Supplies, drugs & other prices at SSM Health St. Clare Hospital - Baraboo
Baraboo, WI · every code in this section with a posted price and a Medicare benchmark.
32 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $470.80 | $856 | 1.4× |
| Admin hepatitis b vaccine (G0010) | $61.05 | $111 | 1.3× |
| Admin influenza virus vac (G0008) | $61.05 | $111 | 1.3× |
| Admin pneumococcal vaccine (G0009) | $61.05 | $111 | 1.3× |
| Direct refer hospital observ (G0379) | $318.45 | $579 | 0.6× |
| Drug test def 1-7 classes (G0480) range across 2 matching MRF lines |
$15.40–$34.38 | $28–$62.50 | varies |
| Elec stim other than wound (G0283) | $125.40 | $228 | 9.9× |
| Fecal blood scrn immunoassay (G0328) | $46.75 | $85 | 2.6× |
| Fern test (Q0114) | $62.70 | $114 | 6.4× |
| Home sleep test/type 3 porta (G0399) | $640.20 | $1,164 | 3.1× |
| Inj for sacroiliac jt anesth (G0260) range across 2 matching MRF lines |
$2,018.50–$4,035.90 | $3,670–$7,338 | varies |
| Mra w/o cont, abd (C8901) | $2,388.10 | $4,342 | 10.3× |
| Mra w/o cont, chest (C8910) | $2,356.20 | $4,284 | 10.2× |
| Mra w/o cont, lwr ext (C8913) | $2,356.20 | $4,284 | 10.2× |
| Mra w/o cont, pelvis (C8919) | $2,356.20 | $4,284 | 10.2× |
| Mra w/o fol w/cont, abd (C8902) | $2,448.60 | $4,452 | 7.2× |
| Mra w/o fol w/cont, chest (C8911) | $2,448.60 | $4,452 | 7.2× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,612.50 | $4,750 | 7.7× |
| Mra w/o fol w/cont, pelvis (C8920) | $2,448.60 | $4,452 | 7.2× |
| Mra, w/o dye, upper extr (C8935) | $2,356.20 | $4,284 | 10.2× |
| Mra, w/o&w/dye, upper extr (C8936) | $2,448.60 | $4,452 | 7.2× |
| Mri w/o fol w/cont, breast, (C8908) | $2,571.80 | $4,676 | 7.6× |
| Mri w/o fol w/cont, brst, un (C8905) | $890.45 | $1,619 | 2.6× |
| Onc Merkel Cll Carc Srm Quan (0058U) | $1,441 | $2,620 | 4.5× |
| Oth resp proc, group (G0239) | $299.75 | $545 | 8.3× |
| Oth resp proc, indiv (G0238) | $80.30 | $146 | 2.9× |
| Prostate biopsy, any mthd (G0416) | $425.15 | $773 | 1.2× |
| Psa screening (G0103) | $200.20 | $364 | 10.4× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $2,008.60 | $3,652 | 2.8× |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$3,429.80–$5,104.55 | $6,236–$9,281 | varies |
| Tte w or w/o fol w/con,stres (C8928) | $869.55 | $1,581 | 1.1× |
| Tte w or wo fol wcon,doppler (C8929) | $1,628.55 | $2,961 | 2.1× |
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.