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 |
|---|---|---|---|---|
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $7,609.00 – $27,583.00 | 3 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $5,257.00 – $18,364.00 | 3 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $5,257.00 – $18,364.00 | 3 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $5,257.00 – $18,364.00 | 3 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $664.95 | $1,209.00 | $1,887.00 – $2,654.00 | 3 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Perq transcath closure each CPT 93592 | not published | not published | $1,887.00 – $2,334.00 | 2 |
| Perq transcath closure pda CPT 93582 | not published | not published | $41,120.00 – $43,643.00 | 2 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $43,285.00 – $44,873.00 | 2 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $43,285.00 – $44,873.00 | 2 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Perq tx malar fracture CPT 21355 | not published | not published | $3,388.00 – $16,106.00 | 3 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $3,388.00 – $16,106.00 | 3 |
| Pertussis ag if CPT 87265 | not published | not published | $11.98 – $24.26 | 4 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $17.53 – $44.07 | 5 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $69.16 – $173.91 | 5 |
| Pet CT skull-mid thgh initial CPT 78815 | $3,657.50 | $6,650.00 | $2,884.18 – $2,884.18 | 1 |
| Pet CT whole body initial CPT 78816 | $3,722.95 | $6,769.00 | $2,909.33 – $2,909.33 | 1 |
| Pet fdg brain metoblic eval sb CPT 78608 | $3,657.50 | $6,650.00 | $1,743.99 – $1,743.99 | 1 |
| Pet image full body CPT 78813 | not published | not published | $2,288.09 – $2,288.09 | 1 |
| Pet image ltd area CPT 78811 | not published | not published | $1,804.88 – $1,804.88 | 1 |
| Pet image skull-thigh CPT 78812 | not published | not published | $2,279.56 – $2,279.56 | 1 |
| Pet image w/ct lmtd CPT 78814 | $3,488.65 | $6,343.00 | $2,599.14 – $2,599.14 | 1 |
| Pet scan brain perf study CPT 78609 | not published | not published | $257.18 – $257.18 | 1 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $1,606.03 | $2,920.05 | not published | 0 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $91.85 | $167.00 | not published | 0 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $137.50 | $250.00 | not published | 0 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $46.20 | $84.00 | not published | 0 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Ph body fluid CPT 83986 | $50.05 | $91.00 | $3.58 – $7.26 | 4 |
| Phencyclidine (pcp) CPT 83992 | $158.40 | $288.00 | $29.72 – $43.31 | 2 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | not published | $32.38 – $83.74 | 5 |
| Phenobarbital therapeutic drug level CPT 80184 | $104.50 | $190.00 | $15.30 – $26.78 | 4 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $427.27 – $1,074.38 | 5 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | not published | not published | $0.01 – $0.03 | 2 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $263.65 – $263.65 | 1 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.51 – $1.29 | 5 |
| Phenytoin total therapeutic drug level CPT 80185 | $119.90 | $218.00 | $13.25 – $26.82 | 4 |
| Phlebotomy therapeutic CPT 99195 | $183.70 | $334.00 | not published | 0 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $1,222.65 | $2,223.00 | $3,735.00 – $8,770.00 | 3 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $1,483.90 | $2,698.00 | $3,735.00 – $8,770.00 | 3 |
| Phosphorus CPT 84100 | $38.50 | $70.00 | $4.74 – $9.60 | 4 |
| Phosphorus 24 hour urine CPT 84105 | $48.40 | $88.00 | $5.78 – $10.48 | 4 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $1,887.00 – $2,334.00 | 2 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $1,887.00 – $2,334.00 | 2 |
| Photopheresis CPT 36522 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $49.47 – $75.42 | 2 |
| Phys blood bank serv reactj CPT 86078 | $121.00 | $220.00 | $76.45 – $143.50 | 2 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $22.99 – $76.45 | 2 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | not published | not published | $2.39 – $6.02 | 5 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $5,512.00 – $5,512.00 | 1 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $783.90 | $1,425.27 | $905.07 – $905.07 | 1 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $274.83 – $480.95 | 4 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $5,512.00 – $18,364.00 | 3 |
| Pin caspar distraction 12mm HCPCS C1821 | $52.03 | $94.60 | not published | 0 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Pin finger dislocation CPT 26776 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Pin finger fracture each CPT 26756 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Pin hand dislocation CPT 26676 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Pinworm exam CPT 87172 | $45.10 | $82.00 | $4.27 – $8.64 | 4 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $4.27 – $10.94 | 4 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | not published | not published | $1.23 – $3.10 | 5 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $579.48 – $1,172.82 | 4 |
| Place breast cath for rad CPT 19297 | not published | not published | $5,512.00 – $18,364.00 | 3 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $6,019.00 – $18,364.00 | 3 |
| Place cath intracranial art CPT 36228 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Place cath xtrnl carotid CPT 36227 | $4,252.60 | $7,732.00 | $1,887.00 – $5,512.00 | 3 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Place device/marker, non pro HCPCS C9728 | not published | not published | $3,388.00 – $3,388.00 | 1 |
| Place duod/jej tube perc CPT 49441 | $1,197.90 | $2,178.00 | $3,388.00 – $4,761.00 | 3 |
| Place endorectal app HCPCS C9725 | not published | not published | $2,959.00 – $5,512.00 | 3 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Place gastrostomy tube perc CPT 49440 | $1,114.30 | $2,026.00 | $3,388.00 – $4,761.00 | 3 |
| Placement bile duct support CPT 47801 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $653.40 | $1,188.00 | $2,654.00 – $4,761.00 | 3 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $272.25 | $495.00 | $1,887.00 – $5,512.00 | 3 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $653.40 | $1,188.00 | $2,654.00 – $3,030.00 | 3 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $3,081.10 | $5,602.00 | $3,388.00 – $7,791.00 | 3 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Placement of drain pancreas CPT 48001 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Placement of seton CPT 46020 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $13,879.25 | $25,235.00 | $7,609.00 – $27,583.00 | 3 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Place needles h&n for right CPT 41019 | not published | not published | $4,428.00 – $7,791.00 | 3 |
| Place needles pelvic for right CPT 55920 | not published | not published | $4,428.00 – $8,770.00 | 3 |
| Place non-slctv cath thoracic arta CPT 36221 | $3,956.70 | $7,194.00 | $3,735.00 – $8,770.00 | 3 |
| Placental lactogen CPT 83632 | not published | not published | $20.22 – $40.91 | 4 |
| Place po breast cath for rad CPT 19296 | not published | not published | $7,609.00 – $18,364.00 | 3 |
| Place right device/marker pros CPT 55876 | $380.75 | $692.28 | $3,388.00 – $4,761.00 | 3 |
| Place slctv cath carotd art uni CPT 36224 | $8,045.95 | $14,629.00 | $4,428.00 – $18,364.00 | 3 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $6,458.10 | $11,742.00 | $3,735.00 – $8,770.00 | 3 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $8,085.55 | $14,701.00 | $4,428.00 – $18,364.00 | 3 |
| Place slctv cath subclavian art CPT 36225 | $6,620.90 | $12,038.00 | $3,735.00 – $8,770.00 | 3 |
| Place slctv cath vertebral art uni CPT 36226 | $8,202.70 | $14,914.00 | $4,428.00 – $18,364.00 | 3 |
| Plasma volume multiple CPT 78111 | not published | not published | $293.22 – $293.22 | 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.