healthcosts.net

HSHS St. Clare Memorial Hospital

855 S MAIN STREET, OCONTO FALLS, WI · Hshs · · NPI 1851477913

Source: hospital's published price file ↗ · Published Mar 24, 2026 · Ingested Sep 16, 2026

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
Hla class i high defin qual CPT 86832 $802.56 $1,216.00 $139.23 – $420.88 11
Hla ii typing 1 loc hr CPT 81382 $284.46 $431.00 $123.68 – $160.78 11
Hla ii typing ag equiv lr CPT 81375 $436.92 $662.00 $220.74 – $286.96 11
Hla i low res one antigen equiv ea CPT 81374 $161.70 $245.00 $74.33 – $96.63 11
Hla i typing low res one locus ea CPT 81373 $277.20 $420.00 $121.54 – $165.66 11
Hla typing a b or c CPT 86813 $522.06 $791.00 $58.00 – $75.40 11
Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 $0.99 $1.50 $0.36 – $0.39 4
Homocysteine CPT 83090 $118.14 $179.00 $17.92 – $23.30 11
Homovanillic acid (hva) CPT 83150 $89.76 $136.00 $19.62 – $29.13 11
Hpa-15 genotyping CPT 81112 $281.82 $427.00 $120.71 – $158.89 11
Hpa-1 genotyping CPT 81105 $281.82 $427.00 $120.71 – $158.89 11
Hpa-2 genotyping CPT 81106 $281.82 $427.00 $120.71 – $158.89 11
Hpa-3 genotyping CPT 81107 $281.82 $427.00 $120.71 – $158.89 11
Hpa-4 genotyping CPT 81108 $281.82 $427.00 $120.71 – $158.89 11
Hpa-5 genotyping CPT 81109 $281.82 $427.00 $120.71 – $158.89 11
Hpa-6 genotyping CPT 81110 $281.82 $427.00 $120.71 – $158.89 11
Hpa-9 genotyping CPT 81111 $281.82 $427.00 $120.71 – $158.89 11
Hpv types 16 & 18 only CPT 87625 $138.60 $210.00 $38.30 – $52.72 11
H pylori (c-13) breath CPT 83013 $220.44 $334.00 $67.36 – $87.57 11
Hrdtry perph neurphy panel CPT 81448 $2,079.00 $3,150.00 $473.12 – $760.37 11
Human epididymis protein 4 (he4) CPT 86305 $254.76 $386.00 $20.81 – $27.05 11
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 $5.74 $8.69 $1.71 – $2.82 2
Hydralazine 20 mg/ml injection solution HCPCS J0360 $83.03 $125.80 $7.24 – $7.86 4
Hydration IV infusion each additional hour CPT 96361 $143.88 $218.00 $47.84 – $231.08 8
Hydration IV infusion initial 31minutes - 1 hour CPT 96360 $375.54 $569.00 $217.31 – $506.98 8
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 $115.10 $174.40 $36.40 – $39.49 4
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 $6.47 $9.80 $0.23 – $0.25 4
Hydromorphone injection HCPCS J1170 $19.14 $29.00 $4.46 – $4.83 4
Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 $82.10 $124.40 $21.45 – $23.27 4
Hydrxycorticsterds 17- (17-ohcs) CPT 83491 $100.32 $152.00 $17.90 – $23.27 11
Hyperbaric oxygen therapy CPT 99183 $3,162.72 $4,792.00 $2,919.90 – $2,919.90 1
#hypersens-actinomyces ab CPT 86602 $91.08 $138.00 $8.17 – $13.23 11
Hysterosalpingography s&i CPT 74740 $626.34 $949.00 $192.14 – $495.60 11
Iaadi respiratory synctial virus CPT 87280 $99.00 $150.00 $13.42 – $17.45 11
Idh1 common variants CPT 81120 $712.80 $1,080.00 $154.60 – $251.23 11
Igh@/bcl2 translocation alys CPT 81278 $284.46 $431.00 $165.85 – $269.50 11
Igh gene rearrange amp meth CPT 81261 $1,604.46 $2,431.00 $197.99 – $257.39 11
Igh@ var region somatic mutation analy CPT 81263 $683.76 $1,036.00 $294.52 – $382.88 11
Ihc/icc per specimen each additional single antibody stain CPT 88341 $342.54 $519.00 $52.32 – $84.60 10
Ihc/icc per specimen initial single antibody stain CPT 88342 $297.00 $450.00 $174.06 – $270.00 11
Iiv3 vacc no prsv 0.25 ml im CPT 90655 $27.72 $42.00 $10.08 – $36.64 9
Immobilizer shldr cntor adlt HCPCS L3670 $115.50 $175.00 $136.72 – $136.72 1
Immobilizer shldr dlx str 24-36in med HCPCS L1830 $141.90 $215.00 $71.60 – $71.60 1
Immune complex assay CPT 86332 $166.32 $252.00 $24.37 – $31.68 11
Immunoassay tumor antigen quantitative ca 125 CPT 86304 $151.80 $230.00 $20.81 – $27.05 11
Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 $139.92 $212.00 $20.81 – $27.05 11
Immunodiff gel qual ea antigen/ab CPT 86331 $116.82 $177.00 $11.98 – $15.57 11
Immunofixation electrophoresis serum CPT 86334 $207.90 $315.00 $22.34 – $29.04 11
Immunofluorescence per specimen each additional single antibody stain CPT 88350 $188.76 $286.00 $52.32 – $171.60 10
Immunofluorescence per specimen initial single antibody stain CPT 88346 $172.26 $261.00 $156.60 – $261.00 11
Immunoglobulin assay CPT 86023 $89.10 $135.00 $12.46 – $16.20 11
