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 |
|---|---|---|---|---|
| Hla class i high defin qual CPT 86832 | not published | not published | $256.74 – $566.56 | 4 |
| Hla class ii high defin qual CPT 86833 | not published | not published | $233.40 – $570.15 | 4 |
| Hla class i&ii antibody qual CPT 86828 | $181.50 | $330.00 | $64.19 – $112.33 | 4 |
| Hla class i/ii antibody qual CPT 86829 | not published | not published | $60.05 – $112.33 | 4 |
| Hla class ii phenotype qual CPT 86831 | not published | not published | $81.88 – $143.29 | 4 |
| Hla class ii semiquant panel CPT 86835 | not published | not published | $322.96 – $653.52 | 4 |
| Hla class i phenotype qual CPT 86830 | not published | not published | $95.52 – $167.16 | 4 |
| Hla class i semiquant panel CPT 86834 | not published | not published | $357.56 – $723.53 | 4 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $404.52 – $707.91 | 4 |
| Hla i & ii typing hr CPT 81378 | not published | not published | $345.57 – $699.25 | 4 |
| Hla i & ii typing lr CPT 81370 | not published | not published | $402.12 – $813.71 | 4 |
| Hla ii typing 1 loc hr CPT 81382 | not published | not published | $123.68 – $250.27 | 4 |
| Hla ii typing ag equiv lr CPT 81375 | not published | not published | $220.74 – $446.69 | 4 |
| Hla i low res one antigen equiv ea CPT 81374 | $815.10 | $1,482.00 | $74.33 – $147.22 | 4 |
| Hla i typing 1 locus hr CPT 81380 | not published | not published | $177.25 – $358.68 | 4 |
| Hla i typing complete hr CPT 81379 | not published | not published | $335.38 – $678.64 | 4 |
| Hla i typing complete lr CPT 81372 | not published | not published | $403.59 – $706.28 | 4 |
| Hla i typing high res 1 allele grp ea CPT 81381 | not published | not published | $169.90 – $297.33 | 4 |
| Hla i typing low res one locus ea CPT 81373 | $339.35 | $617.00 | $127.43 – $225.35 | 4 |
| Hla typing a b or c CPT 86813 | not published | not published | $58.00 – $117.35 | 4 |
| Hla typing dr/dq CPT 86816 | not published | not published | $30.17 – $56.38 | 4 |
| Hla x-match noncytotoxc addl CPT 86826 | not published | not published | $36.53 – $63.93 | 4 |
| Hla x-math non-cytotoxic CPT 86825 | not published | not published | $109.49 – $191.61 | 4 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | not published | not published | $0.32 – $0.79 | 4 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | not published | not published | $0.24 – $0.59 | 4 |
| Home sleep test/type 3 porta HCPCS G0399 | $630.30 | $1,146.00 | not published | 0 |
| Homocysteine CPT 83090 | $144.10 | $262.00 | $17.92 – $34.13 | 4 |
| Homogenization tissue CPT 87176 | $13.75 | $25.00 | $5.88 – $11.89 | 4 |
| Homovanillic acid (hva) CPT 83150 | not published | not published | $22.41 – $39.22 | 4 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $122.22 – $224.14 | 4 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $122.22 – $224.14 | 4 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $122.22 – $224.14 | 4 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $122.22 – $224.14 | 4 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $122.22 – $224.14 | 4 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $122.22 – $224.14 | 4 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $122.22 – $224.14 | 4 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $122.22 – $224.14 | 4 |
| Hpv combo assay ca screen HCPCS G0476 | not published | not published | $35.09 – $71.52 | 4 |
| Hpv low-risk types CPT 87623 | not published | not published | $35.09 – $71.00 | 4 |
| Hpv types 16 & 18 only CPT 87625 | not published | not published | $40.55 – $71.00 | 4 |
| H pylori ag ia CPT 87339 | not published | not published | $16.00 – $28.00 | 4 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $67.36 – $136.30 | 4 |
| H pylori (c-13) breath CPT 83013 | $128.15 | $233.00 | $67.36 – $136.30 | 4 |
| H pylori drug admin CPT 83014 | not published | not published | $7.86 – $15.91 | 4 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $679.05 – $2,281.91 | 4 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | not published | not published | $548.66 – $894.41 | 3 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $584.90 – $1,191.84 | 4 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $584.90 – $1,072.66 | 4 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $3,388.00 – $3,388.00 | 1 |
| Hsv dna dir probe CPT 87528 | not published | not published | $20.05 – $40.58 | 4 |
| Htt gene charac alleles CPT 81274 | not published | not published | $274.83 – $480.95 | 4 |
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $137.00 – $239.75 | 4 |
| Human epididymis protein 4 (he4) CPT 86305 | not published | not published | $20.81 – $42.11 | 4 |
| Human ig IV CPT 90283 | not published | not published | $249.05 – $249.05 | 1 |
| Human ig sc CPT 90284 | not published | not published | $62.62 – $62.62 | 1 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | not published | not published | $4.90 – $4.90 | 1 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | not published | not published | $32.56 – $81.87 | 5 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $0.55 – $1.01 | 3 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | not published | not published | $0.40 – $1.01 | 5 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | not published | not published | $4.42 – $11.10 | 5 |
| Hydration IV infusion each additional hour CPT 96361 | $144.65 | $263.00 | $125.61 – $125.61 | 1 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $293.70 | $534.00 | $573.61 – $573.61 | 1 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | not published | not published | $22.64 – $57.01 | 5 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | not published | not published | $0.09 – $0.25 | 5 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.01 – $0.03 | 5 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | not published | not published | $13.33 – $33.51 | 5 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $5.28 – $5.28 | 1 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | not published | not published | $17.90 – $35.45 | 4 |
| Hymenotomy CPT 56442 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $18.86 – $47.42 | 5 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $4,428.00 – $7,791.00 | 3 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $24.67 – $24.67 | 1 |
| Hyperbaric oxygen therapy CPT 99183 | $1,461.90 | $2,658.00 | not published | 0 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $10.18 – $17.82 | 4 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $2,290.08 – $2,290.08 | 1 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $1,133.96 – $1,133.96 | 1 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $1,012.77 – $1,012.77 | 1 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $3,040.99 – $3,040.99 | 1 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $3,196.60 – $3,196.60 | 1 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $19.15 – $48.16 | 5 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $5,257.00 – $5,257.00 | 1 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $5,257.00 – $8,770.00 | 3 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $5,257.00 – $8,770.00 | 3 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Hysterosalpingography s&i CPT 74740 | $457.60 | $832.00 | $184.86 – $184.86 | 1 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $4,428.00 – $8,770.00 | 3 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $3,388.00 – $7,791.00 | 4 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $4,428.00 – $7,791.00 | 3 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $4,428.00 – $8,770.00 | 3 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $4,428.00 – $8,770.00 | 3 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| I-123 iobenguane diag HCPCS A9582 | $2,691.70 | $4,894.00 | $5,648.68 – $5,648.68 | 1 |
| I-123 ioflupane diag HCPCS A9584 | not published | not published | $3,778.88 – $3,778.88 | 1 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $64.90 | $118.00 | $303.83 – $303.83 | 1 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $105.68 – $105.68 | 1 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $558.33 – $558.33 | 1 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $2,805.69 – $2,805.69 | 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.