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 |
|---|---|---|---|---|
| Fusion of ureter & bowel CPT 50810 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $274.83 – $480.95 | 4 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $137.00 – $239.75 | 4 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $274.83 – $480.95 | 4 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $185.20 – $324.10 | 4 |
| G6pc gene CPT 81250 | not published | not published | $58.49 – $102.36 | 4 |
| G6pd full gene sequence CPT 81249 | not published | not published | $600.00 – $1,050.00 | 4 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $174.81 – $305.92 | 4 |
| G6pd known familial variant CPT 81248 | not published | not published | $375.25 – $656.69 | 4 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | not published | not published | $59.90 – $59.90 | 1 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $139.10 – $139.10 | 1 |
| Gabapentin non-blood CPT 80355 | $188.65 | $343.00 | $35.06 – $35.06 | 1 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.29 – $0.76 | 4 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $1.64 – $4.03 | 4 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.13 – $0.33 | 4 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $16.18 – $40.03 | 4 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | not published | not published | $21.07 – $42.65 | 4 |
| Galactokinase - sendout CPT 82759 | not published | not published | $21.48 – $43.48 | 4 |
| Galactose transferase test CPT 82776 | not published | not published | $11.74 – $20.55 | 4 |
| Galectin-3 CPT 82777 | not published | not published | $44.25 – $77.44 | 4 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $5,257.00 – $18,364.00 | 4 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $11.02 – $11.02 | 1 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $1,013.23 – $1,013.23 | 1 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $1,456.29 – $1,456.29 | 1 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $2,824.35 – $2,824.35 | 1 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $2,377.95 – $2,377.95 | 1 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $3.51 – $3.51 | 1 |
| Galsulfase injection HCPCS J1458 | not published | not published | $525.04 – $1,320.20 | 5 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $317.42 – $1,345.34 | 5 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $53.51 – $134.54 | 5 |
| Gammaglobulin iga CPT 82784 | $130.90 | $238.00 | $9.30 – $18.83 | 4 |
| Gammaglobulin ige CPT 82785 | $705.65 | $1,283.00 | $16.46 – $33.32 | 4 |
| Gamma glutamyltransferase CPT 82977 | $64.35 | $117.00 | $7.20 – $14.58 | 4 |
| Gammagraft HCPCS Q4111 | not published | not published | $8.36 – $19.95 | 4 |
| Gammaplex injection HCPCS J1557 | not published | not published | $61.46 – $154.56 | 5 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $53.06 – $133.44 | 5 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $31.12 – $78.24 | 5 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $11,175.24 – $11,175.24 | 1 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $35.09 – $71.00 | 4 |
| Gardner vag dna quant CPT 87512 | not published | not published | $41.76 – $84.49 | 4 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.71 – $11.74 | 4 |
| Gastric emptying imag study CPT 78265 | not published | not published | $1,213.11 – $1,213.11 | 1 |
| Gastric emptying imag study CPT 78266 | not published | not published | $1,451.91 – $1,451.91 | 1 |
| Gastric motility studies CPT 91020 | not published | not published | $1,887.00 – $2,334.00 | 2 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $741.17 – $741.17 | 1 |
| Gastrin test CPT 82938 | not published | not published | $17.69 – $35.81 | 4 |
| Gastroduodenostomy CPT 43810 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Gastroesophageal reflux study CPT 78262 | $1,936.00 | $3,520.00 | $730.45 – $730.45 | 1 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $1,887.00 – $2,334.00 | 2 |
| Gastrointestinal repair CPT 43360 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Gastrointestinal repair CPT 43361 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $2,654.00 – $4,761.00 | 3 |
| Gated heart multiple CPT 78473 | not published | not published | $754.94 – $754.94 | 1 |
| Gba gene CPT 81251 | not published | not published | $47.25 – $82.69 | 4 |
| Gefitinib oral HCPCS J8565 | not published | not published | $792.25 – $792.25 | 1 |
| Gel-one HCPCS J7326 | not published | not published | $569.92 – $1,433.07 | 5 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.60 – $1.52 | 5 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $3.10 – $7.82 | 5 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $252.41 – $634.67 | 5 |
| General health panel CPT 80050 | not published | not published | $47.28 – $64.55 | 2 |
| Generator barostim neo2 2014 HCPCS C1767 | $13,584.80 | $24,699.63 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $24,895.85 | $45,265.18 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $2,448.56 – $4,284.98 | 4 |
| Genioplasty augmentation CPT 21120 | not published | not published | $4,428.00 – $7,791.00 | 3 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $4,428.00 – $7,791.00 | 3 |
| Genome re-evaluation CPT 81427 | not published | not published | $2,337.65 – $4,090.89 | 4 |
| Genome sequence analysis CPT 81425 | not published | not published | $5,031.20 – $8,804.60 | 4 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,709.95 – $4,742.41 | 4 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | not published | not published | $2.67 – $6.73 | 5 |
| Gentamicin peak therapeutic drug level CPT 80170 | $154.55 | $281.00 | $16.38 – $33.16 | 4 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $6.68 – $16.80 | 5 |
| G-esoph reflx tst w/electrod CPT 91035 | $2,185.15 | $3,973.00 | $1,887.00 – $2,334.00 | 2 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Ghs abscess perianal iandd CPT 46050 | $1,914.55 | $3,481.00 | $2,654.00 – $3,030.00 | 3 |
| Ghs abscess postoperative iandd complex CPT 10180 | $5,878.40 | $10,688.00 | $3,735.00 – $7,791.00 | 3 |
| Ghs acetylcholinesterase, rbc CPT 82482 | not published | not published | $9.81 – $17.17 | 4 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | not published | not published | $17.11 – $32.53 | 4 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $102.26 – $178.96 | 4 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $350.96 | $638.10 | not published | 0 |
| Ghs antibodies (torch) igm CPT 86694 | $119.90 | $218.00 | $14.39 – $29.12 | 4 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Ghs bladder cath - complex-foley CPT 51703 | $536.25 | $975.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $4.82 – $8.44 | 4 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $693.55 | $1,261.00 | $2,654.00 – $3,030.00 | 3 |
| Ghs central line insert < age 5, failed CPT 36555 | not published | not published | $2,959.00 – $3,388.00 | 3 |
| Ghs change cysto/gastrost CPT 43762 | $496.65 | $903.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs chemo >8 hrs CPT 96416 | $491.70 | $894.00 | not published | 0 |
| Ghs chemo IV push, ea addtl CPT 96411 | $237.92 | $432.58 | not published | 0 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $378.40 | $688.00 | $35.09 – $71.00 | 4 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $992.75 | $1,805.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs closed reduction ankle dislocation CPT 27840 | $579.15 | $1,053.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $3,438.60 | $6,252.00 | $2,959.00 – $3,388.00 | 3 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $1,887.00 – $2,654.00 | 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.