Wisconsin / SSM Health St Clare Hospital - Baraboo
CMS certification 520057 · Baraboo, WI · 3 entries in CMS's price-transparency list
SSM Health St Clare Hospital - Baraboo: charges and Medicare payments
SSM Health St Clare Hospital - Baraboo reported 245 Medicare inpatient stays across 9 DRGs in 2024. Across them it charged 3.14 times what it was paid — mid-range in Wisconsin, number 35 of 55 hospitals with at least 100 stays (state median 3.47×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 63 stays at an average charge of $53,980, 40% below the national average. It also billed 736 outpatient services, charging 5.33 times what Medicare paid.
- 1Medicare inpatient stays 245
- 2Charge ÷ paid, inpatient 3.14×
- 3Rank in WI (highest ratio = 1) 35 of 55
- 4CMS price-transparency actions 3
Inpatient stays
For the 9 DRGs that can be compared with the national average, SSM Health St Clare Hospital - Baraboo charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 63 | $53,980 | -40% | $17,230 |
| 291 Heart Failure and Shock with MCC | 49 | $29,937 | -47% | $11,064 |
| 193 Simple Pneumonia and Pleurisy with MCC | 38 | $36,103 | -40% | $11,798 |
| 177 Respiratory Infections and Inflammations with MCC | 22 | $44,880 | -36% | $14,729 |
| 603 Cellulitis without MCC | 20 | $33,166 | -11% | $8,294 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 17 | $37,083 | -24% | $9,396 |
| 189 Pulmonary Edema and Respiratory Failure | 13 | $30,263 | -47% | $10,847 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 12 | $38,234 | -31% | $9,240 |
| 194 Simple Pneumonia and Pleurisy with CC | 11 | $22,867 | -40% | $7,958 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 316 | $9,029 | $2,098 |
| Comprehensive Observation Services | 134 | $17,183 | $2,477 |
| Level 5 Musculoskeletal Procedures | 51 | $40,387 | $11,984 |
| Level 2 Intraocular Procedures | 36 | $14,519 | $3,707 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 35 | $6,549 | $1,478 |
| Level 1 Laparoscopy and Related Services | 29 | $18,999 | $5,119 |
| Level 1 Nerve Procedures | 28 | $5,136 | $1,760 |
| Level 3 Vascular Procedures | 26 | $15,904 | $2,795 |
| Level 3 Musculoskeletal Procedures | 25 | $11,762 | $2,857 |
| Level 2 Musculoskeletal Procedures | 17 | $6,054 | $1,397 |
| Level 4 Urology and Related Services | 16 | $9,350 | $3,179 |
| Level 4 Musculoskeletal Procedures | 12 | $22,422 | $6,523 |
| Level 2 Vascular Procedures | 11 | $8,225 | $1,460 |
Against the Wisconsin average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), SSM Health St Clare Hospital - Baraboo charged $53,980 on average, 9% less than the Wisconsin average of $59,481, and was paid $17,230 against a state average of $16,719. For Heart Failure and Shock with MCC (DRG 291), SSM Health St Clare Hospital - Baraboo charged $29,937 on average, 24% less than the Wisconsin average of $39,564, and was paid $11,064 against a state average of $10,862. For Simple Pneumonia and Pleurisy with MCC (DRG 193), SSM Health St Clare Hospital - Baraboo charged $36,103 on average, 10% less than the Wisconsin average of $40,070, and was paid $11,798 against a state average of $11,231. For Respiratory Infections and Inflammations with MCC (DRG 177), SSM Health St Clare Hospital - Baraboo charged $44,880 on average, 14% less than the Wisconsin average of $52,035, and was paid $14,729 against a state average of $14,345. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,029 was 21% below the state average of $11,485. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,183 was 3% below the state average of $17,717. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $40,387 was 20% below the state average of $50,282. For Level 2 Intraocular Procedures (outpatient APC 5492), its average charge of $14,519 was 31% below the state average of $21,027.
Price-transparency record
CMS's enforcement list records these actions for a hospital named SSM Health St Clare Hospital - Baraboo in Baraboo, WI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-04-20 (CMS case 1302)
- Closure Notice — 2023-08-16 (CMS case 1302)
- Met Requirements — 2025-04-17 (CMS case 3905)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.