SSM Health Ripon Community Hospital
845 Parkside St, Ripon, WI · SSM Health · · NPI 1053362624
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $29.28 – $59.24 | 4 |
| 17-hydroxypregnenolone CPT 84143 | $46.75 | $85.00 | $22.81 – $46.16 | 4 |
| 17-ketosteroids CPT 83586 | not published | not published | $12.80 – $25.91 | 4 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $35.92 – $62.86 | 4 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,199.00 | $2,180.00 | not published | 0 |
| 2nd order venous cath CPT 36012 | $1,916.20 | $3,484.00 | $1,887.00 – $5,512.00 | 3 |
| 3d ech img cgen car anomal CPT 93319 | $360.25 | $655.00 | not published | 0 |
| 3-d radiotherapy plan CPT 77295 | $3,637.70 | $6,614.00 | $897.03 – $897.03 | 1 |
| 3d recon without postprocess indpndt CPT 76376 | $431.75 | $785.00 | $43.47 – $43.47 | 1 |
| 5' nucleotidase - sendout CPT 83915 | $19.80 | $36.00 | $11.15 – $22.56 | 4 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $100.10 | $182.00 | $18.04 – $30.80 | 2 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $47.42 – $119.25 | 5 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $40.70 | $74.00 | $11.77 – $21.02 | 4 |
| Abciximab injection HCPCS J0130 | not published | not published | $1,520.84 – $1,520.84 | 1 |
| Abd aorta w/runoff s&i CPT 75630 | $2,954.60 | $5,372.00 | $273.99 – $273.99 | 1 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Abd/low ext cath 1st CPT 36245 | $1,469.05 | $2,671.00 | $1,887.00 – $5,512.00 | 3 |
| Abd/low ext cath 2nd CPT 36246 | $2,038.85 | $3,707.00 | $1,887.00 – $5,512.00 | 3 |
| Abd/low ext cath 3rd CPT 36247 | $2,318.80 | $4,216.00 | $1,887.00 – $5,512.00 | 3 |
| Abd/low ext cath addl CPT 36248 | $3,237.85 | $5,887.00 | $1,887.00 – $5,512.00 | 3 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,714.35 | $3,117.00 | $636.39 – $636.39 | 1 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,632.95 | $2,969.00 | $553.21 – $553.21 | 1 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,554.85 | $2,827.00 | $296.56 – $296.56 | 1 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,310.55 | $4,201.00 | $1,304.85 – $1,304.85 | 1 |
| Abdominal MRI (with contrast) CPT 74182 | $2,200.55 | $4,001.00 | $1,219.30 – $1,219.30 | 1 |
| Abdominal MRI (without contrast) CPT 74181 | $2,095.50 | $3,810.00 | $861.64 – $861.64 | 1 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,349.15 | $2,453.00 | $2,654.00 – $4,761.00 | 3 |
| Abdominal Ultrasound (complete) CPT 76700 | $674.30 | $1,226.00 | $275.17 – $275.17 | 1 |
| Abdominal Ultrasound (limited) CPT 76705 | $616.00 | $1,120.00 | $206.25 – $206.25 | 1 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $6,019.00 – $16,106.00 | 3 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,051.05 | $1,911.00 | $2,654.00 – $4,761.00 | 3 |
| Abl1 gene CPT 81170 | not published | not published | $300.00 – $525.00 | 4 |
| Ablate arrhythmia add on CPT 93655 | $324.50 | $590.00 | $1,887.00 – $2,334.00 | 2 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $6,019.00 – $6,019.00 | 1 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $6,019.00 – $6,019.00 | 1 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $6,019.00 – $6,019.00 | 1 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $6,019.00 – $6,019.00 | 1 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Ablate bone tumor(s) perq CPT 20982 | $8,878.10 | $16,142.00 | $6,779.00 – $16,106.00 | 3 |
| Ablate heart dysrhythm focus CPT 93650 | $7,418.95 | $13,489.00 | $17,314.00 – $18,364.00 | 2 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Ablate pulm tumor perq crybl CPT 32994 | $6,283.75 | $11,425.00 | $5,257.00 – $18,364.00 | 3 |
| Ablate pulm tumor perq rf CPT 32998 | $9,006.80 | $16,376.00 | $5,257.00 – $18,364.00 | 3 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $3,587.65 | $6,523.00 | $1,887.00 – $2,334.00 | 2 |
