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SSM Health St. Clare Hospital - Baraboo prices. From its own published file.

SSM Health St. Clare Hospital - Baraboo in Baraboo, WI publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

13,041prices published
Apr 2026file last updated
$2,884cash price for ct abdomen and pelvis with contrast (list $5,243)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$499$907$199–$265
Emergency visit, high (level 4)
99284
$1,046$1,902$304–$405
Emergency visit, highest (level 5)
99285
$1,651$3,001$434–$578
Comprehensive metabolic panel
80053
$228$415$7.92–$142
Basic metabolic panel
80048
$189$343$6.34–$114
Complete blood count (CBC)
85025
$155$281$5.83–$105
Blood draw (venipuncture)
36415
$19.80$39.00$7.00–$15.91
Urinalysis
81001
$29.15$80.00$2.38–$42.67
Troponin (heart test)
84484
$34.10$84.00$9.35–$132
EKG tracing
93005
$188$342$42.98–$57.30
Chest X-ray, 2 views
71046
$346$629$63.40–$226
CT head without contrast
70450
$1,390$2,528$76.16–$843
CT abdomen and pelvis with contrast
74177
$2,884$5,243$254–$2,541
MRI lower back without contrast
72148
$2,318$4,215$174–$1,708
Ultrasound, abdomen
76700
$895$1,628$76.16–$959
IV push, single drug
96374
$151$295$155–$207
IV fluids, first hour
96360
$349$683$155–$207
Ketorolac injection, 15 mg
J1885
——$0.21–$1.39
Ondansetron injection
J2405
——$0.13–$0.17
Colonoscopy, diagnostic
45378
——$677–$4,484
Upper GI endoscopy with biopsy
43239
——$661–$4,484
Knee arthroscopy
29881
——$2,384–$13,059
Vaginal delivery, routine care
59400
——$11,257–$13,059
Cesarean delivery, routine care
59510
——$11,257–$13,059

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: SSM Health St. Clare Hospital - Baraboo price transparency page.

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