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 |
|---|---|---|---|---|
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $3,735.00 – $18,364.00 | 3 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Optx lunate dislocation CPT 25695 | not published | not published | $6,779.00 – $7,791.00 | 3 |
| Optx medial ankle fx CPT 27766 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $4,428.00 – $7,791.00 | 3 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $7,609.00 – $18,364.00 | 3 |
| Optx post ankle fx CPT 27769 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $7,609.00 – $18,364.00 | 3 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $8,923.00 – $18,364.00 | 3 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $6,779.00 – $7,791.00 | 3 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Optx sho dislc fx CPT 23670 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $7,609.00 – $18,364.00 | 3 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $6,779.00 – $7,791.00 | 3 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Optx thigh fx CPT 27269 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $3,388.00 – $16,106.00 | 3 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Oral aprepitant HCPCS J8501 | not published | not published | $3.10 – $7.79 | 5 |
| Oral busulfan HCPCS J8510 | not published | not published | $229.27 – $229.27 | 1 |
| Oral everolimus HCPCS J7527 | not published | not published | $2.22 – $6.32 | 5 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $11.98 – $24.26 | 4 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $35.20 – $51.65 | 2 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $43.05 – $56.38 | 2 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $432.95 – $1,088.65 | 5 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $6,779.00 – $6,779.00 | 1 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $6,779.00 – $6,779.00 | 1 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $6,779.00 – $6,779.00 | 1 |
| Orchiectomy partial CPT 54522 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Organic acids total quant ea spec CPT 83918 | not published | not published | $23.60 – $41.30 | 4 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $46.91 – $117.94 | 5 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $30.89 – $77.67 | 5 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $2,959.00 – $3,388.00 | 3 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | not published | not published | $13.56 – $38.08 | 5 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $248.53 | $451.88 | not published | 0 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $587.60 | $1,068.37 | not published | 0 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $210.67 | $383.04 | not published | 0 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $268.51 | $488.20 | not published | 0 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $214.81 | $390.57 | not published | 0 |
| Orthopantogram CPT 70355 | $304.15 | $553.00 | $30.40 – $30.40 | 1 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $99.76 – $250.85 | 5 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $319.09 | $580.17 | not published | 0 |
| Oscillation chest wall mechanical per session CPT 94669 | $106.15 | $193.00 | not published | 0 |
| Osmolality blood CPT 83930 | $58.30 | $106.00 | $6.61 – $13.38 | 4 |
| Osmolality urine CPT 83935 | $55.00 | $100.00 | $6.82 – $13.80 | 4 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $7,609.00 – $18,364.00 | 3 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $6,779.00 – $16,106.00 | 3 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Osteoplasty humerus CPT 24420 | not published | not published | $6,779.00 – $16,106.00 | 3 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $3,735.00 – $18,364.00 | 3 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $1,887.00 – $7,609.00 | 3 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $3,735.00 – $18,364.00 | 3 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $3,735.00 – $18,364.00 | 3 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $6,779.00 – $16,106.00 | 3 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $3,735.00 – $18,364.00 | 3 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Ot evaluation high complexity patient/family CPT 97167 | $154.00 | $280.00 | not published | 0 |
| Ot evaluation low complexity patient/family CPT 97165 | $113.85 | $207.00 | not published | 0 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $134.75 | $245.00 | not published | 0 |
| Other bone graft microvasc CPT 20962 | not published | not published | $6,779.00 – $16,106.00 | 3 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $23.13 – $45.26 | 4 |
| Oth resp proc, group HCPCS G0239 | $129.25 | $235.00 | not published | 0 |
| Oth resp proc, indiv HCPCS G0238 | $41.80 | $76.00 | not published | 0 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $48.95 | $89.00 | not published | 0 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $67.10 | $122.00 | not published | 0 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $68.20 | $124.00 | not published | 0 |
| Otoplasty 69300 CPT 69300 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Ot re-evaluation patient/family CPT 97168 | $85.25 | $155.00 | not published | 0 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $61.60 | $112.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $54.45 | $99.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $54.45 | $99.00 | not published | 0 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $68.75 | $125.00 | not published | 0 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $66.55 | $121.00 | not published | 0 |
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.