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
Infliximab 100 mg intravenous solution HCPCS J1745 $226.60 $343.34 $32.42 – $363.94 11
Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 $183.62 $278.21 $24.22 – $294.90 11
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 $234.96 $356.00 $90.89 – $223.72 11
Initiation & management bipap/cpap initial day CPT 94660 $428.34 $649.00 $90.89 – $228.85 11
Inj, acetaminophen (hikma) HCPCS J0137 $0.59 $0.89 $0.08 – $0.09 4
Inj, bupivacaine liposome HCPCS J0666 $7.30 $11.06 $1.44 – $2.58 5
Inj cefazolin sodium, hikma HCPCS J0688 $7.13 $10.80 $1.45 – $1.58 4
Inj cefazolin (wg crit care) HCPCS J0687 $8.09 $12.25 $1.45 – $1.58 4
Inj ceftolozane tazobactam HCPCS J0695 $28.66 $43.42 $8.95 – $46.03 11
Inj cntr knee arthro incl ct/mri CPT 27369 $583.44 $884.00 $456.60 – $563.71 10
Inj dx for sinogram CPT 20501 $413.82 $627.00 $456.60 – $563.71 10
Injection arthrography hip without anesthesia (both sides) CPT 27093 $611.16 $926.00 $456.60 – $563.71 10
Injection epidural blood patch or clot CPT 62273 $1,087.02 $1,647.00 $721.17 – $1,314.72 9
Injection for arthrography wrist (both sides) CPT 25246 $611.16 $926.00 $456.60 – $563.71 10
Injection for bladder x-ray CPT 51600 $557.04 $844.00 $456.60 – $563.71 10
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 $611.16 $926.00 $456.60 – $563.71 10
Injection,onabotulinumtoxina HCPCS J0585 $16.24 $24.61 $6.51 – $26.09 11
Injection, renflexis HCPCS Q5104 $146.19 $221.50 $27.75 – $234.79 11
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 $1,881.00 $2,850.00 $721.17 – $1,247.60 11
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 $739.86 $1,121.00 $616.55 – $1,188.26 9
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 $799.92 $1,212.00 $647.69 – $721.17 8
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 $1,779.36 $2,696.00 $903.63 – $1,314.72 8
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 $395.34 $599.00 $599.00 – $634.94 7
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 $2,273.70 $3,445.00 $903.63 – $1,314.72 8
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 $454.74 $689.00 $689.00 – $730.34 7
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 $2,281.62 $3,457.00 $903.63 – $1,314.72 8
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 $1,878.36 $2,846.00 $721.17 – $1,314.72 8
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 $1,704.78 $2,583.00 $721.17 – $1,314.72 8
Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 $341.22 $517.00 $313.60 – $495.60 11
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 $355.08 $538.00 $313.60 – $495.60 11
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 $143.88 $218.00 $47.84 – $79.69 8
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 $143.88 $218.00 $75.18 – $79.69 7
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 $205.92 $312.00 $75.18 – $217.31 8
Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 $105.60 $160.00 $73.56 – $79.69 8
Inject sacroiliac joint CPT 27096 $1,318.02 $1,997.00 $744.98 – $789.68 7
Inj epidural sgl cerv-thor without img CPT 62320 $1,186.68 $1,798.00 $721.17 – $1,314.72 8
Inj epidural sgl lumb-sacral without img CPT 62322 $1,186.68 $1,798.00 $903.63 – $1,314.72 8
Inj heparin, pfizer, 1000u HCPCS J1643 $3.23 $4.90 $3.47 – $3.76 4
Inj intralesional <= 7 lsn(s) CPT 11900 $229.68 $348.00 $95.40 – $284.11 9
Inj labetalol hcl hikma, 5mg HCPCS J1921 $1.71 $2.59 $1.80 – $1.95 4
Inj, lecanemab-irmb, 1 mg HCPCS J0174 $3.52 $5.33 $1.33 – $5.65 11
Inj, levothyroxine, freskabi HCPCS J0651 $26.34 $39.91 $6.94 – $12.42 5
Inj, levothyroxine, hikma HCPCS J0652 $36.50 $55.31 $12.69 – $13.77 4
Inj, lidocaine w epinephrine HCPCS J2004 $1.62 $2.45 $0.07 – $0.07 1
Inj mepivacaine hcl/10 ml HCPCS J0670 $30.13 $45.65 $6.19 – $6.71 4
Inj multihance HCPCS A9577 $10.10 $15.30 $2.97 – $3.22 4
Inj proc ankle arthr CPT 27648 $611.16 $926.00 $456.60 – $563.71 10
Inj proc elbow arthro CPT 24220 $611.16 $926.00 $456.60 – $563.71 10
Inj proc myelogram lumbar CPT 62284 $859.98 $1,303.00 $456.60 – $563.71 10
Inj scleros sol mult veins CPT 36471 $326.04 $494.00 $415.32 – $523.64 8
Inj scleros sol sgl vein CPT 36470 $461.34 $699.00 $415.32 – $740.94 8
