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 |
|---|---|---|---|---|
| Shlder disart int lock elbow HCPCS L6300 | not published | not published | $4,099.28 – $5,465.70 | 2 |
| Shldr disar prosth tiss shap HCPCS L6550 | not published | not published | $4,177.28 – $5,569.71 | 2 |
| Shldr disartic myoelectronic HCPCS L6965 | not published | not published | $13,879.78 – $18,506.37 | 2 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $2,383.65 – $16,310.00 | 4 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $2,383.65 – $16,310.00 | 4 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $2,383.65 – $16,310.00 | 4 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $2,383.65 – $16,310.00 | 4 |
| Shoe clubfoot wedge HCPCS L3380 | not published | not published | $45.72 – $60.96 | 2 |
| Shoe dennis browne splint bo HCPCS L3640 | not published | not published | $39.87 – $53.16 | 2 |
| Shoe heel new leather standa HCPCS L3455 | not published | not published | $37.52 – $50.02 | 2 |
| Shoe heel new rubber standar HCPCS L3460 | not published | not published | $31.66 – $42.22 | 2 |
| Shoe heel pad & depress for HCPCS L3480 | not published | not published | $57.43 – $76.57 | 2 |
| Shoe heel sach cushion type HCPCS L3450 | not published | not published | $97.27 – $129.69 | 2 |
| Shoe heel thomas extend to b HCPCS L3470 | not published | not published | $57.43 – $76.57 | 2 |
| Shoe heel thomas with wedge HCPCS L3465 | not published | not published | $53.96 – $71.94 | 2 |
| Shoe lift elev heel/sole neo HCPCS L3310 | not published | not published | $75.04 – $100.05 | 2 |
| Shoe metatarsal bar between HCPCS L3410 | not published | not published | $85.57 – $114.09 | 2 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | not published | not published | $37.52 – $50.02 | 2 |
| Shoe outflare wedge HCPCS L3390 | not published | not published | $45.72 – $60.96 | 2 |
| Shoe sole wedge between sole HCPCS L3370 | not published | not published | $45.72 – $60.96 | 2 |
| Shoe sole wedge outside sole HCPCS L3360 | not published | not published | $32.82 – $43.76 | 2 |
| Shoe wedge sach HCPCS L3340 | not published | not published | $78.56 – $104.74 | 2 |
| Sho heel count plast reinfor HCPCS L3430 | not published | not published | $147.70 – $196.94 | 2 |
| Sho insert w arch toe filler HCPCS L5000 | not published | not published | $529.28 – $705.71 | 2 |
| Sho lift taper to metatarsal HCPCS L3300 | not published | not published | $48.08 – $64.10 | 2 |
| Shortening of hand tendon CPT 26479 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Shortening of thigh bone CPT 27465 | not published | not published | $5,286.15 – $16,310.00 | 4 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $11,257.00 – $16,310.00 | 2 |
| Shorten radius or ulna CPT 25390 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Shorten radius & ulna CPT 25392 | not published | not published | $5,286.15 – $11,257.00 | 4 |
| Shoulder abduction joint pai HCPCS L6640 | not published | not published | $310.94 – $414.58 | 2 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Shoulder flexion-abduction j HCPCS L6645 | not published | not published | $336.26 – $448.35 | 2 |
| Shoulder harness HCPCS L5699 | not published | not published | $188.32 – $251.10 | 2 |
| Shoulder lock actuator HCPCS L6647 | not published | not published | $479.54 – $639.39 | 2 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,521.20 | $4,584.00 | $254.15 – $3,893.92 | 3 |
| Shoulder MRI (with contrast) CPT 73222 | $2,448.60 | $4,452.00 | $571.09 – $3,195.55 | 3 |
| Shoulder MRI (without contrast) CPT 73221 | $2,318.25 | $4,215.00 | $173.82 – $1,806.50 | 3 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $5,286.15 – $11,257.00 | 4 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $5,286.15 – $11,257.00 | 4 |
| Shoulder universal joint HCPCS L6650 | not published | not published | $364.72 – $486.29 | 2 |
| Shoulder X-ray CPT 73030 | $282.15 | $513.00 | $63.40 – $206.77 | 3 |
| Shrinker prosth above knee HCPCS L8460 | not published | not published | $61.19 – $81.59 | 2 |
| Shrinker prosth below knee HCPCS L8440 | not published | not published | $43.05 – $57.40 | 2 |
| Shrinker upper limb HCPCS L8465 | not published | not published | $56.56 – $75.41 | 2 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $3,141.02 | $5,710.94 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $76.16 – $816.42 | 3 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Sialidase enzyme assay CPT 87905 | $91.30 | $166.00 | $9.16 – $121.42 | 5 |
| Sialography s&i CPT 70390 | not published | not published | $173.82 – $808.70 | 3 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $2,415.31 – $4,867.00 | 4 |
| Sickling rbc CPT 85660 | $108.35 | $197.00 | $4.13 – $54.80 | 5 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $677.47 – $4,401.00 | 4 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $677.47 – $4,867.00 | 4 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $871.75 – $4,867.00 | 4 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $677.47 – $4,401.00 | 4 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $871.75 – $4,867.00 | 4 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $871.75 – $4,867.00 | 4 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $3,179.00 – $11,044.00 | 4 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $2,022.07 – $4,867.00 | 4 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $871.75 – $4,867.00 | 4 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $677.47 – $4,867.00 | 4 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $871.75 – $4,867.00 | 4 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $677.47 – $4,401.00 | 4 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $42.98 – $57.30 | 2 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $871.75 – $4,867.00 | 4 |
| Silicon gel insert w/wo lock HCPCS L6692 | not published | not published | $590.65 – $787.53 | 2 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $182.01 – $1,676.00 | 3 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | not published | not published | $207.73 – $258.35 | 3 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $76.16 – $245.38 | 3 |
| Single pivot hinge pair HCPCS L6605 | not published | not published | $215.61 – $287.48 | 2 |
| Single transfer toe-hand CPT 26553 | not published | not published | $5,286.15 – $14,304.00 | 4 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,038.85 | $3,707.00 | $127.78 – $1,522.52 | 3 |
| Sinus CT scan (with contrast) CPT 70487 | $1,701.15 | $3,093.00 | $127.78 – $1,198.42 | 3 |
| Sinus CT scan (without contrast) CPT 70486 | $1,187.45 | $2,159.00 | $76.16 – $1,044.07 | 3 |
| Sinus/juglr venogram s&i CPT 75860 | not published | not published | $943.76 – $3,066.96 | 3 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $2,415.31 – $6,687.00 | 4 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $246.36 – $328.48 | 2 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $87.31 – $116.41 | 2 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $41,949.32 – $106,297.34 | 5 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $1.65 – $1.96 | 3 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $68.27 – $217.28 | 5 |
| Six volt bat otto bock/eq ea HCPCS L7360 | not published | not published | $244.32 – $325.76 | 2 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $155.65 | $283.00 | $172.28 – $172.28 | 1 |
| Skin and muscle repair face CPT 15845 | not published | not published | $2,581.60 – $11,257.00 | 4 |
| Skin Biopsy CPT 11102 | $383.35 | $697.00 | $296.15 – $4,401.00 | 4 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $1,503.10 – $6,687.00 | 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.