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 |
|---|---|---|---|---|
| Methotrexate therapeutic drug level CPT 80204 | $63.80 | $116.00 | $38.57 – $67.50 | 4 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $136.13 – $136.13 | 1 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | not published | not published | $24.24 – $24.24 | 1 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | not published | not published | $23.42 – $59.40 | 5 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | not published | not published | $4.90 – $4.90 | 1 |
| Methylphenidate CPT 80360 | $188.65 | $343.00 | $35.06 – $35.06 | 1 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | not published | not published | $0.26 – $0.68 | 5 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | not published | not published | $0.12 – $0.33 | 5 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | not published | not published | $0.28 – $0.74 | 5 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | not published | not published | $1.12 – $2.81 | 5 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | not published | not published | $0.25 – $0.25 | 1 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | not published | not published | $0.03 – $0.08 | 5 |
| Metyrapone panel CPT 80436 | not published | not published | $91.16 – $184.46 | 4 |
| Mgmt promoter methylation analysis CPT 81287 | $332.20 | $604.00 | $123.43 – $218.12 | 4 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | not published | not published | $0.30 – $0.76 | 5 |
| Microalbumin urine screen CPT 82044 | not published | not published | $6.14 – $10.90 | 4 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $20.96 – $70.30 | 4 |
| Microdissection laser CPT 88380 | $526.90 | $958.00 | $80.12 – $122.58 | 2 |
| Microdissection manual CPT 88381 | $119.35 | $217.00 | $130.22 – $156.99 | 2 |
| Microfluid analy tears CPT 83861 | not published | not published | $22.48 – $39.34 | 4 |
| Microsatellite instability CPT 81301 | $435.60 | $792.00 | $348.56 – $609.98 | 4 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $7,609.00 – $16,106.00 | 3 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | not published | not published | $0.14 – $0.35 | 5 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | not published | not published | $0.18 – $0.46 | 5 |
| Middle cerebral artery echo CPT 76821 | $485.10 | $882.00 | $190.83 – $190.83 | 1 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | not published | not published | $1.42 – $3.56 | 5 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $7.05 – $7.05 | 1 |
| Miroderm HCPCS Q4175 | not published | not published | $75.42 – $187.97 | 4 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $73.75 – $185.43 | 5 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,324.00 – $5,817.00 | 4 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $28.16 – $126.19 | 5 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $337.11 – $847.67 | 5 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $30.46 – $165.58 | 5 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Mlh1 gene CPT 81288 | $526.90 | $958.00 | $192.32 – $336.56 | 4 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $202.40 – $354.20 | 4 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $675.40 – $1,181.95 | 4 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $331.00 – $579.25 | 4 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $7,609.00 – $16,106.00 | 3 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $161.67 – $161.67 | 1 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $6,019.00 – $6,019.00 | 1 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $6,019.00 – $6,019.00 | 1 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $12.05 – $66.03 | 4 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $2.92 – $2.92 | 1 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $12.29 – $30.90 | 5 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $5,940.77 | $10,801.40 | not published | 0 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $611.36 – $1,537.26 | 5 |
| Mopath procedure level 1 CPT 81400 | $170.50 | $310.00 | $63.96 – $111.93 | 4 |
| Mopath procedure level 3 CPT 81402 | $412.50 | $750.00 | $150.33 – $263.08 | 4 |
| Mopath procedure level 5 CPT 81404 | $958.10 | $1,742.00 | $274.83 – $480.95 | 4 |
| Mopath procedure level 6 CPT 81405 | $801.35 | $1,457.00 | $301.35 – $527.36 | 4 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $282.88 – $495.04 | 4 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $846.27 – $1,480.97 | 4 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $2,000.00 – $3,500.00 | 4 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | not published | not published | $4.95 – $12.47 | 5 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | not published | not published | $4.40 – $15.45 | 5 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $10.80 – $31.45 | 5 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $143.50 – $425.21 | 2 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $125.33 – $283.41 | 2 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $377.85 | $687.00 | $92.30 – $143.50 | 2 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $694.10 – $1,745.32 | 5 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $47.28 – $76.22 | 2 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $630.30 | $1,146.00 | $143.50 – $490.07 | 2 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $82.65 – $108.55 | 2 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $105.02 – $143.50 | 2 |
| Mpl gene analysis common variants CPT 81338 | $399.85 | $727.00 | $150.33 – $263.08 | 4 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $20.05 – $40.58 | 4 |
| M.pneumon dna quant CPT 87582 | not published | not published | $84.49 – $529.59 | 4 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $226.31 – $226.31 | 1 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $1,039.88 – $1,039.88 | 1 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $1,020.86 – $1,020.86 | 1 |
| MRA chest w IV cont HCPCS C8909 | $2,373.25 | $4,315.00 | not published | 0 |
| MRA chest wo IV cont HCPCS C8910 | $2,260.50 | $4,110.00 | not published | 0 |
| MRA chest wwo IV cont HCPCS C8911 | $2,492.05 | $4,531.00 | not published | 0 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $1,032.75 – $1,032.75 | 1 |
| MRA pelvis CPT 72198 | not published | not published | $1,031.56 – $1,031.56 | 1 |
| MRA pelvis wo IV cont HCPCS C8919 | $2,045.45 | $3,719.00 | not published | 0 |
| MRA spinal canal CPT 72159 | not published | not published | $1,082.64 – $1,082.64 | 1 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $1,060.06 – $1,060.06 | 1 |
| MRA w/cont, abd HCPCS C8900 | $2,425.50 | $4,410.00 | not published | 0 |
| MRA w/cont, lwr ext HCPCS C8912 | $2,356.20 | $4,284.00 | not published | 0 |
| Mra, w/dye, spinal canal HCPCS C8931 | $2,426.60 | $4,412.00 | not published | 0 |
| Mra, w/dye, upper extremity HCPCS C8934 | $2,494.80 | $4,536.00 | not published | 0 |
| MRA without cont, abd HCPCS C8901 | $2,310.00 | $4,200.00 | not published | 0 |
| MRA without cont, lwr ext HCPCS C8913 | $2,244.00 | $4,080.00 | not published | 0 |
| Mra, without dye, upper extr HCPCS C8935 | $2,376.00 | $4,320.00 | not published | 0 |
| MRA without fol w/cont, abd HCPCS C8902 | $2,547.05 | $4,631.00 | not published | 0 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $2,474.45 | $4,499.00 | not published | 0 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $2,305.60 | $4,192.00 | not published | 0 |
| Mr elastography CPT 76391 | not published | not published | $610.14 – $610.14 | 1 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $7,609.00 – $7,609.00 | 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.