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
Ph body fluid CPT 83986 $25.08 $38.00 $3.58 – $4.65 11
Phencyclidine (pcp) CPT 83992 $89.76 $136.00 $20.67 – $52.20 10
Phenobarbital therapeutic drug level CPT 80184 $77.88 $118.00 $15.30 – $19.89 11
Phenylephrine 10 mg/ml injection solution HCPCS J2371 $0.07 $0.10 $0.02 – $0.02 1
Phenytoin total therapeutic drug level CPT 80185 $77.88 $118.00 $13.25 – $17.23 11
Phlebotomy therapeutic CPT 99195 $227.70 $345.00 $121.98 – $240.40 11
Phleb veins 1 extrm >20 stab CPT 37766 not published not published not published 0
Phosphorus CPT 84100 $29.04 $44.00 $4.74 – $6.16 11
Phosphorus 24 hour urine CPT 84105 $31.68 $48.00 $5.78 – $7.51 11
Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 $20.84 $31.57 $4.64 – $5.03 4
Pinworm exam CPT 87172 $23.76 $36.00 $4.27 – $5.55 11
Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 $23.25 $35.23 $1.80 – $1.95 4
Place gastrostomy tube perc CPT 49440 $2,191.20 $3,320.00 $456.60 – $1,960.47 11
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 $1,871.10 $2,835.00 $456.60 – $2,289.48 11
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 $137.94 $209.00 $209.00 – $221.54 7
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 $1,595.22 $2,417.00 $723.47 – $2,289.48 8
Platelet aggregation each agent teg CPT 85576 $196.68 $298.00 $24.91 – $32.38 11
Platelet automated CPT 85049 $34.32 $52.00 $4.48 – $5.82 11
Platelets each unit HCPCS P9019 $188.76 $286.00 $53.17 – $286.00 9
Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 $1,809.72 $2,742.00 $448.47 – $708.06 9
Platelets leukocytes reduced each unit HCPCS P9031 $271.26 $411.00 $144.26 – $435.66 9
Platelets leukocytes reduced irradiated each unit HCPCS P9033 $1,206.48 $1,828.00 $189.59 – $505.20 9
Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 $1,227.60 $1,860.00 $250.49 – $505.20 9
Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 $1,551.00 $2,350.00 $448.47 – $505.20 9
Platelets pheresis leukocytes reduced each unit HCPCS P9035 $1,206.48 $1,828.00 $448.47 – $511.59 9
Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 $1,259.94 $1,909.00 $448.47 – $680.61 9
Platelets pheresis pathogen-reduced each unit HCPCS P9073 $1,007.82 $1,527.00 $448.47 – $607.43 9
Plc pq device breast ea addl lesion MRI guide CPT 19288 $97.02 $147.00 $147.00 – $155.82 7
Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 $120.12 $182.00 $182.00 – $192.92 7
Plethysmography lung volumes/airway resistance CPT 94726 $476.52 $722.00 $69.94 – $632.97 15
Pm device progr eval dual CPT 93280 $93.06 $141.00 $38.13 – $141.00 11
#pnh-flow cytometry interp CPT 88187 $209.88 $318.00 $42.29 – $190.80 10
Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 $117.48 $178.00 $26.07 – $33.89 11
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 $4,287.36 $6,496.00 $455.52 – $3,939.70 11
Potassium 24 hour urine CPT 84133 $25.74 $39.00 $4.73 – $6.15 11
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 $69.96 $106.00 $0.20 – $0.21 4
Potassium serum/plasma/whole blood CPT 84132 $59.40 $90.00 $4.76 – $6.19 11
Pq dr cath chg w cont s&i CPT 75984 $729.30 $1,105.00 $248.43 – $495.60 10
Pr application of long arm splint CPT 29105 $388.08 $588.00 $122.92 – $166.02 8
Pr application splint static short arm CPT 29125 $308.88 $468.00 $122.92 – $135.93 8
Pr biopsy skin punch single lesion CPT 11104 $401.28 $608.00 $415.32 – $644.48 8
Pr correction hammertoe CPT 28285 $3,747.48 $5,678.00 $401.82 – $3,678.14 13
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 $36.96 $56.00 $37.46 – $56.00 11
Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 not published not published not published 0
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 $615.78 $933.00 $42.35 – $259.68 11
Prealbumin CPT 84134 $46.20 $70.00 $7.85 – $18.97 11
Pr ecg 12 lead report only CPT 93010 $35.64 $54.00 $9.22 – $44.23 12
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 $1.06 $1.60 $1.52 – $1.60 4
Prednisone 1 mg tablet HCPCS J7512 $2.64 $4.00 $0.02 – $0.02 4
Pregabalin - sendout CPT 80366 $102.30 $155.00 $18.33 – $93.00 9
Pregnancy Ultrasound (complete, after first trimester) CPT 76805 $573.54 $869.00 $106.81 – $574.00 11
