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 |
|---|---|---|---|---|
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $93.74 – $124.98 | 2 |
| Spleen imaging CPT 78185 | not published | not published | $291.23 – $2,148.31 | 3 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Splicing of ureters CPT 50770 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $86.91 | $158.02 | $425.09 – $566.79 | 2 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | not published | not published | $55.10 – $73.47 | 2 |
| Splint finger fold over sm HCPCS L3924 | not published | not published | $81.03 – $108.04 | 2 |
| Splint finger frog med HCPCS L3927 | not published | not published | $29.36 – $39.15 | 2 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | not published | not published | $81.03 – $108.04 | 2 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $2,581.60 – $11,257.00 | 4 |
| Split blood or products CPT 86985 | $146.30 | $266.00 | $124.11 – $172.28 | 3 |
| Split flat caliper stirr & p HCPCS L2230 | not published | not published | $88.17 – $117.56 | 2 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $240.63 – $4,401.00 | 3 |
| Spring-ass rot wrst with latch HCPCS L6623 | not published | not published | $658.90 – $878.53 | 2 |
| Sputum specimen collection CPT 89220 | $161.70 | $294.00 | $113.84 – $165.49 | 3 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $4,867.00 – $16,310.00 | 2 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $4,867.00 – $16,310.00 | 2 |
| Srs cran les complex addl CPT 61799 | not published | not published | $3,179.00 – $14,312.00 | 2 |
| Srs cran les simple addl CPT 61797 | not published | not published | $3,179.00 – $4,867.00 | 2 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $131.55 – $1,279.87 | 5 |
| Srs linear based CPT 77372 | not published | not published | $5,365.61 – $11,646.76 | 3 |
| Srs multisource CPT 77371 | not published | not published | $5,365.61 – $13,324.29 | 3 |
| Srs spinal lesion CPT 63620 | not published | not published | $4,867.00 – $16,310.00 | 2 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $3,179.00 – $4,867.00 | 2 |
| Staggered spondaic word test CPT 92572 | not published | not published | $93.74 – $124.98 | 2 |
| Stainless steel any wrist HCPCS L6630 | not published | not published | $263.85 – $351.80 | 2 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $365.75 | $665.00 | $80.25 – $107.00 | 2 |
| Stance phase only HCPCS L5858 | not published | not published | $17,163.79 – $22,885.05 | 2 |
| Standard control cable extra HCPCS L6655 | not published | not published | $70.76 – $94.34 | 2 |
| Staph a dna amp probe CPT 87640 | not published | not published | $26.32 – $348.80 | 5 |
| Static or dynami afo pre ots HCPCS L4397 | not published | not published | $154.67 – $206.23 | 2 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $341.00 | $620.00 | $75.05 – $100.07 | 2 |
| Stem cells total count CPT 86367 | not published | not published | $58.34 – $374.99 | 5 |
| Stenger test pure tone CPT 92565 | $68.20 | $124.00 | $42.98 – $57.30 | 2 |
| Stenger test speech CPT 92577 | $68.20 | $124.00 | not published | 0 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $14,312.00 – $39,754.00 | 2 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $18,408.00 – $23,826.00 | 2 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | not published | not published | $16,310.00 – $16,310.00 | 1 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $17,411.00 – $17,411.00 | 1 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $14,312.00 – $23,826.00 | 2 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $596.48 – $596.48 | 1 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $4,601.99 – $4,601.99 | 1 |
| Sternal debridement CPT 21627 | not published | not published | $2,383.65 – $16,310.00 | 4 |
| Sternal pad HCPCS L1050 | not published | not published | $92.48 – $123.31 | 2 |
| St evaluate speech sound production CPT 92522 | $365.75 | $665.00 | $81.76 – $109.02 | 2 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $365.75 | $665.00 | $166.59 – $222.12 | 2 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $610.50 | $1,110.00 | $66.32 – $88.43 | 2 |
