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 |
|---|---|---|---|---|
| Heart first pass add-on CPT 78496 | not published | not published | $68.42 – $68.42 | 1 |
| Heart first pass multiple CPT 78483 | not published | not published | $590.25 – $590.25 | 1 |
| Heart image spect CPT 78494 | not published | not published | $577.19 – $577.19 | 1 |
| Heart infarct image CPT 78466 | not published | not published | $547.50 – $547.50 | 1 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $548.68 – $548.68 | 1 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $6,019.00 – $6,019.00 | 1 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $6,019.00 – $6,019.00 | 1 |
| Heavy metal qual any number CPT 83015 | not published | not published | $20.94 – $38.10 | 4 |
| Heinz bodies direct CPT 85441 | not published | not published | $4.20 – $8.52 | 4 |
| Heinz bodies induced CPT 85445 | not published | not published | $6.82 – $13.80 | 4 |
| Helicobacter pylori antibody igm CPT 86677 | not published | not published | $11.77 – $29.49 | 4 |
| Helicoll, per square cm HCPCS Q4164 | not published | not published | $354.37 – $4,111.19 | 3 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $8.19 – $15.77 | 4 |
| Hematocrit CPT 85014 | $20.35 | $37.00 | $2.37 – $4.79 | 4 |
| Hematopoietic nuclear tx CPT 79403 | $2,461.80 | $4,476.00 | $274.21 – $274.21 | 1 |
| Hemicrt intrclry algrft prtl CPT 20933 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $3,735.00 – $16,106.00 | 3 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | not published | not published | $35.86 – $90.17 | 5 |
| Hemoglobin CPT 85018 | $20.90 | $38.00 | $2.37 – $4.79 | 4 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $4.01 – $7.02 | 4 |
| Hemoglobin fetal qualitative CPT 83033 | $14.30 | $26.00 | $8.00 – $14.00 | 4 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $10.74 – $18.80 | 4 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $25.85 | $47.00 | $5.93 – $14.35 | 4 |
| Hemoglobin-oxygen affinity CPT 82820 | not published | not published | $13.34 – $23.35 | 4 |
| Hemoglobin plasma CPT 83051 | $13.20 | $24.00 | $7.04 – $12.79 | 4 |
| Hemoglobin thermolabile CPT 83065 | not published | not published | $9.00 – $15.75 | 4 |
| Hemoglobin urine CPT 83069 | not published | not published | $3.95 – $8.00 | 4 |
| Hemolysin acid CPT 85475 | not published | not published | $8.87 – $17.96 | 4 |
| Hemolysins/agglutinins auto CPT 86940 | $23.65 | $43.00 | $8.77 – $16.60 | 4 |
| Hemolysins and agglutinins incubated CPT 86941 | $242.55 | $441.00 | $12.11 – $24.48 | 4 |
| Hemophilus influenza antibdy CPT 86684 | not published | not published | $15.84 – $32.05 | 4 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $1,065.35 | $1,937.00 | $2,654.00 – $3,030.00 | 3 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $3,388.00 – $8,770.00 | 3 |
| Hepagam b im injection HCPCS J1571 | not published | not published | $71.39 – $179.52 | 5 |
| Hepagam b intravenous, inj HCPCS J1573 | not published | not published | $71.39 – $179.52 | 5 |
| Heparin assay CPT 85520 | $75.35 | $137.00 | $13.09 – $22.91 | 4 |
| Heparin bolus from bag HCPCS J1644 | not published | not published | $0.22 – $0.54 | 5 |
| Heparin neutralization CPT 85525 | not published | not published | $11.84 – $23.96 | 4 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | not published | not published | $0.02 – $0.05 | 5 |
| Heparin-protamine tolerance CPT 85530 | not published | not published | $13.09 – $28.68 | 4 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Hepatitis a antibody igm CPT 86709 | $98.45 | $179.00 | $11.26 – $22.76 | 4 |
| Hepatitis b core antibody igm CPT 86705 | $99.55 | $181.00 | $11.77 – $23.82 | 4 |
| Hepatitis b core antibody total CPT 86704 | $67.65 | $123.00 | $12.05 – $24.38 | 4 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | not published | not published | $157.54 – $398.33 | 4 |
| Hepatitis b surface ag quan CPT 87467 | not published | not published | $15.05 – $44.31 | 4 |
| Hepatitis b surface antibody CPT 86706 | $96.80 | $176.00 | $10.74 – $21.74 | 4 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $154.83 – $383.20 | 4 |
