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 |
|---|---|---|---|---|
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $579.15 | $1,053.00 | $1,887.00 – $2,654.00 | 3 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $507.10 | $922.00 | $1,887.00 – $2,654.00 | 3 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $3,092.10 | $5,622.00 | $2,959.00 – $3,388.00 | 3 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $2,959.00 – $3,388.00 | 3 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | not published | not published | $1,887.00 – $3,388.00 | 3 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Cltx lunate dislc w/mnpj CPT 25690 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Cltx post ankle fx CPT 27767 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Cltx post ankle fx w/mnpj CPT 27768 | $3,111.35 | $5,657.00 | $1,887.00 – $3,388.00 | 3 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $1,887.00 – $3,388.00 | 3 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Cltx thigh fx CPT 27267 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $4,428.00 – $8,770.00 | 3 |
| C motor evoked uppr limbs CPT 95928 | $707.30 | $1,286.00 | not published | 0 |
| C motor evoked upr&lwr limbs CPT 95939 | $1,419.00 | $2,580.00 | not published | 0 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $12.12 – $24.62 | 4 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $8.80 – $16.73 | 4 |
| #cmvcul-virus inoculation shell CPT 87254 | $122.10 | $222.00 | $19.56 – $39.59 | 4 |
| Cmv pcr-sendout CPT 87496 | $112.75 | $205.00 | $35.09 – $71.00 | 4 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $2.76 – $6.95 | 5 |
| Coagulation time activated teg CPT 85347 | $36.85 | $67.00 | $4.28 – $8.62 | 4 |
| Coagulation time otr method CPT 85348 | not published | not published | $3.96 – $7.86 | 4 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $2.64 – $2.64 | 1 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $8.07 – $14.12 | 4 |
| Cold agglutinin titer CPT 86157 | $46.20 | $84.00 | $8.06 – $14.11 | 4 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Colistimethate sodium inj HCPCS J0770 | not published | not published | $13.13 – $33.10 | 5 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $76.75 – $193.00 | 5 |
| Collar cerv ascend 172 reg HCPCS L0172 | $86.17 | $156.68 | not published | 0 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $110.00 | $200.00 | $1,887.00 – $2,334.00 | 2 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $110.00 | $200.00 | $1,887.00 – $2,334.00 | 2 |
| Collection of venous blood by venipuncture CPT 36415 | $20.90 | $38.00 | $3.00 – $15.91 | 4 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $1,887.00 – $2,334.00 | 2 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $1,543.00 – $4,761.00 | 4 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $1,543.00 – $4,761.00 | 4 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $2,654.00 – $4,761.00 | 3 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Colonoscopy w/control bleed CPT 45382 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $2,654.00 – $4,761.00 | 3 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $1,543.00 – $4,761.00 | 4 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $1,543.00 – $4,761.00 | 4 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Colonoscopy w/stent plcmt CPT 44402 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Colostomy skin level cecostomy 44320 CPT 44320 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Colpocentesis 57020 CPT 57020 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | $4,428.00 – $8,770.00 | 3 |
| Colpopexy abdominal approach 57280 CPT 57280 | not published | not published | $4,428.00 – $7,791.00 | 3 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | $7,609.00 – $16,106.00 | 3 |
| Colpopexy intraperitoneal CPT 57283 | not published | not published | $7,609.00 – $16,106.00 | 3 |
| Colpopexy, min/inv, ex-perit HCPCS C9778 | not published | not published | $7,529.00 – $7,791.00 | 2 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $4,804.25 | $8,735.00 | $3,388.00 – $7,791.00 | 3 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | $371.80 | $676.00 | $2,654.00 – $3,030.00 | 3 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Colposcopy vulva 56820 CPT 56820 | not published | not published | $1,887.00 – $2,654.00 | 3 |
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.