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 |
|---|---|---|---|---|
| Explore scrotum CPT 55110 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Explore small intestine 44020 CPT 44020 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Explore/treat ankle joint CPT 27620 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Explore/treat eye socket CPT 67412 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Explore/treat eye socket CPT 67420 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Explore/treat eye socket CPT 67430 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Explore/treat eye socket 67413 CPT 67413 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Explore/treat finger joint CPT 26075 | $6,129.20 | $11,144.00 | $3,579.00 – $4,761.00 | 3 |
| Explore/treat finger joint CPT 26080 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Explore/treat knee joint CPT 27331 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Explore/treat wrist joint CPT 25101 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Explore wound abdomen 20102 CPT 20102 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Explore woundchest 20101 CPT 20101 | $4,071.65 | $7,403.00 | $3,388.00 – $4,761.00 | 3 |
| Explore wound neck 20100 CPT 20100 | $990.00 | $1,800.00 | $1,887.00 – $2,654.00 | 3 |
| Explor not followed by surg repair artery; low extrem 35703 CPT 35703 | not published | not published | $3,388.00 – $3,388.00 | 1 |
| Explor not followed by surg repair artery; up extrem 35702 CPT 35702 | not published | not published | $3,388.00 – $3,388.00 | 1 |
| Explr/decompress eye socket CPT 67414 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Explr/decompress eye socket CPT 67445 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Expose art endoprosth iliac 34820 CPT 34820 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Expose endoprosth brachial 34834 CPT 34834 | not published | not published | $3,388.00 – $3,388.00 | 1 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | not published | not published | $2,959.00 – $3,388.00 | 3 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | not published | not published | $2,959.00 – $3,388.00 | 3 |
| Extended culture of oocytes CPT 89272 | not published | not published | $628.20 – $628.20 | 1 |
| Extensive ear canal surgery 69150 CPT 69150 | not published | not published | $4,428.00 – $7,791.00 | 3 |
| Extensive ear/neck surgery 69155 CPT 69155 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Extensive hand surgery CPT 26250 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Extensive hysterectomy CPT 58285 | not published | not published | $5,257.00 – $5,257.00 | 1 |
| Extensive jaw surgery CPT 21045 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Extensive prostate surgery CPT 55810 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Extensive prostate surgery CPT 55812 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Extensive prostate surgery CPT 55815 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Extensive prostate surgery CPT 55840 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Extensive prostate surgery CPT 55842 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Extensive prostate surgery CPT 55845 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Extensive prostate surgery CPT 55862 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Extensive prostate surgery CPT 55865 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Extensive removal of liver CPT 47122 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Extensive sternum surgery CPT 21632 | not published | not published | $17,314.00 – $18,364.00 | 2 |
| Extensive surgery of throat CPT 42842 | not published | not published | $4,428.00 – $7,791.00 | 3 |
| Extensive surgery of throat CPT 42844 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Extensive surgery of throat CPT 42845 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Extensive testis surgery CPT 54535 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $4,428.00 – $7,791.00 | 3 |
| Extensive vulva surgery CPT 56632 | not published | not published | $4,428.00 – $27,583.00 | 3 |
| External cannula declotting CPT 36860 | not published | not published | $2,654.00 – $3,030.00 | 3 |
| External chromosome analysis 20-25 cells CPT 88264 | $170.64 | $310.25 | $144.61 – $253.07 | 4 |
| External newborn metabolic screening panel HCPCS S3620 | $276.10 | $502.00 | not published | 0 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | not published | not published | $22.99 – $48.28 | 2 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | $7,285.30 | $13,246.00 | $3,873.00 – $6,777.75 | 4 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $201.46 | $366.29 | $100.79 – $251.56 | 4 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $147.95 | $269.00 | $17.93 – $36.30 | 4 |
| Extraction erupted tooth/exr HCPCS D7140 | not published | not published | $5,512.00 – $5,512.00 | 1 |
| Extraction of lens CPT 66930 | not published | not published | $4,428.00 – $7,791.00 | 3 |
| Extraction of lens CPT 66940 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Eye suture during surgery CPT 67335 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $175.40 – $306.95 | 4 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $282.88 – $495.04 | 4 |
| F-18 fdg pet diag HCPCS A9552 | $1,384.35 | $2,517.00 | $1,136.88 – $1,136.88 | 1 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | not published | not published | $5,974.85 – $5,974.85 | 1 |
| F-18 fluciclovine per mci HCPCS A9588 | not published | not published | $730.77 – $730.77 | 1 |
| F-18 sodium fluoride HCPCS A9580 | not published | not published | $713.33 – $713.33 | 1 |
| F9 full gene sequence CPT 81238 | not published | not published | $600.00 – $1,050.00 | 4 |
| Face bone graft CPT 21210 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Facial bones <3 CPT 70140 | $304.15 | $553.00 | $62.49 – $62.49 | 1 |
| Factor ix CPT 85250 | $167.20 | $304.00 | $19.04 – $38.54 | 4 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.87 – $9.75 | 5 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.79 – $4.52 | 5 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $5.64 – $14.19 | 5 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.45 – $3.65 | 5 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.75 – $11.95 | 5 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.79 – $4.49 | 5 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $2.00 – $5.02 | 5 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $2.54 – $6.40 | 5 |
| Factor viii CPT 85240 | $62.15 | $113.00 | $14.15 – $31.33 | 4 |
| Factor viii HCPCS J7190 | not published | not published | $1.21 – $3.05 | 5 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.53 – $6.37 | 5 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.31 – $3.38 | 5 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.27 – $5.73 | 5 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.67 – $4.19 | 5 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.54 – $3.89 | 5 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.49 – $8.79 | 5 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $11.34 – $28.51 | 5 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $18.59 – $46.74 | 5 |
| Fallopian tube recnl CPT 58345 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Family therapy without pt 50min 90846 CPT 90846 | $130.90 | $238.00 | not published | 0 |
| Family therapy with patient 50 min 90847 CPT 90847 | $130.90 | $238.00 | not published | 0 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | not published | not published | $0.01 – $0.02 | 2 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $31.19 – $78.44 | 5 |
| Fancc gene CPT 81242 | not published | not published | $36.62 – $64.09 | 4 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $3,735.00 – $18,364.00 | 3 |
| Fat/lipids feces qualitative CPT 82705 | $41.80 | $76.00 | $5.10 – $10.30 | 4 |
| Fatty acids nonesterified CPT 82725 | $33.55 | $61.00 | $18.77 – $32.85 | 4 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.56 – $9.22 | 4 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $68.86 – $173.15 | 5 |
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.