Immunology procedure CPT 86849 $55.44 $84.00 $15.21 – $50.40 9
Implant ureth bulk agent HCPCS L8606 $1,442.10 $2,185.00 $158.03 – $167.51 7
Incision & drainage hematoma/seroma/fluid collection CPT 10140 $2,046.00 $3,100.00 $95.40 – $1,846.17 13
Incision of foot fascia CPT 28008 not published not published not published 0
Incision of heel bone CPT 28300 not published not published not published 0
Incision of metatarsal CPT 28308 not published not published not published 0
Incision tendon sheath CPT 26055 not published not published not published 0
Infect ag eia influenza a or b ea CPT 87400 $71.94 $109.00 $8.66 – $18.37 11
Infect ag ia optc obs influenza CPT 87804 $88.44 $134.00 $16.55 – $21.52 11
Infect ag if ea plyvlnt antsrm CPT 87300 $75.24 $114.00 $8.66 – $15.57 11
Infect ag if influenza a CPT 87276 $96.36 $146.00 $16.07 – $20.89 11
Infect ag if influenza b CPT 87275 $96.36 $146.00 $12.25 – $15.93 11
Infect ag if legionella pneumophila CPT 87278 $59.40 $90.00 $15.60 – $20.28 11
Infect ag if pneumocystis carinii CPT 87281 $99.00 $150.00 $11.98 – $15.57 11
Infect ag if varicella zoster CPT 87290 $96.36 $146.00 $13.42 – $17.45 11
Infect ag na herpes simplex quant CPT 87530 $178.86 $271.00 $42.84 – $55.69 11
Infect ag na hpv high-risk types CPT 87624 $138.60 $210.00 $35.09 – $45.62 11
Infect ag na orthopoxvirus amp prb each CPT 87593 $87.12 $132.00 $51.31 – $66.70 11
Infect ag na resp virus 12-25 targets CPT 87633 $911.46 $1,381.00 $416.78 – $541.81 11
Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 $84.48 $128.00 $41.38 – $53.79 11
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 $96.36 $146.00 $11.98 – $15.57 11
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 $96.36 $146.00 $13.42 – $17.45 11
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 $73.26 $111.00 $13.82 – $17.97 11
Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 $73.26 $111.00 $11.98 – $15.57 11
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 $118.14 $179.00 $14.38 – $18.69 11
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 $68.64 $104.00 $10.33 – $13.43 11
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 $68.64 $104.00 $10.33 – $13.43 11
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 $99.00 $150.00 $24.08 – $31.30 11
Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 $316.80 $480.00 $11.98 – $15.57 11
Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 $68.64 $104.00 $11.98 – $15.57 11
Infectious agent nucleic acid amplified probe CPT 87798 $495.00 $750.00 $35.09 – $45.62 11
Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 $217.14 $329.00 $35.09 – $45.62 11
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 $237.60 $360.00 $37.27 – $48.45 11
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 $1,684.32 $2,552.00 $333.42 – $541.81 11
Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 $158.40 $240.00 $35.09 – $45.62 11
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 $199.32 $302.00 $35.09 – $45.62 11
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 $198.00 $300.00 $41.68 – $54.18 11
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 $237.60 $360.00 $35.09 – $45.62 11
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 $126.06 $191.00 $51.31 – $66.70 11
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 $317.46 $481.00 $142.63 – $185.42 11
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 $363.00 $550.00 $142.63 – $185.42 11
Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 $219.12 $332.00 $35.09 – $45.62 11
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 $388.08 $588.00 $128.29 – $166.78 11
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 $535.26 $811.00 $232.94 – $341.89 11
Infectious agent nucleic acid quantification bk virus CPT 87799 $287.76 $436.00 $42.84 – $55.69 11
Infectious agent nucleic acid quantification hepatitis b CPT 87517 $327.36 $496.00 $42.84 – $55.69 11
Infectious agent nucleic acid quantification hepatitis c CPT 87522 $287.76 $436.00 $42.84 – $55.69 11
Infectious agent nucleic acid quantification hiv-1 CPT 87536 $287.76 $436.00 $85.10 – $110.63 11
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 $425.70 $645.00 $140.78 – $185.42 11

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.