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 |
|---|---|---|---|---|
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | not published | not published | $14,312.00 – $23,826.00 | 2 |
| Atomic absorption CPT 82190 | not published | not published | $11.92 – $121.49 | 5 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | not published | not published | $0.13 – $0.20 | 3 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $6,687.00 – $11,257.00 | 2 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $3,644.28 – $11,257.00 | 4 |
| Attach ocular implant CPT 65140 | not published | not published | $2,864.02 – $11,257.00 | 4 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $61.05 | $111.00 | not published | 0 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $93.74 – $124.98 | 2 |
| Audiometry air + bone CPT 92553 | $91.30 | $166.00 | $93.74 – $124.98 | 2 |
| Auditory function 60 min CPT 92620 | not published | not published | $93.74 – $124.98 | 2 |
| Augmentation cheek bone CPT 21270 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $4,312.59 – $11,044.00 | 4 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Augmentation of facial bones CPT 21208 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $630.49 – $4,309.60 | 5 |
| Autologous blood op salvage CPT 86891 | $376.75 | $685.00 | $586.94 – $943.73 | 3 |
| Autologous blood process CPT 86890 | $401.50 | $730.00 | $124.11 – $669.10 | 3 |
| Automated diff wbc count CPT 85004 | $84.70 | $154.00 | $4.85 – $64.28 | 5 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $96.93 – $129.23 | 2 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $93.74 – $124.98 | 2 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $96.93 – $129.23 | 2 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $81.48 – $190.57 | 5 |
| Av fistula revision CPT 36833 | not published | not published | $4,053.72 – $16,310.00 | 4 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $4,053.72 – $16,310.00 | 4 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $4,053.72 – $16,310.00 | 4 |
| Av fusion direct any site CPT 36821 | not published | not published | $2,300.22 – $11,257.00 | 4 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $4,053.72 – $16,310.00 | 4 |
| Avul nail plate addl CPT 11732 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $205.70 | $374.00 | $146.16 – $4,401.00 | 4 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $421,875.67 – $1,012,845.30 | 5 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Azacitidine injection HCPCS J9025 | not published | not published | $0.40 – $0.54 | 3 |
| Azathioprine 50 mg tablet HCPCS J7500 | not published | not published | $1.46 – $4.07 | 3 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | not published | not published | $3.22 – $4.97 | 3 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | not published | not published | $3.60 – $5.06 | 3 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $139.58 – $334.06 | 5 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $75.35 – $127.69 | 3 |
| Baclofen eval charges CPT 97750 | $99.55 | $181.00 | $24.55 – $32.73 | 2 |
| Bacterial meningitis antigen CPT 86403 | $109.45 | $199.00 | $8.66 – $101.26 | 5 |
| Bacterial vaginosis pcr CPT 87801 | $910.80 | $1,656.00 | $52.65 – $697.74 | 5 |
| Bactericidal level serum CPT 87197 | not published | not published | $11.26 – $149.36 | 5 |
| #bac vag cand-c. albicans naa CPT 87481 | $194.70 | $354.00 | $26.32 – $348.80 | 5 |
| Balloon dilate urtrl strix CPT 50706 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $26.32 – $348.80 | 5 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $157.30 – $209.73 | 2 |
| Basiliximab HCPCS J0480 | not published | not published | $3,678.79 – $8,877.69 | 5 |
| B cells total count CPT 86355 | $151.25 | $275.00 | $28.30 – $374.99 | 5 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $2.53 – $5.93 | 5 |
| Bckdhb gene CPT 81205 | not published | not published | $71.24 – $666.47 | 5 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $2.91 – $7.39 | 5 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $43.72 – $106.41 | 5 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $1.80 – $3.52 | 5 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $8.70 – $31.69 | 5 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | not published | not published | $9.40 – $24.93 | 5 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $22.43 – $53.31 | 5 |
| Benign lesion paring 2-4 CPT 11056 | not published | not published | $146.16 – $4,401.00 | 4 |
| Benign lesion paring 4+ CPT 11057 | not published | not published | $146.16 – $4,401.00 | 4 |
| #_benzodiazconfur CPT 80346 | $201.30 | $366.00 | $172.28 – $172.28 | 1 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | not published | not published | $24.32 – $32.81 | 3 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $39.05 | $71.00 | $19.09 – $57.79 | 5 |
| Beta-2 microglobulin CPT 82232 | $18.15 | $33.00 | $12.14 – $160.82 | 5 |
| Beta-amyloid 1-40 CPT 82233 | not published | not published | $96.69 – $128.92 | 2 |
| Beta-amyloid 1-42 CPT 82234 | $275.00 | $500.00 | $96.69 – $128.92 | 2 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | not published | not published | $9.93 – $13.89 | 3 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | not published | not published | $56.12 – $138.79 | 5 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | not published | not published | $18.40 – $54.81 | 5 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | not published | not published | $19.42 – $45.47 | 5 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | not published | not published | $27.01 – $36.01 | 2 |
| Bfb train ea addl 15 min 90913 CPT 90913 | not published | not published | $15.16 – $20.21 | 2 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $12.65 – $143.25 | 5 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | $7,789.00 – $7,789.00 | 1 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | not published | not published | $644.34 – $4,401.00 | 4 |
| Bilateral n block inj occipital 64405 CPT 64405 | $901.45 | $1,639.00 | $223.61 – $4,401.00 | 4 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $593.45 | $1,079.00 | $223.61 – $4,401.00 | 4 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $19.94 – $264.24 | 5 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | not published | $2,628.00 – $11,257.00 | 2 |
| Biliary endo perq dx w/speci CPT 47552 | not published | not published | $4,716.17 – $11,257.00 | 4 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $4,716.17 – $16,310.00 | 4 |
| Biliary endoscopy thru skin CPT 47554 | not published | not published | $7,743.83 – $16,781.00 | 4 |
| Biliary endoscopy thru skin CPT 47555 | not published | not published | $4,716.17 – $11,257.00 | 4 |
| Biliary endoscopy thru skin CPT 47556 | not published | not published | $7,743.83 – $16,781.00 | 4 |
| Bilicheck CPT 88720 | $58.30 | $106.00 | $3.76 – $49.84 | 5 |
| Bilirubin direct CPT 82248 | $36.85 | $67.00 | $3.76 – $49.84 | 5 |
| Bilirubin total CPT 82247 | $62.70 | $114.00 | $3.76 – $49.84 | 5 |
| Bilobectomy 32482 CPT 32482 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | not published | not published | $27.25 – $36.33 | 2 |
| Biofeedback, pt CPT 90901 | not published | not published | $12.03 – $16.04 | 2 |
| Biopsy abdominal mass CPT 49180 | $1,686.85 | $3,067.00 | $1,203.19 – $4,867.00 | 4 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $2,116.08 – $11,257.00 | 4 |
| Biopsy, bone open deep CPT 20245 | not published | not published | $2,116.08 – $11,257.00 | 4 |
| Biopsy bone trocar/needle superficial CPT 20220 | $1,686.85 | $3,067.00 | $1,203.19 – $4,867.00 | 4 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | not published | not published | $670.98 – $4,401.00 | 4 |
| Biopsy conjunctiva CPT 68100 | not published | not published | $1,732.00 – $4,867.00 | 4 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | not published | not published | $2,852.39 – $11,257.00 | 4 |
| Biopsy external ear 69100 CPT 69100 | not published | not published | $172.55 – $4,401.00 | 4 |
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.