Pregnancy Ultrasound (first trimester) CPT 76801 $454.74 $689.00 $106.81 – $574.00 11
Prep skin to 100cm2 other CPT 15004 not published not published not published 0
Pretreat rbc absorption reference CPT 86978 $100.32 $152.00 $40.75 – $145.76 11
Pretreat rbc density gradient separation reference CPT 86972 $217.14 $329.00 $135.78 – $197.40 11
Pretreat rbc w enzyme reference CPT 86971 $413.82 $627.00 $77.59 – $388.93 11
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 $149.16 $226.00 $95.40 – $154.00 3
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 not published not published not published 0
Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 $1,176.12 $1,782.00 $95.40 – $450.50 9
Pr hospital ip/obs care subsequent moderate level per day CPT 99232 $160.38 $243.00 $77.21 – $173.72 7
Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 $109.56 $166.00 $48.19 – $108.43 7
Pr incision & drainage abscess complicated/multiple CPT 10061 $770.22 $1,167.00 $268.03 – $415.32 8
Pr incision & drainage abscess simple/single CPT 10060 $306.90 $465.00 $95.40 – $284.11 9
Pr incision & drainage abscess vulva/perineal CPT 56405 $543.84 $824.00 $311.33 – $363.57 8
Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 $461.34 $699.00 $268.03 – $415.32 8
Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 $351.12 $532.00 $36.92 – $292.60 8
Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 not published not published not published 0
Procalcitonin CPT 84145 $184.80 $280.00 $27.22 – $35.39 11
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 $35.34 $53.55 $4.16 – $4.51 4
Progesterone CPT 84144 $117.48 $178.00 $20.86 – $27.12 11
Prolactin CPT 84146 $117.48 $178.00 $19.38 – $25.19 11
Promethazine hcl injection HCPCS J2550 $14.52 $22.00 $6.55 – $7.11 4
Propofol infusion 10 mg/ml HCPCS J2704 $2.74 $4.15 $0.15 – $0.16 4
Prostate biopsy, any mthd HCPCS G0416 $462.66 $701.00 $213.63 – $420.60 11
Protein c activity CPT 85303 $108.90 $165.00 $13.84 – $17.99 11
Protein electrophoretic fractionation & quantitation serum CPT 84165 $71.94 $109.00 $10.74 – $13.96 11
Protein s total CPT 85305 $129.36 $196.00 $11.61 – $15.09 11
Protein total 24 hour urine CPT 84156 $81.18 $123.00 $3.67 – $4.77 11
Protein total body fluid CPT 84157 $42.90 $65.00 $4.00 – $5.20 11
Protein total serum plasma whole blood CPT 84155 $23.76 $36.00 $3.67 – $4.77 11
Prothrombin time substitution plasma fractions each CPT 85611 $42.90 $65.00 $3.94 – $5.12 11
Pr removal drug delivery implant CPT 11982 $744.48 $1,128.00 $95.40 – $456.40 9
Pr removal foreign body external auditory canal without anesthesia CPT 69200 $197.34 $299.00 $135.93 – $135.93 1
Pr removal intrauterine device CPT 58301 $351.12 $532.00 $311.33 – $363.57 8
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 $711.48 $1,078.00 $415.32 – $656.98 8
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 $622.38 $943.00 $55.91 – $313.69 13
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 $681.12 $1,032.00 $204.98 – $313.69 8
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 $503.58 $763.00 $204.98 – $313.69 8
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 $553.08 $838.00 $204.98 – $313.69 8
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 $3,668.28 $5,558.00 $95.40 – $3,341.59 9
Pr tube thoracostomy w/connection to drainage open CPT 32551 $1,700.82 $2,577.00 $456.60 – $1,714.55 11
PSA (Prostate) Test CPT 84153 $117.48 $178.00 $18.39 – $23.91 11
Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 $62.70 $95.00 $14.21 – $95.00 11
Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 $77.22 $117.00 $18.39 – $117.00 11
Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 $62.70 $95.00 $13.84 – $95.00 11
Pt application of modality traction mechanical CPT 97012 $69.96 $106.00 $13.88 – $106.00 11
Pten gene full sequence CPT 81321 $1,306.80 $1,980.00 $480.56 – $780.00 11
Pt evaluation high complexity patient/family CPT 97163 $155.10 $235.00 $95.70 – $145.00 5
Pt evaluation low complexity patient/family CPT 97161 $155.10 $235.00 $95.70 – $145.00 5
Pt evaluation moderate complexity patient/family CPT 97162 $155.10 $235.00 $62.66 – $145.00 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.