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 |
|---|---|---|---|---|
| Pregnancy Ultrasound (first trimester) CPT 76801 | $625.35 | $1,137.00 | $76.16 – $797.13 | 3 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $157.30 – $209.73 | 2 |
| Prep ak ischial direct form HCPCS L5570 | not published | not published | $2,092.44 – $2,789.92 | 2 |
| Prep ak ischial laminated HCPCS L5590 | not published | not published | $2,707.66 – $3,610.21 | 2 |
| Prep ak ischial plast molded HCPCS L5560 | not published | not published | $2,155.96 – $2,874.62 | 2 |
| Prep ak ischial thermo mold HCPCS L5580 | not published | not published | $2,597.03 – $3,462.71 | 2 |
| Preparation for bladder xray CPT 51605 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Preparation palate mold CPT 42280 | not published | not published | $392.90 – $4,401.00 | 4 |
| Prepare donor heart CPT 33944 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Prepare donor intestine CPT 44715 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Prepare donor lung double CPT 32856 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Prepare donor lung single CPT 32855 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $37.96 – $50.62 | 2 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $4,401.00 – $4,401.00 | 1 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Prepare penis study CPT 54230 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Prep bk ptb laminated socket HCPCS L5540 | not published | not published | $1,892.12 – $2,522.82 | 2 |
| Prep bk ptb open end socket HCPCS L5535 | not published | not published | $1,786.46 – $2,381.94 | 2 |
| Prep bk ptb plaster molded HCPCS L5510 | not published | not published | $1,626.32 – $2,168.42 | 2 |
| Prep bk ptb thermopls molded HCPCS L5530 | not published | not published | $1,916.36 – $2,555.15 | 2 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Prep donor liver/venous CPT 47146 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Prep donor liver whole CPT 47143 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Prep donor pancreas CPT 48551 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Prep donor renal graft CPT 50325 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $4,401.00 – $6,893.34 | 3 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $625.59 – $834.12 | 2 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Prep renal graft/venous CPT 50327 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Prep skin cell susp, automtd HCPCS C8002 | not published | not published | $5,170.01 – $20,477.00 | 3 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $296.15 – $4,401.00 | 4 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $538.41 – $4,867.00 | 4 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Pressure max expiratory/inspiratory CPT 94799 | $253.00 | $460.00 | $93.74 – $124.98 | 2 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Pressure velocity wire add ves CPT 93572 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | not published | $385.18 – $513.58 | 2 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $73.15 | $133.00 | $124.11 – $237.17 | 3 |
| Pretreat rbc absorption reference CPT 86978 | $176.00 | $320.00 | $42.98 – $237.17 | 3 |
| Pretreat rbc density gradient separation reference CPT 86972 | $132.55 | $241.00 | $124.11 – $274.61 | 3 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $59.40 | $108.00 | $42.98 – $197.24 | 3 |
| Pretreat rbc w enzyme reference CPT 86971 | $51.15 | $93.00 | $124.11 – $165.49 | 3 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $96.99 – $129.32 | 2 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $1,203.19 – $4,867.00 | 4 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $1,203.19 – $4,867.00 | 4 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $656.15 | $1,193.00 | $296.15 – $4,401.00 | 4 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $2,808.71 – $11,257.00 | 4 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $27.19 – $36.25 | 2 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $27.19 – $36.25 | 2 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $27.19 – $36.25 | 2 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $27.19 – $36.25 | 2 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $27.19 – $36.25 | 2 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $27.19 – $36.25 | 2 |
| Prgr stim/pace a/iv drug CPT 93623 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Prim art mech thrmbc non-intracranial CPT 37184 | not published | not published | $13,354.59 – $17,806.11 | 4 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Prin care mgmt staff 1st 30 CPT 99426 | $90.20 | $164.00 | not published | 0 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $1,068.10 | $1,942.00 | $296.15 – $4,401.00 | 4 |
| Pr incision & drainage abscess simple/single CPT 10060 | $432.85 | $787.00 | $146.16 – $4,401.00 | 4 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $446.05 | $811.00 | $222.00 – $4,401.00 | 4 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $365.75 | $665.00 | $296.15 – $4,401.00 | 4 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $96.99 – $129.32 | 2 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $96.99 – $129.32 | 2 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $122.10 | $222.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $1,422.56 – $6,687.00 | 4 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $231.23 – $4,401.00 | 4 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $1,732.00 – $6,687.00 | 4 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $1,732.00 – $6,687.00 | 4 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $1,732.00 – $6,687.00 | 4 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | not published | not published | $221.52 – $412.29 | 5 |
| Procalcitonin CPT 84145 | $68.20 | $124.00 | $20.42 – $266.26 | 5 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | not published | not published | $4.23 – $5.46 | 3 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $2,022.07 – $6,687.00 | 4 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $871.75 – $4,867.00 | 4 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $871.75 – $4,867.00 | 4 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $677.47 – $4,401.00 | 4 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $2,022.07 – $4,867.00 | 4 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $871.75 – $4,867.00 | 4 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $871.75 – $4,867.00 | 4 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $2,022.07 – $6,687.00 | 4 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $871.75 – $4,867.00 | 4 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $2,022.07 – $6,687.00 | 4 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $4,422.65 – $11,044.00 | 4 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $90.66 – $242.34 | 5 |
| Progesterone CPT 84144 | $125.40 | $228.00 | $15.64 – $185.00 | 5 |
| Prolactin CPT 84146 | $172.70 | $314.00 | $14.54 – $192.65 | 5 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $154.95 – $206.61 | 2 |
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.