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 |
|---|---|---|---|---|
| Rnl altrnsplj without rcp nfrct CPT 50360 | not published | not published | $14,312.00 – $14,312.00 | 1 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | not published | not published | $14,312.00 – $14,312.00 | 1 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | not published | not published | $14,312.00 – $14,312.00 | 1 |
| Robot lin-radsurg com, first HCPCS G0339 | not published | not published | $14,304.00 – $14,304.00 | 1 |
| Robt lin-radsurg fractx 2-5 HCPCS G0340 | not published | not published | $7,789.00 – $7,789.00 | 1 |
| Rocker bottom, contact afo HCPCS L2232 | not published | not published | $89.54 – $119.38 | 2 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $2.60 – $3.00 | 3 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | not published | not published | $23.03 – $59.04 | 5 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | not published | not published | $8.71 – $20.89 | 5 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | not published | not published | $9.55 – $22.81 | 5 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | not published | not published | $0.09 – $0.13 | 3 |
| Rotation wrst with cable lock HCPCS L6625 | not published | not published | $488.33 – $651.11 | 2 |
| Rotavirus antibody CPT 86759 | not published | not published | $13.67 – $131.11 | 5 |
| Round caliper and plate atta HCPCS L2240 | not published | not published | $87.76 – $117.01 | 2 |
| Routine footcare pt w lops HCPCS G0247 | not published | not published | $146.16 – $194.88 | 2 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $17.69 – $44.01 | 5 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $9,352.97 – $18,408.00 | 4 |
| Rplcmt a-valve tlcj autol pv CPT 33440 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $9,352.97 – $18,408.00 | 4 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | not published | not published | $1,146.77 – $4,867.00 | 4 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | not published | not published | $291.23 – $2,484.01 | 3 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $1,702.25 | $3,095.00 | $943.15 – $4,601.52 | 3 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | not published | not published | $1,041.72 – $9,021.48 | 3 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $2,292.95 | $4,169.00 | $1,146.77 – $4,867.00 | 4 |
| Rpl tun-cvad w subq port CPT 36582 | not published | not published | $2,300.22 – $11,257.00 | 4 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $4,053.72 – $16,310.00 | 4 |
| Rpl tun cvc wo subq port CPT 36581 | not published | not published | $2,300.22 – $11,257.00 | 4 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $4,716.17 – $11,257.00 | 4 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $4,716.17 – $11,257.00 | 4 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $2,608.32 – $11,257.00 | 4 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $4,716.17 – $11,257.00 | 4 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $2,608.32 – $11,257.00 | 4 |
| Rpr acq av fistula thrx&abd CPT 35189 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $4,053.72 – $16,310.00 | 4 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $4,053.72 – $16,310.00 | 4 |
| Rpr blvs gr ot/th vn ntrth w CPT 35271 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Rpr blvsl vn grf ntrthrc w/b CPT 35241 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Rpr cgen av fistula thrx&abd CPT 35182 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $2,608.32 – $11,257.00 | 4 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $4,404.16 – $16,781.00 | 4 |
| Rpr hypopl a-arch w/byp CPT 33853 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $3,906.07 – $11,044.00 | 4 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $2,567.95 – $11,257.00 | 4 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $2,608.32 – $11,257.00 | 4 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $2,608.32 – $11,257.00 | 4 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $2,608.32 – $11,257.00 | 4 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $4,716.17 – $11,257.00 | 4 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $2,608.32 – $11,257.00 | 4 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $2,022.07 – $4,867.00 | 3 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $42.98 – $57.30 | 2 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $2,608.32 – $11,257.00 | 4 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $6,896.31 – $11,044.00 | 4 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $5,286.15 – $16,310.00 | 4 |
| Rsv assay w/optic CPT 87807 | $94.60 | $172.00 | $9.82 – $119.16 | 5 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $96.99 – $129.32 | 2 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $27.19 – $36.25 | 2 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $27.19 – $36.25 | 2 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $27.19 – $36.25 | 2 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $18.64 – $24.86 | 2 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $18.39 – $24.52 | 2 |
| Rubella antibody igg CPT 86762 | $99.55 | $181.00 | $10.79 – $143.08 | 5 |
| Rubeola ag if CPT 87283 | not published | not published | $45.60 – $119.16 | 5 |
| Rubeola antibody igg CPT 86765 | $77.55 | $141.00 | $9.66 – $128.06 | 5 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $247.13 – $2,311.92 | 5 |
| Russell viper venom diluted CPT 85613 | $121.00 | $220.00 | $7.18 – $95.22 | 5 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $687.81 – $5,245.70 | 5 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $200.60 – $267.47 | 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.