Emergency visit, high (level 4) at SSM Health St. Clare Hospital - Baraboo. CPT 99284.
What SSM Health St. Clare Hospital - Baraboo publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,046cash price (self-pay)
$1,902list price
$304–$405range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Medicare Managed Care Plan | $304 |
| Dean Health Plan | Medicare Managed Care Plan | $405 |
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All common services at SSM Health St. Clare Hospital - Baraboo