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 |
|---|---|---|---|---|
| Blood typing rbc ag non abo/rh ea CPT 86905 | $393.80 | $716.00 | $4.79 – $348.17 | 5 |
| Blood typing rh (d) CPT 86901 | $46.75 | $85.00 | $3.74 – $36.28 | 5 |
| Blood typing rh phenotype complete reference CPT 86906 | $42.90 | $78.00 | $9.69 – $76.99 | 5 |
| Blood volume CPT 78122 | not published | not published | $395.55 – $855.72 | 3 |
| Blue light cysto imag agent HCPCS C9738 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $2,116.08 – $11,257.00 | 4 |
| Bone Density Scan (DEXA) CPT 77080 | $335.50 | $610.00 | $76.16 – $334.11 | 3 |
| Bone imaging multiple areas CPT 78305 | not published | not published | $291.23 – $2,136.73 | 3 |
| Bone/joint imaging ltd area CPT 78300 | $1,040.05 | $1,891.00 | $291.23 – $1,681.46 | 3 |
| Bone marrow;aspiration only 38220 CPT 38220 | $1,703.35 | $3,097.00 | $1,203.19 – $4,867.00 | 4 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,703.35 | $3,097.00 | $1,203.19 – $4,867.00 | 4 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $1,134.58 – $4,867.00 | 4 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $3,172.98 – $14,304.00 | 4 |
| Bone marrow imaging body CPT 78104 | not published | not published | $291.23 – $2,321.95 | 3 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $291.23 – $1,604.27 | 3 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $291.23 – $2,090.45 | 3 |
| Bone marrow interpretation CPT 85097 | $84.70 | $154.00 | $586.94 – $782.58 | 3 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Bone survey-lead poisoning CPT 77074 | not published | not published | $76.16 – $446.00 | 3 |
| Boot j walker l HCPCS L4386 | not published | not published | $146.14 – $194.86 | 2 |
| Boot mlti podous univ xlg HCPCS L4396 | not published | not published | $154.67 – $206.23 | 2 |
| Boot softgait shrt m HCPCS L4387 | not published | not published | $146.14 – $194.86 | 2 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $179.15 | $325.73 | $238.64 – $318.18 | 2 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | not published | not published | $238.64 – $318.18 | 2 |
| Borrelia antibody CPT 86619 | not published | not published | $10.04 – $132.96 | 5 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $105.05 | $191.00 | $12.77 – $169.28 | 5 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $26.32 – $255.96 | 5 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | not published | not published | $3.02 – $4.11 | 3 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $2.57 – $34.14 | 5 |
| Bowel imaging CPT 78290 | $937.75 | $1,705.00 | $291.23 – $3,366.03 | 3 |
| Brace adj motion lerman type HCPCS L2186 | not published | not published | $141.98 – $189.31 | 2 |
| Brace afo dbl upright cust HCPCS L1990 | not published | not published | $430.72 – $574.30 | 2 |
| Brace afo lg left 6607 HCPCS L1930 | not published | not published | $232.20 – $309.60 | 2 |
| Brace afopos solid ankle cust HCPCS L1960 | not published | not published | $571.35 – $761.80 | 2 |
| Brace afo spiral prefab HCPCS L1951 | not published | not published | $774.07 – $1,032.09 | 2 |
| Brace ank aftr bioskn med lg HCPCS L1906 | not published | not published | $103.65 – $138.20 | 2 |
| Brace ank air stirrup univ HCPCS L4350 | not published | not published | $89.18 – $118.90 | 2 |
| Brace ankle joint dflxn assist HCPCS L2210 | not published | not published | $57.93 – $77.24 | 2 |
| Brace ankle stablizing lg HCPCS L1902 | not published | not published | $68.80 – $91.73 | 2 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $203.31 – $271.08 | 2 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $587.48 – $783.31 | 2 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $491.80 – $655.74 | 2 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | not published | not published | $378.85 – $505.13 | 2 |
| Brace back pinnacle tlso 464 HCPCS L0464 | not published | not published | $1,370.09 – $1,826.79 | 2 |
| Brace back t-lso custom HCPCS L0486 | not published | not published | $1,886.09 – $2,514.79 | 2 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $507.74 – $676.99 | 2 |
| Brace cust back lso HCPCS L0631 | not published | not published | $946.20 – $1,261.60 | 2 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $844.35 – $1,125.80 | 2 |
| Brace fx hum ovr shldr sm HCPCS L3980 | not published | not published | $324.52 – $432.69 | 2 |
