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 |
|---|---|---|---|---|
| Egd flx trnsorl dplmnt balo CPT 43290 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $2,654.00 – $4,761.00 | 3 |
| Egd guide wire insertion CPT 43248 | not published | not published | $2,654.00 – $4,761.00 | 3 |
| Egd injection varices CPT 43243 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Egd lesion ablation CPT 43270 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Egd remove foreign body CPT 43247 | not published | not published | $2,654.00 – $4,761.00 | 3 |
| Egd remove lesion snare CPT 43251 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Egd varices ligation CPT 43244 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Egfr gene com variants CPT 81235 | $1,037.30 | $1,886.00 | $324.58 – $568.02 | 4 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $64.90 | $118.00 | $35.09 – $61.41 | 4 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | not published | not published | $19.57 – $34.25 | 4 |
| EKG tracing for initial prev HCPCS G0404 | $170.50 | $310.00 | not published | 0 |
| Elbow arthroscopy CPT 29830 | not published | not published | $3,735.00 – $18,364.00 | 3 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $3,735.00 – $18,364.00 | 3 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Elect analysis of infusion pump 62367 CPT 62367 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Electrd sq emblem s-icd HCPCS C1896 | $6,651.56 | $12,093.75 | not published | 0 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Electrode stimulation brain CPT 95961 | $497.75 | $905.00 | not published | 0 |
| Electroejaculation CPT 55870 | not published | not published | $2,654.00 – $3,030.00 | 3 |
| Electrogastrography CPT 91132 | not published | not published | $1,887.00 – $2,334.00 | 2 |
| Electrogastrography w/test CPT 91133 | not published | not published | $1,887.00 – $2,334.00 | 2 |
| Electrolyte panel CPT 80051 | $50.60 | $92.00 | $7.01 – $14.17 | 4 |
| Electromagntic tx for ulcers HCPCS G0329 | not published | not published | $31.93 – $31.93 | 1 |
| Electron microscopy diagnostic CPT 88348 | $699.05 | $1,271.00 | $380.68 – $628.20 | 2 |
| Electrophysiologic study CPT 93624 | not published | not published | $17,314.00 – $18,364.00 | 2 |
| Electrophysiology evaluation CPT 93619 | $9,067.30 | $16,486.00 | $17,314.00 – $18,364.00 | 2 |
| Electrophysiology evaluation CPT 93620 | $9,067.30 | $16,486.00 | $17,314.00 – $18,364.00 | 2 |
| Electrophysiology evaluation CPT 93621 | $3,620.10 | $6,582.00 | $1,887.00 – $2,334.00 | 2 |
| Electrophysiology evaluation CPT 93622 | $3,620.10 | $6,582.00 | $1,887.00 – $2,334.00 | 2 |
| Electrophysiology evaluation CPT 93641 | $961.95 | $1,749.00 | $1,887.00 – $2,334.00 | 2 |
| Electrophysiology evaluation CPT 93642 | $1,559.80 | $2,836.00 | $3,579.00 – $4,761.00 | 2 |
| Electrophysiology evaluation CPT 93644 | $1,553.75 | $2,825.00 | $1,887.00 – $2,334.00 | 2 |
| Electrophys map 3d add-on CPT 93613 | $3,119.05 | $5,671.00 | $1,887.00 – $2,334.00 | 2 |
| Elisa hiv-1/hiv-2 screen HCPCS G0433 | not published | not published | $18.29 – $32.01 | 4 |
| Elliotts b solution per ml HCPCS J9175 | not published | not published | $31.42 – $31.42 | 1 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $318.24 – $800.20 | 5 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | not published | not published | $8.36 – $21.02 | 5 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | not published | not published | $192.34 – $483.65 | 5 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Embolization s&i CPT 75894 | $874.50 | $1,590.00 | $2,922.55 – $2,922.55 | 1 |
| Embo or occlude vascular arterial s&i CPT 37242 | $8,031.65 | $14,603.00 | $7,609.00 – $27,583.00 | 3 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $9,557.90 | $17,378.00 | $7,609.00 – $27,583.00 | 3 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $9,191.05 | $16,711.00 | $7,609.00 – $27,583.00 | 3 |
| Embo or occlude vascular venous s&i CPT 37241 | $9,325.25 | $16,955.00 | $7,609.00 – $27,583.00 | 3 |
| Embryo hatching CPT 89253 | not published | not published | $143.50 – $143.50 | 1 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $2,654.00 – $3,030.00 | 3 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | $3,838.45 | $6,979.00 | $4,428.00 – $18,364.00 | 3 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | not published | not published | $4,428.00 – $18,364.00 | 3 |
| Emb w/colposcopy 58110 CPT 58110 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Emb without cervical dilation 58100 CPT 58100 | $259.60 | $472.00 | $1,887.00 – $2,654.00 | 3 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $225.50 | $410.00 | not published | 0 |
| Emg cranial nerve bilateral CPT 95868 | $361.35 | $657.00 | not published | 0 |
| Emg needle test 1-extremity CPT 95860 | $166.10 | $302.00 | not published | 0 |
| Encephalitis, california igg/igm CPT 86651 | $48.95 | $89.00 | $11.77 – $23.08 | 4 |
| Encephalitis, st louis igg/igm CPT 86653 | $34.10 | $62.00 | $11.77 – $23.08 | 4 |
| Encephalitis, western equine igg/igm CPT 86654 | $35.20 | $64.00 | $11.77 – $23.08 | 4 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $3,237.85 | $5,887.00 | $3,735.00 – $8,770.00 | 3 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $3,525.50 | $6,410.00 | $3,735.00 – $8,770.00 | 3 |
| Endo assay seven anal CPT 81506 | not published | not published | $68.92 – $120.61 | 4 |
| Endo cath bile duct s&i CPT 74328 | $276.65 | $503.00 | $274.59 – $274.59 | 1 |
| Endo cath panc duct s&i CPT 74329 | $276.65 | $503.00 | $220.21 – $220.21 | 1 |
| Endocerv curettage w/scope 57456 CPT 57456 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Endocervical curettage 57505 CPT 57505 | not published | not published | $2,654.00 – $3,030.00 | 3 |
| Endo cholangiopancreatograph CPT 43261 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Endoluminal bx biliary tree CPT 47543 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Endoluminal bx urtr rnl plvs CPT 50606 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Endoluminl ivus oct c 1st CPT 92978 | $2,329.80 | $4,236.00 | $1,887.00 – $2,334.00 | 2 |
| Endoluminl ivus oct c ea CPT 92979 | $2,215.95 | $4,029.00 | $1,887.00 – $2,334.00 | 2 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $4,428.00 – $8,770.00 | 3 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Endo outlet restrict w/tube HCPCS C9785 | not published | not published | $7,609.00 – $17,314.00 | 2 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Endoscopic pancreatoscopy CPT 43273 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Endoscopic vein harvest 33508 CPT 33508 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $2,654.00 – $4,761.00 | 3 |
| Endoscopy ligate perf veins 37500 CPT 37500 | not published | not published | $4,428.00 – $18,364.00 | 3 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $4,956.00 – $7,791.00 | 4 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $2,654.00 – $4,761.00 | 3 |
| Endoscopy of ureter CPT 50951 | not published | not published | $2,959.00 – $3,388.00 | 3 |
| Endoscopy of ureter CPT 50953 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Endoscopy swallow (fees) vid CPT 92612 | $394.35 | $717.00 | not published | 0 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Endo sleeve gastro w/tube HCPCS C9784 | not published | not published | $7,609.00 – $17,314.00 | 2 |
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.