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 |
|---|---|---|---|---|
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $2,581.60 – $11,257.00 | 4 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $1,503.10 – $4,867.00 | 4 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $21.07 – $33.94 | 3 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $131.11 – $1,226.51 | 5 |
| Sleep study attended CPT 95807 | $951.50 | $1,730.00 | not published | 0 |
| Sleep Study (Polysomnography) CPT 95810 | $2,532.75 | $4,605.00 | $625.59 – $834.12 | 2 |
| Sleep study unattended CPT 95806 | $697.40 | $1,268.00 | $157.30 – $209.73 | 2 |
| Sleeve fing rolyan med HCPCS L3933 | not published | not published | $178.98 – $238.64 | 2 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Sling pelv split sam med HCPCS L0621 | not published | not published | $48.70 – $64.94 | 2 |
| Sling suprapubic suburetheral HCPCS C1771 | $1,654.84 | $3,008.80 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | $2,567.95 – $6,687.00 | 4 |
| Slitting of prepuce CPT 54001 | not published | not published | $1,522.84 – $6,687.00 | 4 |
| Slp eval non-spch gen comm dev CPT 92605 | $322.30 | $586.00 | not published | 0 |
| Slp pure tone screening CPT 92551 | $27.50 | $50.00 | not published | 0 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $42.98 – $57.30 | 2 |
| Slp ther svc non-spch gen CPT 92606 | $218.35 | $397.00 | not published | 0 |
| Small animal inoculation CPT 87003 | not published | not published | $12.63 – $167.32 | 5 |
| Small bowel endoscopy CPT 44360 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Small bowel endoscopy CPT 44364 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Small bowel endoscopy CPT 44366 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Small bowel endoscopy CPT 44369 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Small bowel endoscopy CPT 44376 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Small bowel endoscopy CPT 44378 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Small bowel endoscopy CPT 44382 | not published | not published | $660.74 – $4,401.00 | 4 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,397.92 – $11,257.00 | 4 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $660.74 – $4,401.00 | 4 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $1,397.92 – $4,867.00 | 4 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $4,422.65 – $11,044.00 | 4 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.01 | 3 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $67.10 | $122.00 | $4.04 – $53.48 | 5 |
| Smear gram stain CPT 87205 | $111.10 | $202.00 | $3.20 – $42.45 | 5 |
| Smear nasal eosinophil CPT 89190 | $57.20 | $104.00 | $4.34 – $47.22 | 5 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $81.40 | $148.00 | $4.49 – $59.56 | 5 |
| Smear wet mount CPT 87210 | $58.85 | $107.00 | $4.36 – $42.45 | 5 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $226.01 – $2,198.91 | 5 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $138.90 – $1,351.39 | 5 |
| Smpd1 gene common variants CPT 81330 | $228.80 | $416.00 | $35.25 – $329.75 | 5 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $38.30 – $358.32 | 5 |
| So airplane w/wo joint cf HCPCS L3674 | not published | not published | $991.54 – $1,322.06 | 2 |
| So cap design without jnts cf HCPCS L3671 | not published | not published | $755.84 – $1,007.79 | 2 |
| Socket insert above knee HCPCS L5658 | not published | not published | $419.20 – $558.94 | 2 |
| Socket insert below knee HCPCS L5655 | not published | not published | $261.42 – $348.56 | 2 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $397.16 – $529.54 | 2 |
| Socket insert symes HCPCS L5654 | not published | not published | $362.08 – $482.77 | 2 |
| Socket insert without lock mech HCPCS L5679 | not published | not published | $604.87 – $806.49 | 2 |
| Socket insert w lock mech HCPCS L5673 | not published | not published | $725.86 – $967.82 | 2 |
| Sock fracture or equal each HCPCS L3995 | not published | not published | $34.44 – $45.92 | 2 |
| Sock wool above knee HCPCS L8430 | not published | not published | $21.82 – $29.09 | 2 |
| Sodium 24 hour urine CPT 84300 | $69.85 | $127.00 | $3.80 – $48.39 | 5 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | not published | not published | $3.58 – $4.63 | 3 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | not published | not published | $1.80 – $2.61 | 3 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $0.90 – $1.35 | 3 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | not published | not published | $2.81 – $4.14 | 3 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $107.24 – $139.44 | 3 |
| Sodium serum/plasma/whole blood CPT 84295 | $40.70 | $74.00 | $3.61 – $47.86 | 5 |
| Soft interface below knee se HCPCS L2820 | not published | not published | $74.84 – $99.79 | 2 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $63.40 – $84.53 | 2 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,008.98 – $7,399.21 | 5 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $896.87 – $6,577.07 | 5 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $2,466.38 – $18,086.81 | 5 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $784.76 – $5,754.93 | 5 |
| Somatosensory testing CPT 95927 | not published | not published | $157.30 – $209.73 | 2 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,242.16 – $16,442.53 | 5 |
| So neo gsap dna mcrstl ins CPT 81457 | $1,501.50 | $2,730.00 | $672.65 – $4,932.79 | 5 |
| So vest canvas/web pre ots HCPCS L3675 | not published | not published | $147.23 – $196.31 | 2 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $7,789.00 – $7,789.00 | 1 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $7,789.00 – $7,789.00 | 1 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Special physics consult CPT 77370 | $908.05 | $1,651.00 | $97.92 – $1,304.59 | 3 |
| Special radiation dosimetry CPT 77331 | $476.30 | $866.00 | $97.92 – $202.95 | 3 |
| Special radiation treatment CPT 77470 | $2,085.60 | $3,792.00 | $402.53 – $536.70 | 3 |
| Special teletx port plan CPT 77321 | $1,074.70 | $1,954.00 | $272.77 – $473.02 | 3 |
| Specific gravity body fluid CPT 84315 | $18.15 | $33.00 | $2.46 – $24.96 | 5 |
| Specimen fat stain CPT 89125 | not published | not published | $4.41 – $42.89 | 5 |
| Speech audiometry complete CPT 92556 | $57.75 | $105.00 | $42.98 – $57.30 | 2 |
| Speech evaluation complex CPT 70371 | not published | not published | $173.82 – $519.33 | 3 |
| Speech recep thresh CPT 92555 | $36.85 | $67.00 | $42.98 – $57.30 | 2 |
| Sperm antibody test CPT 89325 | $94.05 | $171.00 | $8.00 – $106.09 | 5 |
| Sperm evaluation test CPT 89329 | not published | not published | $14.69 – $126.73 | 5 |
| Sperm identification CPT 89257 | not published | not published | $37.96 – $50.62 | 2 |
| Sperm isolation complex CPT 89261 | not published | not published | $37.96 – $50.62 | 2 |
| Sperm isolation simple CPT 89260 | not published | not published | $37.96 – $50.62 | 2 |
| Sperm washing 58323 CPT 58323 | not published | not published | $147.28 – $4,401.00 | 4 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $4,312.59 – $14,304.00 | 4 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $2,022.07 – $7,789.00 | 4 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $7,789.00 – $7,789.00 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,155.55 | $2,101.00 | $514.23 – $4,401.00 | 4 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $9,352.97 – $18,408.00 | 4 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $157.30 – $209.73 | 2 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $215.60 | $392.00 | not published | 0 |
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.