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 |
|---|---|---|---|---|
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $137.00 – $239.75 | 4 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $3,087.70 | $5,614.00 | $1,160.00 – $2,030.00 | 4 |
| Mayo androstenedione CPT 82157 | $262.35 | $477.00 | $29.28 – $59.24 | 4 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $130.90 | $238.00 | $14.60 – $29.56 | 4 |
| Mayo antithrombin iii antigen CPT 85301 | $97.35 | $177.00 | $10.81 – $21.89 | 4 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $47.85 | $87.00 | $11.77 – $26.34 | 4 |
| Mayo avwpr vw factor activity CPT 85397 | $108.35 | $197.00 | $30.86 – $54.01 | 4 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $64.90 | $118.00 | $35.09 – $61.41 | 4 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $206.25 | $375.00 | $35.06 – $35.06 | 1 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $19.25 | $35.00 | $10.18 – $17.82 | 4 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $4.40 | $8.00 | $144.84 – $293.08 | 4 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $541.20 | $984.00 | $214.62 – $375.59 | 4 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $19.80 | $36.00 | $11.77 – $22.58 | 4 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $188.65 | $343.00 | $35.06 – $35.06 | 1 |
| Mayo bordetella pertussis antibody igg CPT 86615 | not published | not published | $11.77 – $23.08 | 4 |
| Mayo brcmg brucella antibody igm CPT 86622 | $14.85 | $27.00 | $8.93 – $15.63 | 4 |
| Mayo c1 esterase inhibitor CPT 83883 | $116.60 | $212.00 | $13.60 – $27.50 | 4 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $200.20 | $364.00 | $35.06 – $35.06 | 1 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $127.05 | $231.00 | $16.87 – $29.52 | 4 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $44.00 | $80.00 | $26.78 – $54.18 | 4 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $325.60 | $592.00 | $122.22 – $247.32 | 4 |
| Mayo ceruloplasmin CPT 82390 | $90.75 | $165.00 | $10.74 – $21.74 | 4 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $124.30 | $226.00 | $14.12 – $28.58 | 4 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $53.90 | $98.00 | $11.77 – $22.54 | 4 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $59.40 | $108.00 | $11.77 – $20.69 | 4 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $35.20 | $64.00 | $11.77 – $22.19 | 4 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $457.05 | $831.00 | $100.79 – $203.86 | 4 |
| Mayo chromium CPT 82495 | not published | not published | $14.72 – $35.49 | 4 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $194.15 | $353.00 | $35.06 – $35.06 | 1 |
| Mayo coccidioides antibody CPT 86635 | $20.90 | $38.00 | $11.47 – $20.07 | 4 |
| Mayo cocou cortisone urine CPT 82542 | $158.40 | $288.00 | $24.09 – $42.16 | 4 |
| Mayo cortisol free CPT 82530 | $148.50 | $270.00 | $16.71 – $33.80 | 4 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $30.25 | $55.00 | $42.13 – $73.73 | 4 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $30.25 | $55.00 | $11.77 – $21.21 | 4 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $188.65 | $343.00 | not published | 0 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $188.65 | $343.00 | not published | 0 |
| Mayo cyanide CPT 82600 | $34.65 | $63.00 | $19.40 – $39.26 | 4 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $377.85 | $687.00 | $143.50 – $821.94 | 2 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $115.50 | $210.00 | $13.25 – $25.42 | 4 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $45.65 | $83.00 | $25.27 – $51.13 | 4 |
| Mayo dihydrotestosterone CPT 82642 | $38.50 | $70.00 | $29.28 – $51.24 | 4 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | $29.15 | $53.00 | $9.64 – $17.14 | 4 |
| Mayo efpo chloride stool CPT 82438 | not published | not published | $5.00 – $9.90 | 4 |
| Mayo estriol CPT 82677 | not published | not published | $24.18 – $48.94 | 4 |
| Mayo estrone CPT 82679 | $46.20 | $84.00 | $24.95 – $50.51 | 4 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $135.30 | $246.00 | $16.34 – $33.06 | 4 |
| Mayo everolimus therapeutic drug level CPT 80169 | not published | not published | $13.73 – $27.79 | 4 |
| Mayo factor ii CPT 85210 | $52.80 | $96.00 | $11.77 – $22.72 | 4 |
| Mayo factor v CPT 85220 | $151.80 | $276.00 | $17.65 – $35.70 | 4 |
| Mayo factor vii CPT 85230 | $156.75 | $285.00 | $17.90 – $36.23 | 4 |
