Details for 3783295.pdf

NOTICE OF HOSPITAL PRICE INCREASE
FOR SSM HEALTH ST CLARE HOSPITAL -BARABOO
707 14TH ST, BARABOO, WI 53913
FISCAL YEAR 01/04/2020 TO 12/31/2020

CHARGE ELEMENT

ROOM AND BOARD - NEWBORN LEVEL 1
ROOM AND BOARD - NEWBORN LEVEL II
ROOM AND BOARD - NEWBORN LEVEL III
ROOM AND BOARD - SEMI PVT OB
ROOM AND BOARD - SEMI PRIVATE INPATIENT
ROOM AND BOARD - ICU MEDICAL
ROOM AND BOARD - ICU INTERMEDIATE
CIRCUMCISION
DELIVERY VAGINAL LEVEL 1
DELIVERY VAGINAL LEVEL 2
LABOR LEVEL 1
LABOR LEVEL 2
LABOR LEVEL 3
LABOR LEVEL 4
EMERGENCY DEPT VISIT -FACILITY (highest volume)
MAMMOGRAPHY

PREVIOUS
RATE
$900.84
$1,348.85
$1,798.40
$2,036.70
$1,783.96
$5,409.65
$3,856.54
$376.47
$1,354.59
$1,626.80
$132.47
$150.36
$155.14
$170.65
$390.44
$220.52

NEW RATE
$901.00
$1,349.00
$1,799.00
$2,037.00
$1,784.00
$5,410.00
$3,857.00
$411.00
$1,423.00
$1,709.00
$140.00
$158.00
$163.00
$180.00
$426.00
$221.00

DOLLAR
INCREASE
$0.16
$0.15
$0.60
$0.30
$0.04
$0.35
$0.46
34.53
$68.41
$82.20
$7.53
$7.64
$7.86
$9.35
$35.56
$0.48

PERCENT
OF INCREASE
0%
0%
0%
0%
0%
0%
0%
9%
5%
5%
6%
5%
5%
5%
9%
0%

2020 ANNUAL PERCENTAGE INCREASE IN TOTAL PATIENT REVENUE IS 3% EFFECTIVE JANUARY 4, 2020.
THE ANNUAL PERCENTAGE INCREASE IN TOTAL PATIENT REVENUE FOR 2019 WAS 3% EFFECTIVE
JANUARY 1, 2019.
This increase will allow SSM Health St Clare Hospital-Baraboo to continue to invest in continually improving
technologies and exceptional medical staff to provide high-quality, high-value care for our community.

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