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 |
|---|---|---|---|---|
| Endovasc prosth delayed 33886 CPT 33886 | $5,305.30 | $9,646.00 | $7,609.00 – $7,609.00 | 1 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $12,057.10 | $21,922.00 | $7,609.00 – $7,609.00 | 1 |
| Endovasc tempory vessel occl CPT 61623 | not published | not published | $7,609.00 – $27,583.00 | 3 |
| Endovasc visc aorta 1 graft CPT 34841 | not published | not published | $6,019.00 – $6,019.00 | 1 |
| Endovasc visc aorta 2 graft CPT 34842 | not published | not published | $6,019.00 – $6,019.00 | 1 |
| Endovasc visc aorta 3 graft CPT 34843 | not published | not published | $6,019.00 – $6,019.00 | 1 |
| Endovasc visc aorta 4 graft CPT 34844 | not published | not published | $6,019.00 – $6,019.00 | 1 |
| Endovas iliac a device addon CPT 34808 | $2,690.05 | $4,891.00 | $3,735.00 – $3,735.00 | 1 |
| Endovenous laser vein addon 36479 CPT 36479 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $8,657.00 – $8,770.00 | 2 |
| Endovenous mchnchem add-on CPT 36474 | not published | not published | $1,887.00 – $2,334.00 | 2 |
| Endovenous rf abl vein addl CPT 36476 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $3,403.95 | $6,189.00 | $4,428.00 – $18,364.00 | 3 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | not published | not published | $39.67 – $99.78 | 5 |
| Enfuvirtide injection HCPCS J1324 | not published | not published | $2.18 – $2.18 | 1 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | not published | not published | $0.57 – $1.52 | 5 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | not published | not published | $11.98 – $24.26 | 4 |
| Entamoeb hist dispr ag ia CPT 87336 | not published | not published | $16.00 – $28.00 | 4 |
| Enterectomy cong add-on CPT 44128 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Enterectomy without taper cong CPT 44126 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Enterectomy w/taper cong CPT 44127 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Enterovirus antibody dfa CPT 87267 | not published | not published | $13.42 – $24.26 | 4 |
| Envrn ivntj med mgmt psyc pt CPT 90882 | $109.45 | $199.00 | not published | 0 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $36.53 – $77.05 | 4 |
| Enzyme histochemistry CPT 88319 | $211.20 | $384.00 | $86.70 – $628.20 | 2 |
| Eo, adj lock joint prefab ot HCPCS L3761 | $109.28 | $198.69 | not published | 0 |
| Ep & ablate supravent arrhyt CPT 93653 | $25,527.15 | $46,413.00 | $41,120.00 – $43,643.00 | 2 |
| Ep & ablate ventric tachy CPT 93654 | $25,527.15 | $46,413.00 | $41,120.00 – $43,643.00 | 2 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $59.75 – $150.25 | 5 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $3,002.45 | $5,459.00 | $1,221.00 – $5,512.00 | 4 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $2,654.00 – $3,030.00 | 3 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $2,654.00 – $3,030.00 | 3 |
| Epiglottidectomy CPT 31420 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Epikeratoplasty CPT 65767 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $2,448.56 – $4,284.98 | 4 |
| Ep induct arrhy by elect pacing CPT 93618 | not published | not published | $3,579.00 – $4,761.00 | 2 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | not published | not published | $4.13 – $4.13 | 1 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | not published | not published | $2.51 – $2.51 | 1 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | not published | not published | $1.10 – $1.10 | 1 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | not published | not published | $4.34 – $4.34 | 1 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $3,735.00 – $16,106.00 | 3 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $3,735.00 – $16,106.00 | 3 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $1.76 – $4.44 | 5 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $0.78 – $1.77 | 4 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | not published | not published | $7.78 – $20.34 | 4 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | not published | not published | $7.00 – $17.59 | 5 |
| Epoetin beta esrd use HCPCS J0887 | not published | not published | $1.33 – $3.32 | 5 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $1.31 – $3.30 | 5 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $17.69 – $44.76 | 5 |
| Epstein barr early antigen antibody CPT 86663 | $111.10 | $202.00 | $13.12 – $26.53 | 4 |
| Epstein barr nuclear antigen antibody CPT 86664 | $128.70 | $234.00 | $15.29 – $30.95 | 4 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $100.65 | $183.00 | $18.14 – $36.72 | 4 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | not published | not published | $68.99 – $68.99 | 1 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $20.92 – $52.60 | 5 |
| Ercp biliary & pancreas CPT 74330 | $276.65 | $503.00 | $406.44 – $406.44 | 1 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $4,428.00 – $7,791.00 | 3 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $4,428.00 – $7,791.00 | 3 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $4,428.00 – $7,791.00 | 3 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | not published | not published | $130.63 – $362.97 | 5 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | not published | not published | $10.10 – $29.98 | 5 |
| ER Visit (level 1, minor) CPT 99281 | $179.85 | $327.00 | not published | 0 |
| ER Visit (level 2) CPT 99282 | $363.55 | $661.00 | not published | 0 |
| ER Visit (level 3) CPT 99283 | $544.50 | $990.00 | not published | 0 |
| ER Visit (level 4) CPT 99284 | $1,012.90 | $1,841.64 | not published | 0 |
| ER Visit (level 5, high severity) CPT 99285 | $1,415.70 | $2,574.00 | not published | 0 |
| Erwinaze injection HCPCS J9019 | not published | not published | $1,316.88 – $1,316.88 | 1 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | not published | not published | $67.28 – $169.17 | 5 |
| Escharotomy ea addl incision CPT 16036 | not published | not published | $2,654.00 – $4,761.00 | 3 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $7,529.00 – $7,791.00 | 2 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.39 – $0.97 | 5 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | not published | not published | $0.23 – $0.58 | 5 |
| Esophageal dilat s&i CPT 74360 | $276.65 | $503.00 | $299.06 – $299.06 | 1 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $5,257.00 – $5,257.00 | 1 |
| Esophageal motility CPT 78258 | $1,936.00 | $3,520.00 | $640.16 – $640.16 | 1 |
| Esophageal recording CPT 93615 | not published | not published | $3,579.00 – $4,761.00 | 2 |
| Esophageal recording CPT 93616 | not published | not published | $3,579.00 – $4,761.00 | 2 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $7,791.00 – $7,791.00 | 1 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Esophagosc flex trnsn biopsy CPT 43198 | 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.