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 |
|---|---|---|---|---|
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Perq tx malar fracture CPT 21355 | not published | not published | $2,415.31 – $14,304.00 | 4 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $3,179.00 – $11,044.00 | 4 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $2,415.31 – $14,304.00 | 4 |
| Pertussis ag if CPT 87265 | not published | not published | $8.98 – $119.16 | 5 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $12.90 – $32.09 | 5 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $44.92 – $120.44 | 5 |
| Pet CT skull-mid thgh initial CPT 78815 | $3,320.90 | $6,038.00 | $1,041.72 – $9,002.61 | 3 |
| Pet CT whole body initial CPT 78816 | $3,353.35 | $6,097.00 | $1,041.72 – $9,081.12 | 3 |
| Pet fdg brain metoblic eval sb CPT 78608 | $3,353.35 | $6,097.00 | $1,041.72 – $5,443.63 | 3 |
| Pet image full body CPT 78813 | not published | not published | $1,041.72 – $7,141.99 | 3 |
| Pet image ltd area CPT 78811 | not published | not published | $943.15 – $5,633.71 | 3 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,041.72 – $7,115.35 | 3 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $1,041.72 – $8,112.86 | 3 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $291.23 – $388.31 | 2 |
| Pet scan brain perf study CPT 78609 | not published | not published | $833.38 – $833.38 | 1 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $3,523.65 | $6,406.64 | not published | 0 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $14.60 – $19.47 | 2 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $21.34 – $28.46 | 2 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $7.54 – $10.05 | 2 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Ph body fluid CPT 83986 | $81.95 | $149.00 | $2.68 – $35.61 | 5 |
| Phencyclidine (pcp) CPT 83992 | $290.95 | $529.00 | $146.07 – $146.07 | 1 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | not published | $42.69 – $56.91 | 3 |
| Phenobarbital therapeutic drug level CPT 80184 | $68.20 | $124.00 | $11.48 – $113.84 | 5 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $216.47 – $829.36 | 5 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | not published | not published | $0.01 – $0.01 | 1 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.75 – $1.25 | 3 |
| Phenytoin total therapeutic drug level CPT 80185 | $177.65 | $323.00 | $9.94 – $131.78 | 5 |
| Phlebotomy therapeutic CPT 99195 | $193.60 | $352.00 | $96.93 – $129.23 | 2 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $2,300.22 – $11,257.00 | 4 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $2,300.22 – $11,257.00 | 4 |
| Phosphorus CPT 84100 | $37.40 | $68.00 | $3.56 – $47.13 | 5 |
| Phosphorus 24 hour urine CPT 84105 | $13.75 | $25.00 | $4.34 – $51.45 | 5 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $42.98 – $57.30 | 2 |
| Photochemotherapy puva CPT 96912 | $189.20 | $344.00 | $42.98 – $57.30 | 2 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $296.15 – $394.86 | 2 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Photo patch test CPT 95052 | not published | not published | $42.98 – $57.30 | 2 |
| Photopheresis CPT 36522 | not published | not published | $3,172.98 – $14,304.00 | 4 |
| Photosensitivity tests CPT 95056 | not published | not published | $96.93 – $129.23 | 2 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $37.96 – $397.95 | 3 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $124.11 – $402.95 | 3 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $21.07 – $402.95 | 3 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | not published | not published | $3.55 – $5.40 | 3 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $206.12 – $2,005.54 | 5 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $5,286.15 – $16,310.00 | 3 |
| Pillow shldr abduc inflat univ HCPCS L3960 | not published | not published | $669.04 – $892.05 | 2 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $538.41 – $4,401.00 | 4 |
| Pin finger dislocation CPT 26776 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Pin finger fracture each CPT 26756 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Pin hand dislocation CPT 26676 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Pinworm exam CPT 87172 | $62.15 | $113.00 | $3.20 – $42.45 | 5 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $3.20 – $53.78 | 5 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | not published | not published | $1.62 – $2.11 | 3 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $434.61 – $5,761.10 | 5 |
| Place breast cath for rad CPT 19297 | not published | not published | $16,310.00 – $16,310.00 | 1 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $10,039.42 – $17,411.00 | 4 |
| Place cath intracranial art CPT 36228 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Place cath xtrnl carotid CPT 36227 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $871.75 – $4,867.00 | 4 |
| Place device/marker, non pro HCPCS C9728 | not published | not published | $1,008.34 – $4,867.00 | 3 |
| Place duod/jej tube perc CPT 49441 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Place endorectal app HCPCS C9725 | not published | not published | $677.47 – $2,628.00 | 3 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Place gastrostomy tube perc CPT 49440 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Placement bile duct support CPT 47801 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $943.25 | $1,715.00 | $1,203.19 – $4,401.00 | 4 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $423.50 | $770.00 | $1,676.00 – $1,676.00 | 1 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $994.95 | $1,809.00 | $515.87 – $4,401.00 | 4 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $1,315.60 | $2,392.00 | $1,522.84 – $6,687.00 | 4 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Placement of drain pancreas CPT 48001 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Placement of seton CPT 46020 | not published | not published | $2,022.07 – $6,687.00 | 4 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | not published | not published | $8,409.93 – $23,826.00 | 4 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Place needles h&n for right CPT 41019 | not published | not published | $4,312.59 – $11,044.00 | 4 |
| Place needles pelvic for right CPT 55920 | not published | not published | $3,644.28 – $11,044.00 | 4 |
| Place non-slctv cath thoracic arta CPT 36221 | not published | not published | $2,300.22 – $11,257.00 | 4 |
| Placental lactogen CPT 83632 | not published | not published | $15.16 – $200.97 | 5 |
| Place po breast cath for rad CPT 19296 | not published | not published | $5,954.31 – $18,408.00 | 4 |
| Place right device/marker pros CPT 55876 | not published | not published | $1,008.34 – $4,867.00 | 4 |
| Place slctv cath carotd art uni CPT 36224 | not published | not published | $4,053.72 – $16,310.00 | 4 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | not published | not published | $2,300.22 – $11,257.00 | 4 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | not published | not published | $4,053.72 – $16,310.00 | 4 |
| Place slctv cath subclavian art CPT 36225 | not published | not published | $2,300.22 – $11,257.00 | 4 |
| Place slctv cath vertebral art uni CPT 36226 | not published | not published | $4,053.72 – $16,310.00 | 4 |
| Plasma volume multiple CPT 78111 | not published | not published | $943.15 – $1,257.53 | 3 |
| Plasma volume single CPT 78110 | not published | not published | $940.61 – $1,257.53 | 3 |
| Plas shoe insert w ank joint HCPCS L2180 | not published | not published | $122.19 – $162.92 | 2 |
| Plastic mod low ext pad/line HCPCS L2275 | not published | not published | $120.14 – $160.19 | 2 |
| Plastic mold recipro hip & c HCPCS L2627 | not published | not published | $1,969.94 – $2,626.58 | 2 |
| Plastic surgery neck CPT 15819 | not published | not published | $3,179.00 – $4,867.00 | 2 |
| Plast socket jts/thgh lacer HCPCS L5105 | not published | not published | $3,555.80 – $4,741.07 | 2 |
| Platelet aggregation each agent teg CPT 85576 | $106.70 | $194.00 | $18.68 – $213.60 | 5 |
| Platelet automated CPT 85049 | $22.00 | $40.00 | $3.36 – $44.51 | 5 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $321.40 – $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.