| Brace halo bremer l2830 HCPCS L2830 | not published | not published | $80.97 – $107.96 | 2 |
| Brace kafo dbl upright cust HCPCS L2036 | not published | not published | $1,708.82 – $2,278.43 | 2 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | not published | $481.29 – $641.72 | 2 |
| Brace knee extender plus 22-30in HCPCS L1832 | not published | not published | $634.88 – $846.51 | 2 |
| Brace knee hing pat open med HCPCS L1820 | not published | not published | $130.99 – $174.65 | 2 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | not published | not published | $382.22 – $509.63 | 2 |
| Brace knee postop tscope xl HCPCS L1845 | $184.47 | $335.40 | $772.11 – $1,029.48 | 2 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | not published | not published | $94.89 – $126.52 | 2 |
| Brace m arm board HCPCS L3809 | not published | not published | $209.75 – $279.67 | 2 |
| Brace ortho exos 28-50in sm HCPCS L0637 | not published | not published | $1,194.10 – $1,592.13 | 2 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | not published | not published | $916.73 – $1,222.31 | 2 |
| Brace oths wrist hnd fngr without HCPCS L3807 | not published | not published | $209.75 – $279.67 | 2 |
| Brace tlso flex cust HCPCS L0450 | not published | not published | $92.38 – $123.17 | 2 |
| Brace wrist classic lft sm HCPCS L3908 | not published | not published | $61.50 – $82.00 | 2 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $2,116.08 – $11,257.00 | 4 |
| Brach/thor cath 1st CPT 36215 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Brach/thor cath 2nd CPT 36216 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Brach/thor cath 3rd CPT 36217 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Brach/thor cath addl CPT 36218 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Brachytx isodose complex CPT 77318 | not published | not published | $272.77 – $2,216.93 | 3 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $272.77 – $1,633.56 | 3 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $272.77 – $1,257.02 | 3 |
| Braf gene CPT 81210 | $860.75 | $1,565.00 | $131.55 – $1,305.99 | 5 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Brain flow imaging only CPT 78610 | not published | not published | $395.55 – $1,789.50 | 3 |
| Brain image < 4 views CPT 78600 | not published | not published | $291.23 – $1,824.19 | 3 |
| Brain image 4+ views CPT 78605 | not published | not published | $395.55 – $1,936.10 | 3 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $291.23 – $2,121.32 | 3 |
| Brain image w/flow 4 + views CPT 78606 | not published | not published | $395.55 – $3,362.17 | 3 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,415.05 | $4,391.00 | $254.15 – $5,483.62 | 3 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,384.25 | $4,335.00 | $254.15 – $3,527.37 | 3 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,356.20 | $4,284.00 | $173.82 – $3,577.52 | 3 |
| Brain MRI (with and without contrast) CPT 70553 | $2,448.60 | $4,452.00 | $254.15 – $2,825.15 | 3 |
| Brain MRI (with contrast) CPT 70552 | $2,415.05 | $4,391.00 | $254.15 – $2,477.87 | 3 |
| Brain MRI (without contrast) CPT 70551 | $2,288.00 | $4,160.00 | $173.82 – $1,680.72 | 3 |
| Bra surgical elizabeth pink sm HCPCS L8000 | not published | not published | $39.10 – $52.13 | 2 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $351.00 – $3,414.92 | 5 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $438.17 – $4,263.03 | 5 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $281.44 – $679.34 | 5 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $226.01 – $2,198.91 | 5 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $212.16 – $2,064.13 | 5 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $138.84 – $1,298.84 | 5 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $281.44 – $679.34 | 5 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $212.16 – $2,064.13 | 5 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $330.00 – $1,287.46 | 5 |
| Brcassure comprehensive panel-sendout CPT 81162 | $4,414.85 | $8,027.00 | $1,368.66 – $18,138.96 | 5 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $5,954.31 – $18,408.00 | 4 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $1,464.65 | $2,663.00 | $1,203.19 – $4,867.00 | 4 |
| Breast punct aspir cyst, bil CPT 19000 | $989.45 | $1,799.00 | $515.87 – $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.