| Hepatitis c antibody CPT 86803 | $124.85 | $227.00 | $14.27 – $28.88 | 4 |
| Hepatitis c rna dir probe CPT 87520 | not published | not published | $31.22 – $54.64 | 4 |
| Hepatitis d quantification CPT 87523 | not published | not published | $42.84 – $74.97 | 4 |
| Hepatitis g dna amp probe CPT 87526 | not published | not published | $39.26 – $71.00 | 4 |
| Hepatitis g dna dir probe CPT 87525 | not published | not published | $29.80 – $52.15 | 4 |
| Hepatitis g dna quant CPT 87527 | not published | not published | $41.76 – $84.49 | 4 |
| Hepatobiliary system imaging CPT 78226 | $1,936.00 | $3,520.00 | $1,019.92 – $1,019.92 | 1 |
| Hep b vac 3ag 10mcg 3 dos im CPT 90759 | not published | not published | $81.20 – $200.97 | 4 |
| Hepb vacc 3 dose immunsup im CPT 90740 | not published | not published | $180.86 – $430.57 | 4 |
| Hereditary colon ca dsordrs CPT 81435 | not published | not published | $584.90 – $2,281.91 | 4 |
| Hereditary colon ca dsordrs CPT 81436 | not published | not published | $731.13 – $1,183.55 | 3 |
| Hered neuroend tum-rlt do 5+ CPT 81437 | not published | not published | $438.93 – $2,281.91 | 4 |
| Hered rta do gen seq 15 CPT 81434 | not published | not published | $597.91 – $1,046.34 | 4 |
| Heredtry nurondcrn tum dsrdr CPT 81438 | not published | not published | $548.66 – $894.41 | 3 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $3,735.00 – $8,770.00 | 4 |
| Herpes simplex 1 ag if CPT 87274 | not published | not published | $11.98 – $24.26 | 4 |
| Herpes simplex 2 ag if CPT 87273 | not published | not published | $11.98 – $24.26 | 4 |
| Herpes simplex type 1 antibody igg CPT 86695 | $111.65 | $203.00 | $13.19 – $26.70 | 4 |
| Herpes simplex type 2 antibody igg CPT 86696 | $252.45 | $459.00 | $19.35 – $39.17 | 4 |
| Herpes simplex virus isolation CPT 87255 | $75.90 | $138.00 | $33.86 – $68.54 | 4 |
| Heterophile antibodies screening CPT 86308 | $47.85 | $87.00 | $5.18 – $10.48 | 4 |
| Heterophile antibodies titer CPT 86309 | $11.00 | $20.00 | $6.47 – $13.08 | 4 |
| Heterophile antibody absrbj CPT 86310 | not published | not published | $7.37 – $14.92 | 4 |
| Hexa gene CPT 81255 | not published | not published | $51.45 – $90.04 | 4 |
| Hgb methemoglobin qual CPT 83045 | not published | not published | $6.49 – $11.36 | 4 |
| Hhv-6 dna dir probe CPT 87531 | not published | not published | $40.58 – $101.50 | 4 |
| Hhv-6 dna quant CPT 87533 | not published | not published | $41.76 – $84.49 | 4 |
| Hib-hepb vaccine im CPT 90748 | not published | not published | $125.94 – $125.94 | 1 |
| Hib-mency vacc 6wk-18m0 im CPT 90644 | not published | not published | $59.90 – $59.90 | 1 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $3,388.00 – $8,770.00 | 3 |
| Hinge extension/flex wrist/f HCPCS L3900 | $1,410.00 | $2,563.64 | not published | 0 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $3,735.00 – $18,364.00 | 3 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $3,735.00 – $18,364.00 | 3 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Hip X-ray CPT 73502 | $304.15 | $553.00 | $99.32 – $99.32 | 1 |
| Histamine CPT 83088 | not published | not published | $29.53 – $59.77 | 4 |
| Histochemical stains add-on CPT 88314 | $97.90 | $178.00 | $75.43 – $77.57 | 2 |
| Histoplasmosis skin test CPT 86510 | not published | not published | $8.44 – $55.01 | 2 |
| Hiv-1 ag ia CPT 87390 | not published | not published | $24.06 – $42.11 | 4 |
| Hiv-1 dna dir probe CPT 87534 | not published | not published | $21.92 – $40.58 | 4 |
| Hiv-2 ag ia CPT 87391 | not published | not published | $21.90 – $38.33 | 4 |
| HIV 2 pcr qual - sendout CPT 87537 | not published | not published | $21.92 – $40.58 | 4 |
| Hiv-2 quant&revrse trnscripj CPT 87539 | not published | not published | $58.62 – $102.59 | 4 |
| HIV prep, ftc/taf 200/25mg HCPCS J0751 | not published | not published | $77.18 – $194.09 | 5 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | not published | not published | $1.41 – $4.95 | 5 |
| HIV prep, inj, cabotegravir HCPCS J0739 | not published | not published | $7.47 – $18.76 | 5 |
| Hizentra injection HCPCS J1559 | not published | not published | $14.76 – $37.14 | 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.