| St evaluation swallow function CPT 92610 | $575.30 | $1,046.00 | $42.72 – $56.96 | 2 |
| Stimulants synthetic CPT 80371 | $139.70 | $254.00 | $172.28 – $172.28 | 1 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $1,422.56 – $4,867.00 | 4 |
| Stocking sup grips 4 pre ots HCPCS L0982 | not published | not published | $14.42 – $19.23 | 2 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $124.11 – $165.49 | 2 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $124.11 – $165.49 | 2 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $124.11 – $165.49 | 2 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $124.11 – $165.49 | 2 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $4,867.00 – $4,867.00 | 1 |
| Straight knee joint heavy du HCPCS L2385 | not published | not published | $135.44 – $180.58 | 2 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $180.95 | $329.00 | $118.38 – $4,401.00 | 4 |
| Strapping of chest CPT 29200 | $293.70 | $534.00 | $118.38 – $4,401.00 | 4 |
| Strapping of elbow or wrist 29260 CPT 29260 | $293.70 | $534.00 | $42.98 – $4,401.00 | 4 |
| Strapping of hand or finger CPT 29280 | $293.70 | $534.00 | $42.98 – $4,401.00 | 4 |
| Strapping of hip CPT 29520 | not published | not published | $96.93 – $4,401.00 | 4 |
| Strapping of knee CPT 29530 | $207.35 | $377.00 | $96.93 – $4,401.00 | 4 |
| Strapping of toes 29550 CPT 29550 | $180.95 | $329.00 | $42.98 – $4,401.00 | 4 |
| Strep a ag ia CPT 87430 | $145.75 | $265.00 | $12.61 – $119.16 | 5 |
| Strep a dna dir probe CPT 87650 | not published | not published | $15.04 – $199.35 | 5 |
| Strep a dna quant CPT 87652 | not published | not published | $31.32 – $415.03 | 5 |
| Strep b assay w/optic CPT 87802 | not published | not published | $9.55 – $119.16 | 5 |
| Strep b dna amp probe CPT 87653 | $60.50 | $110.00 | $26.32 – $348.80 | 5 |
| Streptokinase antibody CPT 86590 | not published | not published | $9.50 – $109.73 | 5 |
| Streptomycin injection HCPCS J3000 | not published | not published | $37.11 – $59.57 | 3 |
| Stress test pulmonary CPT 94618 | $116.05 | $211.00 | $96.93 – $129.23 | 2 |
| Stress tte complete CPT 93351 | not published | not published | $398.06 – $530.75 | 2 |
| Str markers spec anal addl CPT 81266 | not published | not published | $228.61 – $2,138.61 | 5 |
| Str markers specimen anal CPT 81265 | not published | not published | $174.80 – $2,137.53 | 5 |
| St treatment speech individual CPT 92507 | $201.85 | $367.00 | $55.92 – $74.56 | 2 |
| St treatment swallow dysfunction/oral CPT 92526 | $246.95 | $449.00 | $61.72 – $82.30 | 2 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $514.23 – $4,401.00 | 4 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $146.16 – $4,401.00 | 4 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $538.41 – $4,401.00 | 4 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $5,286.15 – $11,257.00 | 4 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $9,352.97 – $18,408.00 | 4 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $20,477.00 – $20,477.00 | 1 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $2,581.60 – $11,257.00 | 4 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $2,581.60 – $11,257.00 | 4 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $2,581.60 – $11,257.00 | 4 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $1,503.10 – $4,867.00 | 4 |
| Suction socket HCPCS L6686 | not published | not published | $633.22 – $844.29 | 2 |
| Suction susp ak/knee disart HCPCS L5652 | not published | not published | $400.31 – $533.75 | 2 |
| Sugars multiple quant CPT 84379 | not published | not published | $8.65 – $114.56 | 5 |
| Sugars single quant CPT 84378 | $38.50 | $70.00 | $8.65 – $114.56 | 5 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | not published | not published | $0.09 – $0.10 | 2 |
| Sulfonylurea screen qn-sendout CPT 80377 | $122.10 | $222.00 | $172.28 – $172.28 | 1 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $34.11 – $45.48 | 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.