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 open av fistula without thromb CPT 36832 | not published | not published | $4,053.72 – $16,310.00 | 4 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Revision tips CPT 37183 | not published | not published | $4,146.30 – $23,826.00 | 4 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $9,352.97 – $18,408.00 | 4 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $9,352.97 – $18,408.00 | 4 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $90.66 – $2,071.13 | 4 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $4,053.72 – $16,310.00 | 4 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $4,053.72 – $16,310.00 | 4 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $3,906.07 – $14,304.00 | 4 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $2,546.91 – $11,257.00 | 3 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $2,546.91 – $11,257.00 | 4 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $2,546.91 – $11,257.00 | 4 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $2,546.91 – $11,257.00 | 4 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $12,773.37 – $23,826.00 | 4 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $12,773.37 – $23,826.00 | 4 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $14,312.00 – $29,973.09 | 3 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $12,773.37 – $20,477.00 | 3 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $8,117.45 – $23,826.00 | 4 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $16,310.00 – $16,310.00 | 1 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $8.25 – $20.17 | 5 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $1,422.56 – $6,687.00 | 4 |
| Rheumatoid factor qualitative CPT 86430 | $98.45 | $179.00 | $4.60 – $56.41 | 5 |
| Rheumatoid factor quantitative CPT 86431 | $35.20 | $64.00 | $4.25 – $56.41 | 5 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $4,312.59 – $11,044.00 | 4 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | not published | not published | $7.08 – $9.44 | 3 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $34.25 – $52.93 | 3 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $26.84 – $60.79 | 5 |
| Rho d immune globulin inj HCPCS J2790 | not published | not published | $111.88 – $156.60 | 3 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $2,361.75 – $14,304.00 | 4 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $2,361.75 – $14,304.00 | 4 |
| Rib cartilage graft CPT 21230 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $80.54 – $107.39 | 2 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | not published | not published | $0.20 – $0.30 | 2 |
| Right ventric recording CPT 93603 | not published | not published | $886.98 – $3,179.00 | 3 |
| Ring flange plas/leather mol HCPCS L1110 | not published | not published | $293.48 – $391.31 | 2 |
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $175.04 – $233.39 | 2 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $293.17 | $533.04 | not published | 0 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $10.90 – $28.20 | 5 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $8.33 – $20.79 | 5 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | not published | not published | $54.96 – $144.27 | 5 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $27.29 – $70.23 | 5 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | not published | not published | $25.92 – $59.24 | 5 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $13.90 – $68.04 | 5 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | not published | not published | $12.12 – $50.36 | 5 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $2,361.75 – $14,304.00 | 4 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $2,361.75 – $14,304.00 | 4 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $4,867.00 – $16,310.00 | 4 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $515.87 – $4,401.00 | 4 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $1,171.42 – $4,867.00 | 4 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $2,116.08 – $11,257.00 | 4 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $871.75 – $4,867.00 | 4 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $1,203.19 – $4,867.00 | 4 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $2,488.66 – $16,310.00 | 4 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Rmvl icd by tv extr CPT 33244 | not published | not published | $2,722.37 – $11,257.00 | 4 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | not published | not published | $14,312.00 – $48,722.00 | 4 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | not published | not published | $14,312.00 – $48,722.00 | 4 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | not published | not published | $14,312.00 – $48,722.00 | 4 |
| Rmvl icd pulse gen only CPT 33241 | not published | not published | $2,722.37 – $11,257.00 | 4 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Rmvl ndwellg tun pleural cath CPT 32552 | not published | not published | $456.99 – $4,401.00 | 4 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Rmvl perm pm pulse gen CPT 33233 | not published | not published | $6,028.62 – $18,408.00 | 4 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $2,546.91 – $11,257.00 | 3 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $2,546.91 – $11,257.00 | 3 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $2,546.91 – $11,257.00 | 3 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | not published | not published | $14,032.13 – $23,826.00 | 4 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | not published | not published | $6,028.62 – $23,826.00 | 4 |
| Rmvl pq iabp CPT 33968 | not published | not published | $11,257.00 – $39,754.00 | 2 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Rmvl rplcmt hrt sys f/trnspl CPT 33929 | not published | not published | $14,312.00 – $14,312.00 | 1 |
| Rmvl & rplcmt tot hrt sys CPT 33928 | not published | not published | $14,312.00 – $14,312.00 | 1 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $2,722.37 – $11,257.00 | 4 |
| Rmvl subq card rhythm mntr CPT 33286 | not published | not published | $515.87 – $4,401.00 | 4 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $2,116.08 – $11,257.00 | 4 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $325.44 – $4,401.00 | 4 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Rmvl tv pm lead dual CPT 33235 | not published | not published | $2,722.37 – $11,257.00 | 4 |
| Rmvl tv pm lead sgl CPT 33234 | not published | not published | $2,722.37 – $11,257.00 | 4 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $4,401.00 – $7,789.00 | 2 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | not published | not published | $8,117.45 – $18,408.00 | 3 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | not published | not published | $14,312.00 – $29,973.09 | 3 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $2,383.65 – $11,257.00 | 3 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $4,401.00 – $4,401.00 | 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.