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Ssm Health St Clare Hospital - Baraboo

707 14Th St, Baraboo, WI 53913 · (608) 356-1400

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 4/5Baraboo, WI metroWebsite ↗

Price file

Prices published

File dated 2026-04-01

613 price rows for 58 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · metro median $189

$189
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $2,884

$2,884
cash
CT scan of the head, no contrast

CPT 70450 · metro median $1,390

$1,390
cash
CT scan of the pelvis, with contrast

CPT 72193 · metro median $1,531

$1,531
cash
—
cash
—
cash
—
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 5 lines · metro median $36

$36
cash
—
cash
—
cash
—
cash
Complete blood count (CBC) with differential

CPT 85025 · metro median $155

$155
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $228

$228
cash
Diagnostic mammogram (both breasts)

CPT 77066 · metro median $254

$254
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 2 lines · metro median $195

$195
cash
—
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 5 lines · metro median $59

$59
cash
—
cash
—
cash
—
cash
—
cash
—
cash
Laser treatment after cataract surgery (YAG)

CPT 66821 · metro median $1,923

$1,923
cash
—
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 3 lines · metro median $30

$30
cash
Liver function panel

CPT 80076 · metro median $162

$162
cash
MRI of the brain, with and without contrast

CPT 70553 · metro median $2,449

$2,449
cash
$2,318
cash
$2,318
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $2,318

$2,318
cash
—
cash
$2,199
cash
New patient office visit (about 45 minutes)

CPT 99204 · metro median $145

$145
cash
New patient office visit (about 60 minutes)

CPT 99205 · metro median $169

$169
cash
PSA test (prostate)

CPT 84153 · lowest of 3 lines · metro median $10

$10
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 6 lines · metro median $17

$17
cash
—
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $1,023

$1,023
cash
Prostate biopsy

CPT 55700 · metro median $2,126

$2,126
cash
—
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 5 lines · metro median $8

$8
cash
—
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $41

$41
cash
—
cash
Sleep study (overnight, attended)

CPT 95810 · metro median $2,533

$2,533
cash
—
cash
$2,021
cash
TSH test (thyroid)

CPT 84443 · metro median $127

$127
cash
—
cash
Transvaginal ultrasound

CPT 76830 · metro median $754

$754
cash
Ultrasound of the abdomen (complete)

CPT 76700 · metro median $895

$895
cash
—
cash
—
cash
Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $29

$29
cash
—
cash
—
cash
—
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $610

$610
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.