Inj vancomycin (xellia) 10mg HCPCS J3375 $0.84 $1.27 $0.21 – $0.23 4
Inj w/fluor eval cv device CPT 36598 $583.44 $884.00 $217.31 – $563.71 11
Insert cath pleura with image CPT 32557 $2,046.00 $3,100.00 $456.60 – $1,714.55 11
Insert cath pleura without image CPT 32556 $1,087.02 $1,647.00 $1,617.50 – $1,960.47 8
Insert drug delivery implant CPT 11981 $184.80 $280.00 $56.89 – $280.00 13
Insertion catheter bladder non indwelling CPT 51701 $215.82 $327.00 $95.40 – $148.21 9
Insertion catheter bladder temporary simple CPT 51702 $215.82 $327.00 $95.40 – $148.21 9
Insertion catheter pleural indwelling tunneled with cuff CPT 32550 $3,856.38 $5,843.00 $1,617.50 – $3,657.95 8
Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 $3,161.40 $4,790.00 $1,781.44 – $3,225.87 8
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 $1,560.24 $2,364.00 $1,608.25 – $1,888.33 8
Insertion picc without port or pump with imaging guidance=>5y CPT 36573 $3,082.86 $4,671.00 $1,608.25 – $1,888.33 8
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 $5,794.80 $8,780.00 $315.84 – $3,646.82 13
Insert picvad cath CPT 36570 $6,232.38 $9,443.00 $1,781.44 – $3,225.87 8
Insert tunneled cv 2cath 2sits without port/pmp 36565 CPT 36565 $5,840.34 $8,849.00 $3,225.87 – $3,646.82 8
Insert tunneled cv cath CPT 36560 $4,350.06 $6,591.00 $3,225.87 – $3,646.82 8
Insert tunneled cv cath CPT 36563 $3,954.06 $5,991.00 $3,440.40 – $5,685.01 8
Insitu hybridization (fish) CPT 88366 $493.68 $748.00 $174.06 – $448.80 11
Insitu hybridization manual CPT 88368 $894.30 $1,355.00 $213.63 – $388.93 11
In situ hybridization per specimen each additional single probe stain CPT 88364 $493.68 $748.00 $52.32 – $448.80 10
In situ hybridization per specimen initial single probe stain CPT 88365 $493.68 $748.00 $174.06 – $279.60 11
Ins picad w subq port 5yr> CPT 36571 $6,688.44 $10,134.00 $1,781.44 – $3,225.87 8
Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 $2,620.86 $3,971.00 $640.89 – $1,888.33 8
Inst fibrinolysis agent ini day CPT 32561 $714.12 $1,082.00 $456.60 – $1,146.92 11
Inst fibrinolysis agent sbsq d CPT 32562 $714.12 $1,082.00 $456.60 – $1,146.92 11
Ins tun cvad 2 cath w/subq port(s) CPT 36566 $8,823.54 $13,369.00 $3,440.40 – $5,685.01 8
Ins tun cv cath wo subq prt/pm CPT 36557 $4,125.00 $6,250.00 $3,440.40 – $5,685.01 8
Ins tun cv cath wo subq prt/pm CPT 36558 $4,888.62 $7,407.00 $3,225.87 – $3,646.82 8
Insulin total CPT 83525 $62.70 $95.00 $11.43 – $14.86 11
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 $9,058.50 $13,725.00 $2,540.50 – $4,670.36 4
Integra meshed bil wound mat HCPCS C9363 $6,651.32 $10,077.75 $127.14 – $127.14 1
Interrog evl pm/ldls pm ip CPT 93288 $113.52 $172.00 $38.13 – $62.24 8
Intrinsic factor antibody CPT 86340 $99.00 $150.00 $14.28 – $19.60 11
Intubation endotracheal emergency procedure CPT 31500 $1,094.94 $1,659.00 $241.98 – $1,209.65 8
Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 $2.64 $4.00 $0.26 – $0.27 3
Iron CPT 83540 $67.32 $102.00 $6.47 – $8.41 11
Iron binding capacity CPT 83550 $89.10 $135.00 $8.74 – $11.36 11
Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 $2.86 $4.34 $0.40 – $0.43 4
Irradiation of blood product each unit reference CPT 86945 $88.44 $134.00 $38.16 – $142.04 11
Irrigation implantable venous access device for drug delivery systems CPT 96523 $127.38 $193.00 $60.27 – $95.40 9
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 $145.86 $221.00 $73.56 – $234.26 8
IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 $207.24 $314.00 $314.00 – $332.84 7
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 $143.88 $218.00 $47.84 – $231.08 8
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 $439.56 $666.00 $217.31 – $506.98 8
Jak2 targeted sequence analysis CPT 81279 $421.74 $639.00 $148.16 – $240.76 11
John cunningham antibody CPT 86711 $1,585.32 $2,402.00 $15.79 – $21.96 11
Ketamine and metabolite screen - quest CPT 80357 $44.88 $68.00 $18.33 – $40.80 9
Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 $44.22 $67.00 $8.17 – $10.62 11
Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 $36.30 $55.00 $0.33 – $0.59 5
Kidney imag w/bld flow multi CPT 78709 $1,682.34 $2,549.00 $554.73 – $1,311.10 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.