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 |
|---|---|---|---|---|
| Promethazine hcl injection HCPCS J2550 | not published | not published | $4.80 – $6.60 | 3 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $231.23 – $4,401.00 | 4 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $400.67 – $4,401.00 | 4 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $9,352.97 – $18,408.00 | 4 |
| Prophylactic tx radius CPT 25490 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $2,383.65 – $14,304.00 | 4 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $9,352.97 – $18,408.00 | 4 |
| Propofol infusion 10 mg/ml HCPCS J2704 | not published | not published | $0.13 – $0.17 | 3 |
| _propoxygc/msur CPT 80367 | $243.10 | $442.00 | $172.28 – $172.28 | 1 |
| Pros sheath/sock w gel cushn HCPCS L8417 | not published | not published | $69.46 – $92.62 | 2 |
| Pros soc insert gasket/seal HCPCS L7700 | not published | not published | $138.16 – $184.22 | 2 |
| Pros sock multi ply upper lm HCPCS L8435 | not published | not published | $20.73 – $27.64 | 2 |
| Pros sock single ply ak HCPCS L8480 | not published | not published | $8.45 – $11.27 | 2 |
| Pros sock single ply upper l HCPCS L8485 | not published | not published | $11.38 – $15.17 | 2 |
| Prostate biopsy, any mthd HCPCS G0416 | $425.15 | $773.00 | $261.13 – $348.17 | 2 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $3,906.07 – $14,304.00 | 4 |
| Prostate laser enucleation CPT 52649 | not published | not published | $3,906.07 – $14,304.00 | 4 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $2,567.95 – $11,257.00 | 4 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $2,567.95 – $14,304.00 | 4 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | not published | not published | $100.86 – $134.48 | 2 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | not published | not published | $38.66 – $51.55 | 2 |
| Prosthetic sock multi ply bk HCPCS L8420 | not published | not published | $19.26 – $25.68 | 2 |
| Prosthetic type socket molde HCPCS L2350 | not published | not published | $767.94 – $1,023.92 | 2 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | not published | not published | $6.13 – $8.17 | 2 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | not published | not published | $2.03 – $3.11 | 3 |
| Protect body sock ea pre ots HCPCS L0984 | not published | not published | $62.37 – $83.16 | 2 |
| Protein analysis w/probe CPT 88372 | not published | not published | $32.78 – $226.05 | 3 |
| Protein c activity CPT 85303 | $77.55 | $141.00 | $10.38 – $137.45 | 5 |
| Protein c concentrate HCPCS J2724 | not published | not published | $2.86 – $27.81 | 5 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $164.45 | $299.00 | $8.06 – $106.76 | 5 |
| Protein s total CPT 85305 | $31.90 | $58.00 | $8.71 – $115.37 | 5 |
| Protein total 24 hour urine CPT 84156 | $86.35 | $157.00 | $2.75 – $36.48 | 5 |
| Protein total body fluid CPT 84157 | $103.40 | $188.00 | $3.00 – $36.48 | 5 |
| Protein total serum plasma whole blood CPT 84155 | $37.40 | $68.00 | $2.75 – $36.48 | 5 |
| Protein western blot tissue CPT 88371 | not published | not published | $27.79 – $220.89 | 3 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $86.90 | $158.00 | $2.96 – $39.19 | 5 |
| Proton treatment complex CPT 77525 | not published | not published | $910.44 – $12,626.11 | 3 |
| Proton trmt intermediate CPT 77523 | not published | not published | $910.44 – $11,412.20 | 3 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $910.44 – $9,824.09 | 3 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $402.53 – $9,797.44 | 3 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $7.30 – $85.60 | 5 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $96.99 – $129.32 | 2 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $2,608.32 – $11,257.00 | 4 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $13,354.59 – $23,826.00 | 4 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $13,354.59 – $23,826.00 | 4 |
| Prq card angio/athrect addl CPT 92925 | not published | not published | $23,826.00 – $23,826.00 | 1 |
| Prq cardiac angio addl art CPT 92921 | not published | not published | $16,310.00 – $16,310.00 | 1 |
