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 |
|---|---|---|---|---|
| #fecal-sodium CPT 84302 | not published | not published | $4.86 – $9.86 | 4 |
| Feeding tube reposition CPT 74355 | not published | not published | $345.63 – $345.63 | 1 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $30.80 | $56.00 | $18.64 – $32.62 | 4 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Fem/popl revasc w/stent CPT 37226 | $10,742.60 | $19,532.00 | $7,609.00 – $27,583.00 | 3 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | not published | not published | $0.92 – $2.31 | 5 |
| Fern test HCPCS Q0114 | not published | not published | $9.74 – $17.05 | 4 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | not published | not published | $1.20 – $3.02 | 5 |
| Ferritin CPT 82728 | $118.80 | $216.00 | $13.63 – $27.58 | 4 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | not published | not published | $0.36 – $1.04 | 4 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.36 – $1.04 | 4 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $795.00 – $1,391.25 | 4 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $409.20 | $744.00 | $225.98 – $225.98 | 1 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $759.05 – $1,328.34 | 4 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | not published | not published | $759.05 – $1,328.34 | 4 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Fetal fibronectin CPT 82731 | $506.00 | $920.00 | $64.41 – $130.33 | 4 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $70.40 | $128.00 | $7.73 – $15.66 | 4 |
| Fetal hemoglobin rosette CPT 85461 | $73.15 | $133.00 | $9.36 – $16.38 | 4 |
| Fetal lung maturity assess lam body dnst CPT 83664 | not published | not published | $19.32 – $38.27 | 4 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $5,512.00 – $5,512.00 | 1 |
| Fetal monitor w/report CPT 59050 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Fetal non stress test CPT 59025 | $428.45 | $779.00 | $1,887.00 – $5,512.00 | 3 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| #_fet/norfentcnfrmur CPT 80354 | $102.85 | $187.00 | $35.06 – $35.06 | 1 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $7.34 – $21.52 | 5 |
| Fibrin degradation d dimer quantitative CPT 85379 | $69.30 | $126.00 | $10.18 – $17.82 | 4 |
| Fibrin degradation products CPT 85362 | $12.65 | $23.00 | $6.89 – $13.94 | 4 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $9.72 – $17.01 | 4 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $10.18 – $17.82 | 4 |
| Fibrinogen activity CPT 85384 | $55.00 | $100.00 | $9.72 – $17.18 | 4 |
| Fibrinogen test CPT 85370 | not published | not published | $12.43 – $21.75 | 4 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $64.35 | $117.00 | $10.46 – $27.09 | 4 |
| Fibrinolytic antiplasmin CPT 85410 | not published | not published | $7.71 – $15.60 | 4 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $7.71 – $17.89 | 4 |
| Fibrinolytic plasminogen CPT 85415 | not published | not published | $17.19 – $34.80 | 4 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $10.18 – $20.63 | 4 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | not published | not published | $6.53 – $13.21 | 4 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $6,779.00 – $16,106.00 | 3 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | not published | not published | $0.32 – $0.79 | 4 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | not published | not published | $1.06 – $2.67 | 5 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | not published | not published | $0.36 – $0.97 | 4 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $4,116.34 | $7,484.26 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $2,871.52 | $5,220.94 | not published | 0 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $4,428.00 – $8,770.00 | 3 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $1,328.80 | $2,416.00 | $2,654.00 – $3,030.00 | 3 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $974.60 | $1,772.00 | $1,887.00 – $5,512.00 | 3 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $991.65 | $1,803.00 | $1,887.00 – $5,512.00 | 3 |
| Fine needle asp without image guide 10021 CPT 10021 | $732.60 | $1,332.00 | $1,887.00 – $2,654.00 | 3 |
| Finger tendon transfer CPT 26497 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Finger tendon transfer CPT 26498 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $4,428.00 – $7,791.00 | 3 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Fixation of ankle joint CPT 27860 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Fixation of knee joint CPT 27570 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $6,779.00 – $8,770.00 | 3 |
| Fix g/colon tube w/device CPT 49460 | not published | not published | $2,654.00 – $4,761.00 | 3 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Flebogamma injection HCPCS J1572 | not published | not published | $121.26 – $121.26 | 1 |
| Flecainide (tambocor)-sendout CPT 80181 | not published | not published | $18.64 – $32.62 | 4 |
| Fl exam g/colon tube w contrast CPT 49465 | $232.10 | $422.00 | $1,887.00 – $2,654.00 | 3 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $2,654.00 – $3,030.00 | 3 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $3,735.00 – $18,364.00 | 3 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $6,779.00 – $16,106.00 | 3 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $2,959.00 – $3,388.00 | 3 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $3,467.81 – $3,467.81 | 1 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $10,100.48 – $10,100.48 | 1 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $1,774.18 – $1,774.18 | 1 |
| Flow cytometry interp 16 or more CPT 88189 | not published | not published | $88.78 – $165.40 | 2 |
| Flow cytometry marker each additional CPT 88185 | $98.45 | $179.00 | $22.38 – $65.57 | 2 |
| Flow cytometry one marker technical component CPT 88184 | $101.75 | $185.00 | $108.05 – $283.41 | 2 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | not published | not published | $490.05 – $490.05 | 1 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $101.23 – $237.35 | 4 |
| #flow interp 9 - 15 markers CPT 88188 | not published | not published | $66.04 – $133.82 | 2 |
| Floxuridine injection HCPCS J9200 | not published | not published | $4,319.69 – $10,861.80 | 5 |
| Flt3 gene CPT 81245 | $441.10 | $802.00 | $165.51 – $289.64 | 4 |
| Flt3 gene analysis CPT 81246 | $221.10 | $402.00 | $83.00 – $145.25 | 4 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | not published | not published | $2.58 – $6.50 | 5 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | not published | $65.48 – $458.21 | 5 |
| Fluidotherapy charges pt CPT 97022 | $46.75 | $85.00 | not published | 0 |
| Fluid pressure muscle 20950 CPT 20950 | $535.15 | $973.00 | $2,654.00 – $3,030.00 | 3 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $534.53 – $1,344.04 | 5 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $360.80 – $907.22 | 5 |
| Fluorescent antibody titer dna CPT 86256 | $101.20 | $184.00 | $12.05 – $24.38 | 4 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $1,357.49 – $1,357.49 | 1 |
| Fluoroestradiol f 18 HCPCS A9591 | not published | not published | $1,357.64 – $1,357.64 | 1 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $365.20 | $664.00 | $186.06 – $186.06 | 1 |
| Fluoroguide needle placement CPT 77002 | $365.20 | $664.00 | $215.78 – $215.78 | 1 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $18.91 – $38.27 | 4 |
| Fluoroscopy up to 1 hour CPT 76000 | $603.90 | $1,098.00 | $127.84 – $127.84 | 1 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | not published | not published | $2.41 – $6.07 | 5 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | not published | not published | $9.71 – $25.62 | 5 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $2,380.55 – $2,380.55 | 1 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | not published | not published | $32.59 – $32.59 | 1 |
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.