 | 5 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $169.25 – $437.53 | 5 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $436.34 – $581.79 | 2 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $307.30 – $409.73 | 2 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $289.63 – $386.17 | 2 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $213.41 – $284.55 | 2 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $230.44 – $307.25 | 2 |
| Pelvic control pelvic sling HCPCS L2580 | not published | not published | $399.99 – $533.32 | 2 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,655.50 | $3,010.00 | $127.78 – $2,147.61 | 3 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,531.20 | $2,784.00 | $127.78 – $1,804.20 | 3 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,350.25 | $2,455.00 | $76.16 – $978.49 | 3 |
| Pelvic exenteration CPT 45126 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $1,050.08 – $1,400.11 | 2 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,521.20 | $4,584.00 | $254.15 – $4,225.75 | 3 |
| Pelvic MRI (with contrast) CPT 72196 | not published | not published | $254.15 – $3,496.51 | 3 |
| Pelvic MRI (without contrast) CPT 72195 | $2,318.25 | $4,215.00 | $173.82 – $3,249.55 | 3 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $5,286.15 – $11,257.00 | 4 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $5,286.15 – $16,310.00 | 4 |
| Pelvic Ultrasound (complete) CPT 76856 | $849.20 | $1,544.00 | $76.16 – $820.29 | 3 |
| Pelvic Ultrasound (limited) CPT 76857 | $257.40 | $468.00 | $76.16 – $245.38 | 3 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $127.54 – $170.06 | 2 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $45.48 – $111.27 | 5 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $5.21 – $9.75 | 5 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $14.64 – $33.00 | 5 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | not published | not published | $24.44 – $55.67 | 5 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | not published | not published | $1.13 – $1.67 | 3 |
| Penile injection CPT 54235 | $468.60 | $852.00 | $182.01 – $4,401.00 | 4 |
| Penile vascular study CPT 93980 | not published | not published | $76.16 – $101.55 | 2 |
| Penile vascular study CPT 93981 | not published | not published | $76.16 – $101.55 | 2 |
| Penile venous occlusion CPT 37790 | not published | not published | $2,567.95 – $11,257.00 | 4 |
| Penis plastic surgery CPT 54360 | not published | not published | $2,567.95 – $14,304.00 | 4 |
| Penis study CPT 54240 | not published | not published | $157.30 – $4,401.00 | 4 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $115.28 – $156.50 | 3 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,023.49 – $5,055.18 | 5 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $7,743.83 – $18,408.00 | 4 |
| Perc d-e cor revasc chro add HCPCS C9608 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Perc d-e cor revasc chro sin HCPCS C9607 | not published | not published | $13,354.59 – $23,826.00 | 4 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | not published | not published | $8,409.93 – $23,826.00 | 4 |
| Perc d-e cor stent ather br HCPCS C9603 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Perc d-e cor stent ather s HCPCS C9602 | not published | not published | $13,354.59 – $23,826.00 | 4 |
| Perc drug-el cor stent bran HCPCS C9601 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Perc drug-el cor stent sing HCPCS C9600 | not published | not published | $8,409.93 – $23,826.00 | 4 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Percut ablate liver rf CPT 47382 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | not published | not published | $60.73 – $78.28 | 3 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Pericardiocentesis wwo imaging CPT 33016 | not published | not published | $1,146.77 – $4,867.00 | 4 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $2,852.39 – $11,257.00 | 4 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| Peripheral vascular rehab CPT 93668 | $50.05 | $91.00 | $42.98 – $57.30 | 2 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $4,053.72 – $16,310.00 | 4 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $363.75 – $530.75 | 3 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $291.23 – $2,356.66 | 3 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $15.74 – $20.99 | 2 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $1,457.79 – $1,943.72 | 2 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $515.87 – $4,401.00 | 4 |
| Perq dev breast 1st strtctc CPT 19283 | $1,474.00 | $2,680.00 | $515.87 – $4,401.00 | 4 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $6,896.31 – $18,408.00 | 4 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $6,896.31 – $18,408.00 | 4 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $8,409.93 – $23,826.00 | 4 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $13,354.59 – $23,826.00 | 4 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $8,409.93 – $23,826.00 | 4 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $8,409.93 – $23,826.00 | 4 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $578.05 | $1,051.00 | $182.01 – $4,401.00 | 4 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Perq transcath closure each CPT 93592 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Perq transcath closure pda CPT 93582 | not published | not published | $13,354.59 – $38,664.00 | 4 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $13,354.59 – $39,754.00 | 4 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $13,354.59 – $39,754.00 | 4 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $14,312.00 – $14,312.00 | 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.