| Prq card revasc chronic addl CPT 92944 | not published | not published | $16,310.00 – $16,310.00 | 1 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | not published | $16,310.00 – $18,408.00 | 2 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | not published | not published | $14,312.00 – $14,312.00 | 1 |
| Prq card stent/ath/angio CPT 92934 | not published | not published | $16,310.00 – $16,310.00 | 1 |
| Prq card stent w/angio addl CPT 92929 | not published | not published | $16,310.00 – $16,310.00 | 1 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $8,409.93 – $18,408.00 | 4 |
| Prq revasc byp graft addl CPT 92938 | not published | not published | $16,310.00 – $16,310.00 | 1 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,171.42 – $6,687.00 | 4 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | not published | not published | $8,409.93 – $18,408.00 | 4 |
| Prq trlml c athrc st angiop1 CPT 92933 | not published | not published | $13,354.59 – $17,806.11 | 4 |
| Prq trluml c angiop 1art&/br CPT 92920 | not published | not published | $4,146.30 – $17,411.00 | 4 |
| Prq trluml c athrc 1 art&/br CPT 92924 | not published | not published | $8,409.93 – $23,826.00 | 4 |
| Prq trluml revsc ch occ ant CPT 92943 | not published | not published | $8,409.93 – $18,408.00 | 4 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $325.44 – $4,401.00 | 4 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $198.55 | $361.00 | $96.93 – $4,401.00 | 4 |
| Pr removal intrauterine device CPT 58301 | not published | not published | $222.00 – $4,401.00 | 4 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $480.70 | $874.00 | $296.15 – $4,401.00 | 4 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $347.05 | $631.00 | $146.16 – $4,401.00 | 4 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $404.80 | $736.00 | $146.16 – $4,401.00 | 4 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $302.50 | $550.00 | $146.16 – $4,401.00 | 4 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $353.10 | $642.00 | $146.16 – $4,401.00 | 4 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $1,503.10 – $4,867.00 | 4 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $321.40 – $4,401.00 | 4 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $5,286.15 – $11,257.00 | 4 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $5,286.15 – $11,257.00 | 4 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,468.50 | $2,670.00 | $1,146.77 – $4,867.00 | 4 |
| PSA (Prostate) Test CPT 84153 | $208.45 | $379.00 | $13.79 – $182.85 | 5 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $157.30 – $209.73 | 2 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $325.44 – $433.92 | 2 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $96.93 – $129.23 | 2 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $106.15 | $193.00 | $10.66 – $14.21 | 2 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $102.85 | $187.00 | not published | 0 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $119.90 | $218.00 | $13.79 – $18.39 | 2 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $125.40 | $228.00 | $10.38 – $13.84 | 2 |
| Pt application of modality traction mechanical CPT 97012 | $102.85 | $187.00 | $10.41 – $13.88 | 2 |
| Pten gene dup/delet variant CPT 81323 | $1,023.00 | $1,860.00 | $225.00 – $638.26 | 5 |
| Pten gene full sequence CPT 81321 | $1,023.00 | $1,860.00 | $450.00 – $4,376.67 | 5 |
| Pten gene known fam variant CPT 81322 | not published | not published | $34.95 – $425.48 | 5 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $4,312.59 – $11,044.00 | 4 |
| Pt evaluation high complexity patient/family CPT 97163 | $245.85 | $447.00 | $71.78 – $95.70 | 2 |
| Pt evaluation low complexity patient/family CPT 97161 | $81.95 | $149.00 | $71.78 – $95.70 | 2 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $163.90 | $298.00 | $71.78 – $95.70 | 2 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $17.97 – $23.96 | 2 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $1,053.28 – $1,404.38 | 2 |
| Pt re-evaluation patient/family CPT 97164 | $158.40 | $288.00 | $49.33 – $65.77 | 2 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $99.00 | $180.00 | $21.80 – $29.07 | 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.