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 |
|---|---|---|---|---|
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $28.23 – $68.89 | 5 |
| Safety plan interven HCPCS G0560 | not published | not published | $29.30 – $39.07 | 2 |
| Salivary gland function exam CPT 78232 | not published | not published | $291.23 – $882.72 | 3 |
| Salivary gland imaging CPT 78230 | not published | not published | $291.23 – $1,365.03 | 3 |
| Salivary glnd img serial img CPT 78231 | $955.90 | $1,738.00 | $291.23 – $1,164.42 | 3 |
| Salmonella antibody CPT 86768 | not published | not published | $9.89 – $81.29 | 5 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $2,358.24 – $6,687.00 | 4 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $96.99 – $129.32 | 2 |
| Sargramostim injection HCPCS J2820 | not published | not published | $46.86 – $111.04 | 5 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $38.57 – $282.87 | 5 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $0.01 – $306.92 | 3 |
| Sarscov coronavirus ag ia CPT 87426 | $127.05 | $231.00 | $26.50 – $257.77 | 5 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $52.72 – $225.75 | 5 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $4,422.65 – $11,044.00 | 4 |
| Sbrt management CPT 77435 | not published | not published | $6,943.31 – $6,943.31 | 1 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $600.05 | $1,091.00 | $173.82 – $231.76 | 2 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $300.30 | $546.00 | $76.16 – $101.55 | 2 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | not published | not published | $173.82 – $231.76 | 2 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | not published | not published | $76.16 – $101.55 | 2 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | not published | not published | $76.16 – $101.55 | 2 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $772.75 | $1,405.00 | $76.16 – $101.55 | 2 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | not published | not published | $173.82 – $231.76 | 2 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $690.80 | $1,256.00 | $76.16 – $101.55 | 2 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $772.75 | $1,405.00 | $76.16 – $101.55 | 2 |
| Scan proc cranial extra CPT 61782 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Scan proc spinal CPT 61783 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $4,663.39 – $6,217.85 | 2 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | not published | not published | $1,203.19 – $4,401.00 | 4 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $13.90 – $105.01 | 5 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $23.96 – $105.01 | 5 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $32.98 – $212.42 | 5 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $19.87 – $262.04 | 5 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $20.29 – $201.41 | 5 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $15.20 – $201.41 | 5 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $677.47 – $4,145.08 | 4 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $677.47 – $4,401.00 | 4 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $46.75 | $85.00 | $13.54 – $158.14 | 5 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $21.20 – $244.88 | 5 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $34.76 – $141.87 | 5 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $18.06 – $241.02 | 5 |
| Screening Mammogram CPT 77067 | $149.05 | $271.00 | $65.36 – $1,079.50 | 3 |
| Screening prostate cancer PSA HCPCS G0103 | $200.20 | $364.00 | $14.48 – $182.85 | 5 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $13.90 – $105.01 | 5 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $359.33 | $653.33 | not published | 0 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $52.45 – $69.94 | 2 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $61.05 | $111.00 | $2.02 – $26.85 | 5 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Select picture audiometry CPT 92583 | not published | not published | $42.98 – $57.30 | 2 |
| Self-meas bp pt educaj/train CPT 99473 | $33.00 | $60.00 | not published | 0 |
| Semen analysis HCPCS G0027 | not published | not published | $4.88 – $64.66 | 5 |
| Semen analysis presence/motility CPT 89321 | $135.30 | $246.00 | $9.04 – $119.77 | 5 |
| Semen analysis w/count CPT 89310 | $225.50 | $410.00 | $6.46 – $85.60 | 5 |
| Sensorimotor examination CPT 92060 | not published | not published | $42.98 – $57.30 | 2 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $27.21 – $36.28 | 2 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $1,732.00 – $6,687.00 | 4 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $144.00 – $610.54 | 5 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Serpina1 gene CPT 81332 | $553.85 | $1,007.00 | $32.74 – $433.88 | 5 |
| Sertraline (zoloft) - sendout CPT 80332 | $162.80 | $296.00 | $172.28 – $172.28 | 1 |
| Set radiation therapy field CPT 77280 | $839.30 | $1,526.00 | $97.92 – $2,579.76 | 3 |
| Set radiation therapy field CPT 77285 | $1,386.00 | $2,520.00 | $272.77 – $4,096.13 | 3 |
| Set radiation therapy field CPT 77290 | $1,711.60 | $3,112.00 | $272.77 – $4,721.19 | 3 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $223.75 – $1,676.00 | 3 |
| Sever cranial nerve CPT 64771 | not published | not published | $1,422.56 – $6,687.00 | 4 |
| Sewhfo airplane without jnts cf HCPCS L3976 | not published | not published | $1,409.38 – $1,879.17 | 2 |
| Sewhfo airplane w/jnt(s) cf HCPCS L3978 | not published | not published | $1,663.97 – $2,218.63 | 2 |
| Sewhfo cap desgn w/jnt(s) cf HCPCS L3977 | not published | not published | $1,579.50 – $2,106.00 | 2 |
| Sewhfo cap design without jnt cf HCPCS L3975 | not published | not published | $1,409.38 – $1,879.17 | 2 |
| Sewho airplane without jnts cf HCPCS L3967 | not published | not published | $1,663.97 – $2,218.63 | 2 |
| Sewho airplane w/jnt(s) cf HCPCS L3973 | not published | not published | $1,663.97 – $2,218.63 | 2 |
| Sewho cap design without jnts cf HCPCS L3961 | not published | not published | $1,409.38 – $1,879.17 | 2 |
| Sewho cap design w/jnt(s) cf HCPCS L3971 | not published | not published | $1,579.50 – $2,106.00 | 2 |
| Sewho erbs palsey design abd HCPCS L3962 | not published | not published | $605.10 – $806.80 | 2 |
| Sex chromatin identification CPT 88130 | not published | not published | $13.48 – $149.66 | 5 |
| Sex chromatin identification CPT 88140 | not published | not published | $5.99 – $79.48 | 5 |
| Sex transformation f to m CPT 55980 | not published | not published | $2,567.95 – $11,257.00 | 3 |
| Sex transformation m to f CPT 55970 | not published | not published | $3,644.28 – $4,867.00 | 3 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $144.94 – $1,410.12 | 5 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $871.75 – $4,867.00 | 4 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $146.16 – $4,401.00 | 4 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $146.16 – $4,401.00 | 4 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $296.15 – $4,401.00 | 4 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $296.15 – $4,401.00 | 4 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | not published | not published | $146.16 – $4,401.00 | 4 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $146.16 – $4,401.00 | 4 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $146.16 – $4,401.00 | 4 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $296.15 – $4,401.00 | 4 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | not published | not published | $296.15 – $4,401.00 | 4 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $146.16 – $4,401.00 | 4 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $146.16 – $4,401.00 | 4 |
| Sheath above knee HCPCS L8410 | not published | not published | $19.02 – $25.36 | 2 |
| Sheath below knee HCPCS L8400 | not published | not published | $14.45 – $19.27 | 2 |
| Sheath upper limb HCPCS L8415 | not published | not published | $19.68 – $26.24 | 2 |
| Shigella antibody CPT 86771 | not published | not published | $18.36 – $111.58 | 5 |
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.