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 |
|---|---|---|---|---|
| Revision of arm nerve(s) CPT 64713 | not published | not published | $1,422.56 – $6,687.00 | 4 |
| Revision of big toe CPT 28310 | not published | not published | $5,286.15 – $11,257.00 | 4 |
| Revision of bladder & bowel CPT 51960 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Revision of bladder neck CPT 52500 | not published | not published | $2,567.95 – $11,257.00 | 4 |
| Revision of bladder/urethra CPT 51800 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Revision of calf tendon CPT 27687 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Revision of cervix CPT 57720 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| Revision of cervix CPT 59320 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| Revision of circulation CPT 37140 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Revision of circulation CPT 37145 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Revision of circulation CPT 37160 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Revision of circulation CPT 37180 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Revision of collar bone CPT 23480 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Revision of collar bone CPT 23485 | not published | not published | $9,352.97 – $18,408.00 | 4 |
| Revision of colostomy CPT 44340 | not published | not published | $2,581.60 – $11,257.00 | 4 |
| Revision of colostomy comp in-depth 44345 CPT 44345 | not published | not published | $2,581.60 – $11,257.00 | 4 |
| Revision of colostomy paraclt hernia 44346 CPT 44346 | not published | not published | $2,581.60 – $11,257.00 | 4 |
| Revision of cornea CPT 65600 | not published | not published | $1,732.00 – $6,687.00 | 4 |
| Revision of cranial nerve CPT 64716 | not published | not published | $1,422.56 – $6,687.00 | 4 |
| Revision of eyelid CPT 67880 | not published | not published | $1,732.00 – $6,687.00 | 4 |
| Revision of eyelid CPT 67882 | not published | not published | $1,732.00 – $6,687.00 | 4 |
| Revision of eyelid CPT 67950 | not published | not published | $1,732.00 – $6,687.00 | 4 |
| Revision of eyelid CPT 67961 | not published | not published | $1,732.00 – $6,687.00 | 4 |
| Revision of eyelid CPT 67966 | not published | not published | $1,732.00 – $6,687.00 | 4 |
| Revision of femur epiphysis CPT 27185 | not published | not published | $2,383.65 – $16,310.00 | 4 |
| Revision of foot CPT 28116 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Revision of foot and ankle CPT 28262 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Revision of foot bones CPT 28737 | not published | not published | $9,352.97 – $18,408.00 | 4 |
| Revision of foot fascia 28250 CPT 28250 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Revision of foot tendon CPT 28238 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Revision of foot tendon CPT 28261 | not published | not published | $1,171.42 – $6,687.00 | 4 |
| Revision of heart chamber CPT 33476 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Revision of heart chamber CPT 33735 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Revision of heart chamber CPT 33736 | not published | not published | $14,312.00 – $14,312.00 | 1 |
| Revision of heart chamber CPT 33737 | not published | not published | $14,312.00 – $14,312.00 | 1 |
| Revision of heart veins dir/ptch 33645 CPT 33645 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Revision of hip bone CPT 27147 | not published | not published | $5,286.15 – $16,310.00 | 4 |
| Revision of hip bones CPT 27156 | not published | not published | $5,286.15 – $16,310.00 | 4 |
| Revision of hip tendon CPT 27097 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Revision of horseshoe kidney CPT 50540 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Revision of ileostomy complicated 44314 CPT 44314 | not published | not published | $2,581.60 – $11,257.00 | 4 |
| Revision of ileostomy; simple 44312 CPT 44312 | not published | not published | $2,581.60 – $11,257.00 | 4 |
| Revision of infusion pump CPT 36261 | not published | not published | $2,722.37 – $11,257.00 | 4 |
| Revision of iris CPT 66761 | not published | not published | $400.67 – $4,401.00 | 4 |
| Revision of iris CPT 66762 | not published | not published | $400.67 – $4,401.00 | 4 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $1,130.33 – $4,867.00 | 4 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $2,415.31 – $6,687.00 | 4 |
| Revision of kidney/ureter CPT 50400 | not published | not published | $7,789.00 – $11,044.00 | 2 |
| Revision of kidney/ureter CPT 50405 | not published | not published | $7,789.00 – $11,044.00 | 2 |
| Revision of knee joint CPT 27440 | not published | not published | $9,352.97 – $18,408.00 | 4 |
| Revision of knee joint CPT 27441 | not published | not published | $9,352.97 – $18,408.00 | 4 |
| Revision of knee joint CPT 27442 | not published | not published | $9,352.97 – $18,408.00 | 4 |
| Revision of knee joint CPT 27443 | not published | not published | $9,352.97 – $18,408.00 | 4 |
| Revision of knee joint CPT 27446 | not published | not published | $9,352.97 – $23,826.00 | 4 |
| Revision of knee joint CPT 27445 | not published | not published | $16,310.00 – $20,477.00 | 2 |
| Revision of larynx CPT 31400 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $2,300.22 – $4,867.00 | 4 |
| Revision of lung CPT 32940 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Revision of mitral valve CPT 33420 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Revision of mitral valve CPT 33422 | not published | not published | $14,312.00 – $14,312.00 | 1 |
| Revision of neck muscle CPT 21700 | not published | not published | $5,286.15 – $11,257.00 | 4 |
| Revision of neck muscle CPT 21720 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Revision of neck muscle CPT 21725 | not published | not published | $515.87 – $4,401.00 | 4 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $4,867.00 – $16,310.00 | 4 |
| Revision of nose CPT 30120 | not published | not published | $2,415.31 – $6,687.00 | 4 |
| Revision of nose CPT 30430 | not published | not published | $4,312.59 – $11,044.00 | 4 |
| Revision of nose CPT 30435 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Revision of nose CPT 30450 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Revision of nose CPT 30460 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Revision of nose CPT 30462 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Revision of pelvis CPT 27158 | not published | not published | $5,286.15 – $16,310.00 | 4 |
| Revision of penis CPT 54300 | not published | not published | $2,567.95 – $14,304.00 | 4 |
| Revision of penis CPT 54304 | not published | not published | $2,567.95 – $14,304.00 | 4 |
| Revision of penis CPT 54420 | not published | not published | $2,567.95 – $7,789.00 | 4 |
| Revision of penis CPT 54430 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Revision of penis CPT 54435 | not published | not published | $2,567.95 – $7,789.00 | 4 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Revision of radius CPT 25350 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Revision of radius CPT 25355 | not published | not published | $2,383.65 – $14,304.00 | 4 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $1,422.56 – $6,687.00 | 4 |
| Revision of scrotum CPT 55175 | not published | not published | $2,567.95 – $14,304.00 | 4 |
| Revision of scrotum CPT 55180 | not published | not published | $3,906.07 – $11,044.00 | 4 |
| Revision of spinal shunt CPT 63744 | not published | not published | $2,488.66 – $14,304.00 | 4 |
| Revision of testis CPT 54660 | not published | not published | $3,906.07 – $11,044.00 | 4 |
| Revision of thigh muscles CPT 27430 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Revision of toe CPT 28312 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Revision of ulna CPT 25360 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Revision of upper arm CPT 24940 | not published | not published | $9,352.97 – $16,310.00 | 4 |
| Revision of ureter CPT 50700 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Revision of urethra CPT 53450 | not published | not published | $2,567.95 – $7,789.00 | 4 |
| Revision of urethra CPT 53460 | not published | not published | $2,567.95 – $6,687.00 | 4 |
| Revision of urethra CPT 57220 | not published | not published | $3,644.28 – $14,304.00 | 4 |
| Revision of urinary tract CPT 51820 | not published | not published | $11,044.00 – $11,044.00 | 1 |
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.