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 |
|---|---|---|---|---|
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $4,428.00 – $8,770.00 | 3 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $2,654.00 – $4,761.00 | 3 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $2,654.00 – $4,761.00 | 3 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $4,428.00 – $7,791.00 | 3 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Esophagus motility study CPT 91010 | $1,289.20 | $2,344.00 | $1,887.00 – $2,334.00 | 2 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $1,887.00 – $2,334.00 | 2 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $1,484.00 – $4,761.00 | 4 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $5,257.00 – $5,257.00 | 1 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $5,257.00 – $5,257.00 | 1 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $1,887.00 – $2,334.00 | 2 |
| Esoph imped function test CPT 91037 | $409.75 | $745.00 | $1,887.00 – $2,334.00 | 2 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $1,887.00 – $2,334.00 | 2 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $5,257.00 – $5,257.00 | 1 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $5,257.00 – $5,257.00 | 1 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $5,257.00 – $5,257.00 | 1 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Essure 58565 CPT 58565 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Establish access to aorta CPT 36160 | $2,774.20 | $5,044.00 | $1,887.00 – $5,512.00 | 3 |
| Establish access to artery CPT 36100 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $6,779.00 – $6,779.00 | 1 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $6,779.00 – $6,779.00 | 1 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Established Patient Office Visit (level 1) CPT 99211 | $5,355.90 | $9,738.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $176.55 | $321.00 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $187.00 | $340.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $210.65 | $383.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $267.30 | $486.00 | not published | 0 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Estradiol total CPT 82670 | $249.15 | $453.00 | $27.94 – $56.53 | 4 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $8.03 – $21.62 | 5 |
| Estrogens total-sendout CPT 82672 | not published | not published | $21.70 – $43.92 | 4 |
| Etanercept injection HCPCS J1438 | not published | not published | $2,152.90 – $2,152.90 | 1 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $532.32 – $1,338.51 | 5 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $508.98 – $508.98 | 1 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Ethylene glycol -sendout CPT 82693 | $132.55 | $241.00 | $11.45 – $26.08 | 4 |
| Etonogestrel implant system HCPCS J7307 | not published | not published | $3,968.20 – $3,968.20 | 1 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | not published | not published | $1.05 – $2.67 | 5 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $82.85 – $208.33 | 5 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $130.66 – $328.55 | 5 |
| Euglobulin lysis CPT 85360 | not published | not published | $8.41 – $17.02 | 4 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $261.25 | $475.00 | not published | 0 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $10.38 – $18.17 | 4 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $222.75 | $405.00 | $98.11 – $171.69 | 4 |
| Evaluation heart device CPT 93640 | $752.95 | $1,369.00 | $1,887.00 – $2,334.00 | 2 |
| Evaluation of speech fluency 92521 CPT 92521 | $320.10 | $582.00 | not published | 0 |
| Evaluation psychiatric diagnostic CPT 90791 | $327.80 | $596.00 | not published | 0 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $2,327.60 | $4,232.00 | $6,019.00 – $6,019.00 | 1 |
| Evasc prlng admn rx agnt add CPT 61651 | not published | not published | $6,019.00 – $6,019.00 | 1 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $6,925.05 | $12,591.00 | $7,609.00 – $7,609.00 | 1 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $11,781.55 | $21,421.00 | $7,609.00 – $7,609.00 | 1 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $12,530.10 | $22,782.00 | $7,609.00 – $7,609.00 | 1 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $6,925.05 | $12,591.00 | $7,609.00 – $7,609.00 | 1 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $11,324.50 | $20,590.00 | $7,609.00 – $7,609.00 | 1 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | not published | not published | $6,019.00 – $6,019.00 | 1 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $6,019.00 – $6,019.00 | 1 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Event monitor CPT 93270 | $349.25 | $635.00 | not published | 0 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $394.90 | $718.00 | not published | 0 |
| Evoked potentials upper limbs CPT 95925 | $789.25 | $1,435.00 | not published | 0 |
| Evoked potential visual not glaucoma CPT 95930 | $785.40 | $1,428.00 | not published | 0 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Exam pelvic add-on CPT 99459 | $35.31 | $64.20 | not published | 0 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $3,735.00 – $18,364.00 | 3 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $3,735.00 – $7,791.00 | 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.