SSM Health St. Clare Hospital - Baraboo

Baraboo, WI

Posts prices for 35 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.

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ProcedurePosted cashPosted gross× Medicare
Transforaminal epidural injection, lumbar/sacral (64483)
range across 2 matching MRF lines
$2,198.90–$4,398.90 $3,998–$7,998 varies
After-cataract laser surgery (YAG capsulotomy) (66821) $1,922.80 $3,496 3.6×
CT head/brain without contrast (70450) $1,390.40 $2,528 13.7×
MRI brain without contrast (70551) $2,288 $4,160 9.9×
MRI brain with contrast (70552) $2,415.05 $4,391 7.1×
MRI brain without and with contrast (70553) $2,448.60 $4,452 7.2×
X-ray lower spine, 4+ views (72110) $609.95 $1,109 6.0×
MRI lumbar spine without contrast (72148) $2,318.25 $4,215 10.0×
CT pelvis with contrast (72193) $1,531.20 $2,784 9.0×
MRI lower-extremity joint without contrast (73721) $2,318.25 $4,215 10.0×
CT abdomen and pelvis with contrast (74177) $2,883.65 $5,243 8.5×
Ultrasound, abdomen complete (76700) $895.40 $1,628 8.8×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $1,023 $1,860 10.1×
Ultrasound, transvaginal (76830) $753.50 $1,370 7.4×
Mammography, one breast (diagnostic) (77065) $127.05 $231 1.5×
Mammography, both breasts (diagnostic) (77066) $254.10 $462 2.3×
Mammography, screening (bilateral) (77067)
range across 3 matching MRF lines
$41.25–$149.05 $75–$271 varies
Basic metabolic panel (80048) $188.65 $343 22.3×
Comprehensive metabolic panel (80053) $228.25 $415 21.6×
Lipid panel (80061)
range across 3 matching MRF lines
$30.25–$134.75 $55–$245 varies
Renal function panel (80069) $214.50 $390 24.7×
Hepatic function panel (80076) $161.70 $294 19.8×
Urinalysis, non-automated, without microscopy (81002) $15.40 $28 4.4×
PSA, total (84153)
range across 3 matching MRF lines
$9.90–$208.45 $18–$379 varies
Thyroid stimulating hormone (TSH) (84443) $126.50 $230 7.5×
CBC with automated differential (85025) $154.55 $281 19.9×
CBC, automated (85027) $90.20 $164 13.9×
Prothrombin time (PT) (85610)
range across 5 matching MRF lines
$7.70–$32.45 $14–$59 varies
Partial thromboplastin time (PTT) (85730)
range across 6 matching MRF lines
$16.50–$77 $30–$140 varies
Sleep study (attended polysomnography) (95810)
range across 3 matching MRF lines
$508.75–$2,532.75 $925–$4,605 varies
Physical therapy, therapeutic exercise (per 15 min) (97110) $127.60 $232 4.4×
Office visit, new patient (moderate complexity, ~45 min) (99204) $145.20 $264 1.1×
Office visit, new patient (high complexity, ~60 min) (99205) $169.40 $308 1.3×
Office consultation (low complexity, ~30 min) (99243) $132.55 $241 1.0×
Office consultation (moderate complexity, ~40 min) (99244) $154 $280 1.2×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

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Download the machine-readable file (JSON, 28.0 MB) ↓ — captured 2026-09-08

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