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 |
|---|---|---|---|---|
| Platelets each unit HCPCS P9019 | $116.05 | $211.00 | not published | 0 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $999.90 | $1,818.00 | not published | 0 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $400.40 | $728.00 | not published | 0 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $212.30 | $386.00 | not published | 0 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $911.35 | $1,657.00 | not published | 0 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $794.20 | $1,444.00 | not published | 0 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $993.85 | $1,807.00 | not published | 0 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $676.50 | $1,230.00 | $510.46 – $680.61 | 2 |
| Platelet survival CPT 78191 | not published | not published | $291.23 – $1,548.67 | 3 |
| Plating chrome/nickel pr bar HCPCS L2750 | not published | not published | $72.04 – $96.05 | 2 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $218.52 – $2,126.00 | 5 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $8,495.30 | $15,446.00 | $2,608.32 – $11,257.00 | 4 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | not published | not published | $2,567.95 – $7,789.00 | 4 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | not published | not published | $2,567.95 – $11,257.00 | 4 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $944.90 | $1,718.00 | $515.87 – $4,401.00 | 4 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $401.50 | $730.00 | $1,676.00 – $1,676.00 | 1 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $423.50 | $770.00 | $1,676.00 – $1,676.00 | 1 |
| Plerixafor injection HCPCS J2562 | not published | not published | $21.37 – $226.99 | 5 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $191.40 | $348.00 | not published | 0 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $4,716.17 – $11,257.00 | 4 |
| Plmt biliary drainage cath CPT 47534 | not published | not published | $2,608.32 – $11,257.00 | 4 |
| Plmt nephroureteral catheter CPT 50433 | not published | not published | $2,567.95 – $6,687.00 | 4 |
| Plmt ureteral stent prq CPT 50694 | not published | not published | $2,567.95 – $11,257.00 | 4 |
| Plug insert indwelling 16f HCPCS L8511 | not published | not published | $67.16 – $89.55 | 2 |
| Pm device progr eval dual CPT 93280 | not published | not published | $27.19 – $36.25 | 2 |
| Pm device progr eval multi CPT 93281 | not published | not published | $27.19 – $36.25 | 2 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $155.48 – $3,143.05 | 5 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $568.77 – $5,320.81 | 5 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $577.18 – $5,399.52 | 5 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $34.95 – $370.81 | 5 |
| Pm phone r-strip device eval CPT 93293 | not published | not published | $27.19 – $36.25 | 2 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $152.62 – $1,615.01 | 5 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $507.38 – $5,692.43 | 5 |
| Pms2 known familial variants CPT 81318 | not published | not published | $248.25 – $1,345.04 | 5 |
| Pneum full leg splnt pre ots HCPCS L4370 | not published | not published | $216.94 – $289.25 | 2 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $456.99 – $4,401.00 | 4 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $518.20 – $518.20 | 1 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | not published | not published | $19.55 – $192.34 | 5 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $107.71 – $258.84 | 5 |
| Polycentric hinge pair HCPCS L6600 | not published | not published | $209.48 – $279.30 | 2 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $625.59 – $834.12 | 2 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $625.59 – $834.12 | 2 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $2,532.75 | $4,605.00 | $625.59 – $834.12 | 2 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $7.88 – $95.39 | 5 |
| Positional change of finger CPT 26555 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Positional nystagmus test CPT 92532 | $66.55 | $121.00 | not published | 0 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $18.75 – $55.40 | 5 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Postop applicat rigid dsg on HCPCS L6388 | not published | not published | $475.49 – $633.99 | 2 |
| Postop app non-wgt bear dsg HCPCS L5450 | not published | not published | $436.76 – $582.35 | 2 |
| Postop app non-wgt bear dsg HCPCS L5460 | not published | not published | $572.86 – $763.82 | 2 |
| Postop dress & 1 cast chg bk HCPCS L5400 | not published | not published | $1,473.43 – $1,964.57 | 2 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | not published | not published | $1,860.88 – $2,481.17 | 2 |
| Postop dsg ak ea add cast ch HCPCS L5430 | not published | not published | $505.13 – $673.51 | 2 |
| Postop dsg bk ea add cast ch HCPCS L5410 | not published | not published | $407.06 – $542.75 | 2 |
| Postop dsg cast chg elb dis/ HCPCS L6382 | not published | not published | $1,557.04 – $2,076.05 | 2 |
| Postop dsg cast chg wrst/elb HCPCS L6380 | not published | not published | $1,307.93 – $1,743.91 | 2 |
| Postop ea cast chg & realign HCPCS L6386 | not published | not published | $431.78 – $575.71 | 2 |
| Post-operative body jacket HCPCS L1310 | not published | not published | $1,654.61 – $2,206.15 | 2 |
| Post-op hip abduct custom fa HCPCS L1685 | not published | not published | $1,025.14 – $1,366.86 | 2 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Potassium 24 hour urine CPT 84133 | $70.40 | $128.00 | $3.55 – $42.76 | 5 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | not published | not published | $0.19 – $0.32 | 3 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $4.37 – $42.45 | 5 |
| Potassium serum/plasma/whole blood CPT 84132 | $40.70 | $74.00 | $3.57 – $45.70 | 5 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $102.75 – $999.67 | 5 |
| Pq biliary strict dil s&i CPT 74363 | not published | not published | $858.59 – $858.59 | 1 |
| Pq dr cath chg w cont s&i CPT 75984 | $639.10 | $1,162.00 | $770.12 – $770.12 | 1 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Pq thr inj ext pse CPT 36002 | not published | not published | $456.99 – $4,401.00 | 4 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $289.59 – $738.77 | 5 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $3,275.80 | $5,956.00 | $2,383.65 – $11,257.00 | 4 |
| Pr application of long arm splint CPT 29105 | $332.75 | $605.00 | $118.38 – $4,401.00 | 4 |
| Pr application splint static short arm CPT 29125 | $283.80 | $516.00 | $96.93 – $4,401.00 | 4 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $27.21 – $36.28 | 2 |
| Pr biopsy skin punch single lesion CPT 11104 | $365.20 | $664.00 | $296.15 – $4,401.00 | 4 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $7,789.00 – $20,477.00 | 4 |
| Pr correction hammertoe CPT 28285 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $44.00 | $80.00 | not published | 0 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Prcrd drg 6+yr without anomly CPT 33017 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $2,567.95 – $11,257.00 | 4 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $205.70 | $374.00 | $146.16 – $4,401.00 | 4 |
| Prealbumin CPT 84134 | $142.45 | $259.00 | $10.94 – $55.54 | 5 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | not published | not published | $0.52 – $1.05 | 3 |
| Prednisone 1 mg tablet HCPCS J7512 | not published | not published | $0.01 – $0.02 | 3 |
| Prefab glove for term device HCPCS L6890 | not published | not published | $184.45 – $245.93 | 2 |
| Pregabalin - sendout CPT 80366 | $72.05 | $131.00 | $172.28 – $172.28 | 1 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $1,386.00 | $2,520.00 | $1,397.92 – $4,867.00 | 4 |
| Pregnancy associated plasma protein-a CPT 84163 | $31.90 | $58.00 | $11.29 – $149.66 | 5 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $1,023.00 | $1,860.00 | $76.16 – $993.93 | 3 |
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.