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 |
|---|---|---|---|---|
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $1,887.00 – $2,334.00 | 2 |
| D&c after delivery 59160 CPT 59160 | $4,616.15 | $8,393.00 | $3,388.00 – $7,791.00 | 3 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Dch glucoscan CPT 82948 | not published | not published | $5.04 – $8.82 | 4 |
| Dch validity tests CPT 81002 | not published | not published | $3.48 – $6.09 | 4 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $4,428.00 – $8,770.00 | 3 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $3,388.00 – $16,106.00 | 3 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| D&c of cervical stump CPT 57558 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Deamidated gliadin antibody iga CPT 86258 | $70.40 | $128.00 | $11.53 – $21.09 | 4 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $2,654.00 – $2,654.00 | 1 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Debridement (>20 cm) charge pt CPT 97598 | $245.30 | $446.00 | $1,887.00 – $2,334.00 | 2 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,257.20 | $4,104.00 | $2,959.00 – $3,388.00 | 3 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $759.55 | $1,381.00 | $1,887.00 – $5,512.00 | 3 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,197.90 | $2,178.00 | $1,887.00 – $5,512.00 | 3 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $950.40 | $1,728.00 | $1,887.00 – $2,654.00 | 3 |
| Debride nail1-5 11720 CPT 11720 | $215.60 | $392.00 | $1,887.00 – $2,654.00 | 3 |
| Debride nail6 or more 11721 CPT 11721 | $215.60 | $392.00 | $1,887.00 – $2,654.00 | 3 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $2,654.00 – $3,030.00 | 3 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $2,959.00 – $3,735.00 | 3 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $2,654.00 – $2,654.00 | 1 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $2,654.00 – $2,654.00 | 1 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $759.55 | $1,381.00 | $1,887.00 – $5,512.00 | 3 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $1,494.35 | $2,717.00 | $2,654.00 – $3,030.00 | 3 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $827.75 | $1,505.00 | $1,887.00 – $2,654.00 | 3 |
| Decalcification CPT 88311 | $113.85 | $207.00 | $9.02 – $11.99 | 2 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $1.95 – $6.34 | 5 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $510.95 | $929.00 | $1,887.00 – $2,334.00 | 2 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $3,388.00 – $8,770.00 | 3 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Decompress fingers/hand CPT 26035 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Decompression fasct forearm CPT 24495 | not published | not published | $6,779.00 – $8,770.00 | 3 |
| Decompression of leg CPT 27892 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Decompression of leg CPT 27893 | not published | not published | $6,779.00 – $8,770.00 | 3 |
| Decompression of leg CPT 27894 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Decompression of lower leg CPT 27600 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Decompression of lower leg CPT 27601 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $3,388.00 – $8,770.00 | 3 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $8,657.00 – $10,779.00 | 3 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Decompressive craniotomy CPT 61322 | not published | not published | $6,779.00 – $6,779.00 | 1 |
| Decompress optic nerve CPT 67570 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Decompress small bowel CPT 44021 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Decompress spine cord add-on CPT 63066 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | not published | $9.03 – $24.34 | 5 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $4.63 – $11.65 | 5 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $7,609.00 – $18,364.00 | 3 |
| Delay flap arms/legs CPT 15610 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Delivery of placenta 59414 CPT 59414 | $3,807.65 | $6,923.00 | $3,388.00 – $7,791.00 | 3 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $3,388.00 – $3,388.00 | 1 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $7,233.60 | $13,152.00 | $3,735.00 – $3,735.00 | 1 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $112.75 | $205.00 | not published | 0 |
| Denervation of hip joint CPT 27035 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $215.62 – $215.62 | 1 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | not published | not published | $29.94 – $75.31 | 5 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $273.35 | $497.00 | $1,887.00 – $2,654.00 | 3 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $41.85 – $105.22 | 5 |
| Dermabrasion other than face CPT 15782 | not published | not published | $2,959.00 – $3,388.00 | 3 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $2,654.00 – $3,030.00 | 3 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Dermabrasion total face CPT 15780 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $330.20 – $1,655.60 | 4 |
| Dermagraft HCPCS Q4106 | not published | not published | $138.68 – $138.68 | 1 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $5,512.00 – $5,512.00 | 1 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $60.08 – $141.70 | 4 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $140.89 – $633.55 | 4 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $1,809.49 – $4,241.62 | 4 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $8,278.05 | $15,051.00 | $7,609.00 – $7,609.00 | 1 |
| Design custom breast implant CPT 19396 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Design mlc device for imrt CPT 77338 | $2,324.30 | $4,226.00 | $954.77 – $954.77 | 1 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | not published | not published | $4.94 – $13.48 | 5 |
| Desoxycorticosterone CPT 82633 | not published | not published | $30.98 – $62.69 | 4 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $7,202.25 | $13,095.00 | $7,609.00 – $7,609.00 | 1 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | 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.