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 |
|---|---|---|---|---|
| CT bone density axial CPT 77078 | not published | not published | $335.77 – $335.77 | 1 |
| CT colonography dx CPT 74261 | $1,498.20 | $2,724.00 | $1,210.99 – $1,210.99 | 1 |
| CT colonography dx w/dye CPT 74262 | $1,648.35 | $2,997.00 | $1,377.32 – $1,377.32 | 1 |
| CT colonography screening CPT 74263 | $1,543.85 | $2,807.00 | $2,137.76 – $2,137.76 | 1 |
| CT guidance for needle placement CPT 77012 | $1,498.20 | $2,724.00 | $221.70 – $221.70 | 1 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $533.50 | $970.00 | $206.25 – $206.25 | 1 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $1,887.00 – $10,779.00 | 3 |
| CT guid parench tis ablat CPT 77013 | $1,498.20 | $2,724.00 | $1,150.22 – $1,150.22 | 1 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $13.75 | $25.00 | $237.15 – $237.15 | 1 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $1,543.85 | $2,807.00 | $875.92 – $875.92 | 1 |
| CT hrt w/3d image CPT 75572 | $1,543.85 | $2,807.00 | $652.55 – $652.55 | 1 |
| CT limited or localized follow-up study CPT 76380 | $536.25 | $975.00 | $320.33 – $320.33 | 1 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,558.15 | $2,833.00 | $556.76 – $556.76 | 1 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,484.45 | $2,699.00 | $427.26 – $427.26 | 1 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,636.25 | $2,975.00 | $710.04 – $710.04 | 1 |
| CT neck soft tissue w/contrast CPT 70491 | $1,380.50 | $2,510.00 | $550.84 – $550.84 | 1 |
| CT neck soft tissue without contrast CPT 70490 | $1,314.50 | $2,390.00 | $426.08 – $426.08 | 1 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,449.80 | $2,636.00 | $680.34 – $680.34 | 1 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,455.30 | $2,646.00 | $759.45 – $759.45 | 1 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,386.00 | $2,520.00 | $686.28 – $686.28 | 1 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,320.00 | $2,400.00 | $560.35 – $560.35 | 1 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| CT scan for therapy guide CPT 77014 | $596.75 | $1,085.00 | $246.65 – $246.65 | 1 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $1,799.05 | $3,271.00 | $835.53 – $835.53 | 1 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,713.25 | $3,115.00 | $729.06 – $729.06 | 1 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,631.85 | $2,967.00 | $371.42 – $371.42 | 1 |
| CT thoracic spine w/contrast CPT 72129 | $1,570.25 | $2,855.00 | $557.96 – $557.96 | 1 |
| CT thoracic spine without contrast CPT 72128 | $1,495.45 | $2,719.00 | $430.83 – $430.83 | 1 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $113.30 | $206.00 | $337.24 – $337.24 | 1 |
| CT t-spine w /wo contrast CPT 72130 | $1,648.90 | $2,998.00 | $693.42 – $693.42 | 1 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,558.15 | $2,833.00 | $544.90 – $544.90 | 1 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,484.45 | $2,699.00 | $426.08 – $426.08 | 1 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,636.25 | $2,975.00 | $718.37 – $718.37 | 1 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $143.50 – $1,488.18 | 2 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $143.50 – $1,547.65 | 2 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Culture aerobic additional method definitive id each CPT 87077 | $27.50 | $50.00 | $8.08 – $16.33 | 4 |
| Culture afb any source CPT 87116 | $123.75 | $225.00 | $10.80 – $21.85 | 4 |
| Culture anaerobic additional method definitive id each CPT 87076 | $107.25 | $195.00 | $8.08 – $16.33 | 4 |
| Culture anaerobic except blood CPT 87075 | $123.20 | $224.00 | $9.47 – $19.16 | 4 |
| Culture bact stool aero addl path ea CPT 87046 | $85.80 | $156.00 | $9.44 – $19.09 | 4 |
| Culture body fluid CPT 87070 | $103.40 | $188.00 | $8.62 – $17.45 | 4 |
| Culture fungi definitive id mold CPT 87107 | $110.55 | $201.00 | $10.32 – $20.90 | 4 |
| Culture fungi definitive id yeast CPT 87106 | $112.20 | $204.00 | $10.32 – $20.90 | 4 |
| Culture fungi other (except blood) CPT 87102 | $111.10 | $202.00 | $8.41 – $17.02 | 4 |
| Culture fungi skin/hair/nail CPT 87101 | $125.95 | $229.00 | $7.71 – $15.60 | 4 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $159.50 | $290.00 | $14.61 – $25.57 | 4 |
| Culture mycoplasma any source CPT 87109 | $107.80 | $196.00 | $15.39 – $26.93 | 4 |
| Culture quantitative aerobic other source CPT 87071 | $100.65 | $183.00 | $9.89 – $19.09 | 4 |
| Culture screening strep group a CPT 87081 | $106.70 | $194.00 | $6.63 – $13.42 | 4 |
| Culture typing added method CPT 87158 | $89.10 | $162.00 | $7.74 – $13.55 | 4 |
| Culture typing immunologic CPT 87147 | $36.30 | $66.00 | $5.18 – $10.48 | 4 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $486.75 | $885.00 | $218.06 – $381.61 | 4 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | not published | not published | $35.09 – $71.00 | 4 |
| Culture urine each isolate CPT 87088 | $60.50 | $110.00 | $8.09 – $16.39 | 4 |
| Culture virus isolation CPT 87250 | not published | not published | $19.56 – $39.59 | 4 |
| Curette/treat cornea CPT 65435 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Curette/treat cornea CPT 65436 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Cutter lead HCPCS C1773 | $1,021.81 | $1,857.84 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $3,012.35 | $5,477.00 | $2,959.00 – $3,388.00 | 3 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $26.40 | $48.00 | $14.32 – $28.99 | 4 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | not published | not published | $0.74 – $3.47 | 5 |
| Cyclic citrullinated peptide antibody CPT 86200 | $108.35 | $197.00 | $12.95 – $26.20 | 4 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.88 – $2.39 | 5 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $0.90 – $3.77 | 5 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $77.26 – $194.27 | 5 |
| Cyclosporine 2 hour CPT 80158 | $135.85 | $247.00 | $18.05 – $36.52 | 4 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $0.81 – $2.26 | 5 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $2.22 – $5.99 | 5 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $291.36 – $509.88 | 4 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $174.81 – $305.92 | 4 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $450.91 – $789.09 | 4 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $174.81 – $305.92 | 4 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $174.81 – $305.92 | 4 |
| Cystatin c CPT 82610 | $60.50 | $110.00 | $18.52 – $32.41 | 4 |
| Cystic fibrosis cftr CPT 81223 | $1,327.70 | $2,414.00 | $499.00 – $873.25 | 4 |
| Cystine urine quantitative CPT 82131 | not published | not published | $22.98 – $40.22 | 4 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $471.90 | $858.00 | $70.80 – $70.80 | 1 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $7,609.00 – $18,364.00 | 3 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $7,529.00 – $7,791.00 | 2 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $2,959.00 – $5,512.00 | 3 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $4,428.00 – $7,791.00 | 3 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $4,428.00 – $7,791.00 | 2 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Cystoscopy and treatment CPT 52234 | $1,076.46 | $1,957.20 | $3,735.00 – $7,791.00 | 3 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $4,428.00 – $7,791.00 | 3 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $2,959.00 – $3,388.00 | 3 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $2,654.00 – $4,761.00 | 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.