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 |
|---|---|---|---|---|
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | not published | not published | $135.09 – $135.09 | 1 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $2,046.23 – $2,046.23 | 1 |
| Fmri brain by tech CPT 70554 | $1,824.90 | $3,318.00 | $1,142.78 – $1,142.78 | 1 |
| Fna bx w/ct gdn 1st les CPT 10009 | $2,856.15 | $5,193.00 | $2,654.00 – $3,030.00 | 3 |
| Fna bx w/ct gdn ea addl CPT 10010 | $2,142.25 | $3,895.00 | $1,887.00 – $5,512.00 | 3 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $2,654.00 – $3,030.00 | 3 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Foam stability fetal lung CPT 83662 | not published | not published | $18.91 – $38.27 | 4 |
| Folic acid CPT 82746 | $128.70 | $234.00 | $14.70 – $29.75 | 4 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | not published | not published | $0.07 – $0.11 | 2 |
| Follow-up angiography CPT 75898 | $673.75 | $1,225.00 | $152.28 – $152.28 | 1 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | not published | not published | $16.76 – $16.76 | 1 |
| Fondaparinux sodium HCPCS J1652 | not published | not published | $0.72 – $1.83 | 5 |
| Foot longitudinal arch suppo HCPCS L3010 | $183.59 | $333.80 | not published | 0 |
| Foot longitud/metatarsal sup HCPCS L3020 | $209.19 | $380.34 | not published | 0 |
| Foot X-ray CPT 73630 | $304.15 | $553.00 | $68.42 – $68.42 | 1 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $575.63 – $914.88 | 2 |
| Forensic cytopathology CPT 88125 | not published | not published | $13.51 – $49.47 | 2 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $644.05 | $1,171.00 | $1,887.00 – $2,654.00 | 3 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $1.87 – $5.15 | 5 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | not published | not published | $0.13 – $0.33 | 5 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $23.79 – $104.21 | 5 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | not published | not published | $22.74 – $22.74 | 1 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $28.50 – $53.21 | 4 |
| Fracture assessment via dxa CPT 77086 | $172.15 | $313.00 | $88.63 – $88.63 | 1 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $44.89 – $78.56 | 4 |
| Fragmenting of kidney stone CPT 50590 | $188.65 | $343.00 | $3,735.00 – $18,364.00 | 3 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Free omental flap microvasc CPT 49906 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $5,257.00 – $5,257.00 | 1 |
| Free skin flap microvasc CPT 15757 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Frenectomy 41115 CPT 41115 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Frenotomy 40806 CPT 40806 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Frenulotomy of penis CPT 54164 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $227.70 | $414.00 | not published | 0 |
| Fresh frozen plasma thawing ea un CPT 86927 | not published | not published | $27.46 – $143.50 | 2 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $33.43 – $136.22 | 2 |
| Frozen blood prep CPT 86930 | not published | not published | $160.10 – $283.41 | 2 |
| Frozen blood thaw CPT 86931 | not published | not published | $119.95 – $283.41 | 2 |
| Frozen cell preparation CPT 88241 | not published | not published | $12.09 – $21.16 | 4 |
| Fructosamine glycated protein CPT 82985 | $100.65 | $183.00 | $16.76 – $29.33 | 4 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $1,487.37 – $2,602.90 | 4 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $69.52 – $121.66 | 4 |
| Ftl cgen abnor four anal CPT 81511 | $154.00 | $280.00 | $153.50 – $268.63 | 4 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $55.54 – $97.20 | 4 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $54.30 – $95.03 | 4 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $133.79 – $133.79 | 1 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | not published | not published | $0.02 – $0.04 | 2 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | not published | $0.41 – $1.06 | 3 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Fuse/graft added joint CPT 26863 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Fuse upper gi structures CPT 47721 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $6,779.00 – $8,770.00 | 3 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $7,609.00 – $18,364.00 | 3 |
| Fusion of big toe joint CPT 28750 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Fusion of big toe joint CPT 28755 | not published | not published | $6,779.00 – $7,791.00 | 3 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Fusion of finger joint CPT 26860 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Fusion of finger tendons CPT 26471 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Fusion of finger tendons CPT 26474 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Fusion of foot bones CPT 28730 | not published | not published | $7,609.00 – $18,364.00 | 3 |
| Fusion of foot bones CPT 28735 | not published | not published | $7,609.00 – $18,364.00 | 3 |
| Fusion of foot bones CPT 28740 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Fusion of hand joint CPT 26843 | not published | not published | $6,779.00 – $8,770.00 | 3 |
| Fusion of knee CPT 27580 | not published | not published | $3,735.00 – $18,364.00 | 3 |
| Fusion of knuckle CPT 26850 | not published | not published | $6,779.00 – $8,770.00 | 3 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $6,779.00 – $8,770.00 | 3 |
| Fusion of skull arteries CPT 61711 | not published | not published | $6,779.00 – $6,779.00 | 1 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Fusion of thumb CPT 26841 | not published | not published | $6,779.00 – $8,770.00 | 3 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $7,609.00 – $18,364.00 | 3 |
| Fusion of toes CPT 28280 | 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.