| Ablation cryo abd perit om CPT 49999 | $2,335.30 | $4,246.00 | $3,579.00 – $10,779.00 | 3 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $10,779.00 – $18,364.00 | 3 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $9,528.75 | $17,325.00 | $5,257.00 – $18,364.00 | 3 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $1,887.00 – $10,779.00 | 3 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $1,887.00 – $10,779.00 | 3 |
| Ablation of upper extremity nerves rf CPT 64999 | $1,692.90 | $3,078.00 | $1,887.00 – $10,779.00 | 3 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $7,529.00 – $7,791.00 | 2 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $8,923.00 – $8,923.00 | 1 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $9.23 – $23.22 | 5 |
| Abortion CPT 59850 | not published | not published | $3,388.00 – $3,388.00 | 1 |
| Abortion (mpr) CPT 59866 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Abrasion lesion single CPT 15786 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Abscess drain retroperitoneal surg code CPT 49406 | $3,294.50 | $5,990.00 | $3,388.00 – $4,761.00 | 3 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $877.25 | $1,595.00 | $1,887.00 – $5,512.00 | 3 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | not published | not published | $0.06 – $0.13 | 5 |
| Acetaminophen level CPT 80143 | $30.80 | $56.00 | $18.64 – $32.62 | 4 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | not published | not published | $20.97 – $58.86 | 5 |
| Acetone qualitative CPT 82009 | not published | not published | $4.52 – $9.16 | 4 |
| Acetylcholine receptor modulating antibody CPT 86043 | $49.50 | $90.00 | $12.05 – $21.09 | 4 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $12.29 – $22.58 | 4 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | not published | not published | $0.50 – $1.50 | 5 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $8.82 – $22.19 | 5 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $1,887.00 – $2,334.00 | 2 |
| Acne surgery 10040 CPT 10040 | $413.05 | $751.00 | $1,887.00 – $2,654.00 | 3 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $435.05 | $791.00 | not published | 0 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $3,735.00 – $16,106.00 | 3 |
| Actigraphy testing CPT 95803 | $205.70 | $374.00 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $314.05 | $571.00 | $47.63 – $96.40 | 4 |
| Acute venous thrombus image CPT 78456 | not published | not published | $924.84 – $924.84 | 1 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | not published | not published | $0.04 – $0.13 | 5 |
| #acylcarnitineprfl CPT 82017 | $129.25 | $235.00 | $16.87 – $29.52 | 4 |
| Acylcarnitines qual CPT 82016 | not published | not published | $16.49 – $28.86 | 4 |
| Adapter b 8 channel 10cm HCPCS C1883 | $747.93 | $1,359.88 | not published | 0 |
| Adding walker to prev cast CPT 29440 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | not published | not published | $0.34 – $0.87 | 5 |
| Adenovirus ag ia CPT 87301 | not published | not published | $11.98 – $24.26 | 4 |
| Adenovirus antibody,serum - quest CPT 86603 | $22.00 | $40.00 | $11.77 – $22.52 | 4 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $21.76 – $38.08 | 4 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $4,428.00 – $7,791.00 | 3 |
| Adh-sendout CPT 84588 | $162.80 | $296.00 | $33.94 – $68.69 | 4 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $3,579.00 – $10,779.00 | 3 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $6,779.00 – $8,770.00 | 3 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | not published | not published | $1.52 – $1.52 | 1 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $213.40 | $388.00 | not published | 0 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $185.35 | $337.00 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $499.40 | $908.00 | not published | 0 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $309.65 | $563.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $141.35 | $257.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $139.70 | $254.00 | not published | 0 |
| Administration immunization 1 vaccine CPT 90471 | $49.50 | $90.00 | not published | 0 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.