| Mayo factor viii vw factor antigen CPT 85246 | $217.80 | $396.00 | $22.94 – $46.43 | 4 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $200.20 | $364.00 | $22.94 – $46.43 | 4 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $217.80 | $396.00 | $22.94 – $46.43 | 4 |
| Mayo factor x CPT 85260 | $32.45 | $59.00 | $17.90 – $36.23 | 4 |
| Mayo factor xi CPT 85270 | $156.75 | $285.00 | $17.90 – $36.23 | 4 |
| Mayo fat/lipids feces quantitative CPT 82710 | not published | not published | $16.80 – $34.01 | 4 |
| Mayo fbl culture fungi blood CPT 87103 | $93.50 | $170.00 | $18.24 – $35.81 | 4 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $17.45 – $140.81 | 4 |
| Mayo ffspg allergen clam igg CPT 86001 | not published | not published | $6.56 – $13.69 | 4 |
| Mayo fibrinogen antigen CPT 85385 | $25.85 | $47.00 | $14.46 – $25.31 | 4 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $146.85 | $267.00 | $21.67 – $37.92 | 4 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $4,878.50 | $8,870.00 | not published | 0 |
| Mayo hemosiderin qualitative urine CPT 83070 | $8.25 | $15.00 | $4.75 – $9.62 | 4 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $169.40 | $308.00 | $35.09 – $71.00 | 4 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | not published | not published | $35.09 – $71.00 | 4 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $42.90 | $78.00 | $13.79 – $24.13 | 4 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $42.35 | $77.00 | $25.81 – $52.22 | 4 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $15.40 | $28.00 | $8.89 – $17.99 | 4 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $23.10 | $42.00 | $13.52 – $27.35 | 4 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $243.65 | $443.00 | $27.17 – $54.97 | 4 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $112.20 | $204.00 | $17.27 – $30.22 | 4 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $119.90 | $218.00 | $14.99 – $30.34 | 4 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $163.90 | $298.00 | $20.81 – $42.11 | 4 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $174.90 | $318.00 | $20.81 – $42.11 | 4 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $35.09 – $61.41 | 4 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $135.30 | $246.00 | $16.07 – $28.12 | 4 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $80.85 | $147.00 | $11.98 – $24.26 | 4 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $80.85 | $147.00 | $35.09 – $71.00 | 4 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $93.50 | $170.00 | $35.09 – $61.41 | 4 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $187.00 | $340.00 | $35.09 – $71.00 | 4 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $242.00 | $440.00 | $35.09 – $61.41 | 4 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $99.00 | $180.00 | $42.84 – $86.68 | 4 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $140.80 | $256.00 | $72.19 – $126.33 | 4 |
| Mayo infliximab therapeutic drug level CPT 80230 | $65.45 | $119.00 | $38.57 – $67.50 | 4 |
| Mayo inhab inhibin a CPT 86336 | $90.75 | $165.00 | $15.59 – $31.54 | 4 |
| Mayo insft insulin free CPT 83527 | not published | not published | $12.95 – $26.21 | 4 |
| Mayo insulin antibodies CPT 86337 | $36.30 | $66.00 | $21.41 – $43.32 | 4 |
| Mayo iodine CPT 83789 | not published | not published | $24.11 – $42.19 | 4 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $45.65 | $83.00 | $27.11 – $47.44 | 4 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $44.55 | $81.00 | $27.11 – $47.44 | 4 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $151.80 | $276.00 | $13.25 – $26.82 | 4 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $51.15 | $93.00 | $12.79 – $25.90 | 4 |
| Mayo legionella antibody CPT 86713 | $25.30 | $46.00 | $15.30 – $30.96 | 4 |
| Mayo leptospira antibody igm CPT 86720 | $47.85 | $87.00 | $11.77 – $28.35 | 4 |
| Mayo lipoprotein electrophoresis CPT 83700 | $115.50 | $210.00 | $11.26 – $22.76 | 4 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $60.50 | $110.00 | $15.49 – $31.33 | 4 |
| Mayo manganese CPT 83785 | not published | not published | $26.65 – $49.79 | 4 |
| Mayo metanephrines plasma CPT 83835 | $149.05 | $271.00 | $16.94 – $34.27 | 4 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $128.15 | $233.00 | $35.06 – $35.06 | 1 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $30.25 | $55.00 | $15.06 – $27.34 | 4 |
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.