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 |
|---|---|---|---|---|
| Supply of digital device HCPCS G0552 | not published | not published | $96.99 – $129.32 | 2 |
| Support clav 29.6-40.5in med HCPCS L3650 | not published | not published | $60.45 – $80.60 | 2 |
| Supprelin la implant HCPCS J9226 | not published | not published | $28,118.98 – $86,564.74 | 5 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $2,022.07 – $4,867.00 | 4 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $7,789.00 – $11,044.00 | 2 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $7,789.00 – $11,044.00 | 2 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $2,567.95 – $7,789.00 | 4 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $5,286.15 – $11,257.00 | 4 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $5,286.15 – $20,477.00 | 4 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $5,286.15 – $11,257.00 | 4 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $3,906.07 – $11,044.00 | 4 |
| Surgical opening esophagus CPT 43351 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Surgical opening esophagus CPT 43352 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Surgical opening of stomach CPT 43510 | not published | not published | $660.74 – $4,401.00 | 4 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,130.33 – $4,867.00 | 4 |
| Surgical pathology level 1 gross examination only CPT 88300 | $76.45 | $139.00 | $21.07 – $73.88 | 3 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $145.20 | $264.00 | $27.21 – $176.25 | 3 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $341.00 | $620.00 | $37.96 – $238.68 | 3 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $1,058.75 | $1,925.00 | $37.96 – $238.68 | 3 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $438.90 | $798.00 | $261.13 – $1,563.37 | 3 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,102.20 | $2,004.00 | $586.94 – $2,218.99 | 3 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Surgical revision intestine CPT 44680 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $2,022.07 – $6,687.00 | 4 |
| Susceptibility agar dilution per agent CPT 87181 | $146.85 | $267.00 | $3.56 – $47.22 | 5 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $33.00 | $60.00 | $3.56 – $47.22 | 5 |
| Susceptibility mic per plate CPT 87186 | $389.95 | $709.00 | $6.49 – $85.97 | 5 |
| Suscept studies macrobroth dilution ea CPT 87188 | $146.30 | $266.00 | $4.98 – $65.97 | 5 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Suspension of testis CPT 54620 | not published | not published | $2,567.95 – $11,257.00 | 4 |
| Suspension of uterus CPT 58410 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $7,789.00 – $11,044.00 | 2 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $112.50 – $150.00 | 2 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $11,257.00 – $11,257.00 | 1 |
| Svc venogram s&i CPT 75827 | not published | not published | $889.75 – $1,529.03 | 3 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $36.42 – $50.62 | 3 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $2,329.89 – $3,106.52 | 2 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $3,119.37 – $4,159.16 | 2 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $237.68 – $316.91 | 2 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $310.96 – $414.62 | 2 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $248.66 – $331.54 | 2 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $507.01 – $676.01 | 2 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,422.56 – $4,867.00 | 4 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,422.56 – $6,687.00 | 4 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $2,383.65 – $11,257.00 | 4 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $10.66 – $16.47 | 3 |
| Synthetic sentence id test CPT 92576 | not published | not published | $27.21 – $36.28 | 2 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $4.51 – $17.27 | 5 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $41.25 | $75.00 | $3.30 – $43.72 | 5 |
| System sealant biosentry tract HCPCS C2613 | $753.25 | $1,369.55 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $119.90 | $218.00 | $12.70 – $117.48 | 5 |
| T3 (triiodothyronine) total CPT 84480 | $8.25 | $15.00 | $10.64 – $140.90 | 5 |
| T4 (thyroxine) free CPT 84439 | $165.55 | $301.00 | $6.76 – $89.62 | 5 |
| T4 (thyroxine) total CPT 84436 | $9.35 | $17.00 | $5.15 – $68.23 | 5 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.83 – $1.11 | 3 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $2.62 – $3.48 | 3 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.28 – $0.33 | 3 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $201.13 – $498.24 | 5 |
| Tacrolimus therapeutic drug level CPT 80197 | $50.60 | $92.00 | $10.30 – $136.53 | 5 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $10.82 – $26.74 | 5 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $11,044.00 – $11,044.00 | 1 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $16,781.00 – $16,781.00 | 1 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $58.00 – $139.74 | 5 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $57.54 – $137.55 | 5 |
| Talymed HCPCS Q4127 | not published | not published | $90.66 – $130.13 | 5 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $1,676.00 – $1,676.00 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | $4,531.45 | $8,239.00 | $569.65 – $4,731.28 | 5 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $4,101.35 | $7,457.00 | $2,189.70 – $20,484.52 | 5 |
| Target gsa panel organ neop CPT 81445 | $7,056.50 | $12,830.00 | $448.43 – $4,362.87 | 5 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,209.32 – $2,978.24 | 4 |
| Tas congenital car anomal CPT 33741 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $538.41 – $4,401.00 | 4 |
| Tavr perq femoral CPT 33361 | not published | not published | $18,408.00 – $18,408.00 | 1 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.18 – $0.74 | 5 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $102.75 – $999.67 | 5 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $453.59 – $453.59 | 1 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $116.25 – $116.25 | 1 |
| Tbs techl calculation only CPT 77091 | not published | not published | $63.40 – $313.30 | 3 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $24.03 – $84.53 | 3 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $220.00 | $400.00 | $75.00 – $744.81 | 5 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $198.00 | $360.00 | $46.48 – $616.06 | 5 |
| Tc-99m disofenin HCPCS A9510 | $231.00 | $420.00 | not published | 0 |
| Tc-99m gluceptate HCPCS A9550 | $224.40 | $408.00 | not published | 0 |
| Tc-99m labeled rbc HCPCS A9560 | $268.95 | $489.00 | not published | 0 |
| Tc-99m maa HCPCS A9540 | $238.15 | $433.00 | not published | 0 |
| Tc-99m mebrofenin HCPCS A9537 | $224.40 | $408.00 | not published | 0 |
| Tc-99m medronate HCPCS A9503 | $224.40 | $408.00 | not published | 0 |
| Tc-99m mertiatide HCPCS A9562 | $795.30 | $1,446.00 | not published | 0 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $15.40 | $28.00 | not published | 0 |
| Tc-99m pentetate dtpa HCPCS A9539 | $224.40 | $408.00 | not published | 0 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $224.40 | $408.00 | 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.