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 |
|---|---|---|---|---|
| Plasma volume single CPT 78110 | not published | not published | $289.65 – $289.65 | 1 |
| Plastic surgery neck CPT 15819 | not published | not published | $3,579.00 – $4,761.00 | 2 |
| Platelet aggregation each agent teg CPT 85576 | not published | not published | $24.91 – $43.59 | 4 |
| Platelet automated CPT 85049 | $36.30 | $66.00 | $4.48 – $9.06 | 4 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $568.15 | $1,033.00 | not published | 0 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $215.60 | $392.00 | not published | 0 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $360.25 | $655.00 | not published | 0 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $705.10 | $1,282.00 | not published | 0 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $360.25 | $655.00 | not published | 0 |
| Platelet survival CPT 78191 | not published | not published | $476.90 – $476.90 | 1 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $291.36 – $509.88 | 4 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $3,340.15 | $6,073.00 | $3,735.00 – $8,770.00 | 3 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $5,305.30 | $9,646.00 | $1,887.00 – $2,334.00 | 2 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $3,441.90 | $6,258.00 | $3,388.00 – $8,770.00 | 3 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $7,957.95 | $14,469.00 | $6,019.00 – $6,019.00 | 1 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,035.65 | $1,883.00 | $2,959.00 – $3,030.00 | 2 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | not published | not published | $1,887.00 – $2,334.00 | 2 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $3,946.80 | $7,176.00 | $6,019.00 – $6,019.00 | 1 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $287.10 | $522.00 | $1,887.00 – $5,512.00 | 3 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $288.20 | $524.00 | $1,887.00 – $5,512.00 | 3 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $287.10 | $522.00 | $1,887.00 – $5,512.00 | 3 |
| Plerixafor injection HCPCS J2562 | not published | not published | $27.48 – $226.99 | 5 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $535.70 | $974.00 | not published | 0 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $5,257.00 – $5,257.00 | 1 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Plmt biliary drainage cath CPT 47534 | $3,601.40 | $6,548.00 | $3,735.00 – $8,770.00 | 3 |
| Plmt nephroureteral catheter CPT 50433 | $1,543.30 | $2,806.00 | $3,388.00 – $7,791.00 | 3 |
| Plmt ureteral stent prq CPT 50694 | $3,441.90 | $6,258.00 | $3,735.00 – $8,770.00 | 3 |
| Pm device progr eval dual CPT 93280 | $131.45 | $239.00 | not published | 0 |
| Pm device progr eval multi CPT 93281 | $108.35 | $197.00 | not published | 0 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $207.31 – $639.85 | 4 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $758.36 – $1,327.13 | 4 |
| Pmp22 gene full sequence CPT 81325 | $2,048.20 | $3,724.00 | $769.58 – $1,346.77 | 4 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $46.60 – $81.55 | 4 |
| Pm phone r-strip device eval CPT 93293 | $84.70 | $154.00 | not published | 0 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $203.50 – $356.13 | 4 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $676.50 – $1,183.88 | 4 |
| Pms2 known familial variants CPT 81318 | not published | not published | $273.82 – $579.25 | 4 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $2,654.00 – $3,030.00 | 3 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $39.34 – $105.50 | 2 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $196.90 | $358.00 | $26.07 – $45.62 | 4 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $143.91 – $361.88 | 5 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $4,205.30 | $7,646.00 | not published | 0 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,205.30 | $7,646.00 | not published | 0 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $10.51 – $19.40 | 4 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $65,961.87 – $65,961.87 | 1 |
| Positional change of finger CPT 26555 | not published | not published | $6,779.00 – $8,770.00 | 3 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $11.27 – $43.75 | 4 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Postpartum Care Only CPT 59430 | not published | not published | $5,512.00 – $5,512.00 | 1 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Potassium 24 hour urine CPT 84133 | $40.70 | $74.00 | $4.73 – $8.70 | 4 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | not published | not published | $0.11 – $0.32 | 5 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $5.83 – $10.20 | 4 |
| Potassium serum/plasma/whole blood CPT 84132 | $47.85 | $87.00 | $4.76 – $9.31 | 4 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $137.00 – $239.75 | 4 |
| Pq biliary strict dil s&i CPT 74363 | not published | not published | $264.39 – $264.39 | 1 |
| Pq dr cath chg w cont s&i CPT 75984 | $400.40 | $728.00 | $237.15 – $237.15 | 1 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $7,137.90 | $12,978.00 | $6,779.00 – $18,364.00 | 3 |
| Pq thr inj ext pse CPT 36002 | $1,497.10 | $2,722.00 | $2,654.00 – $3,030.00 | 3 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $4,516.60 | $8,212.00 | $1,887.00 – $5,512.00 | 3 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $4,538.60 | $8,252.00 | $3,735.00 – $8,770.00 | 3 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $4,538.60 | $8,252.00 | $3,735.00 – $8,770.00 | 3 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $404.68 – $1,017.59 | 5 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | not published | not published | $283.26 – $283.26 | 1 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $3,223.00 | $5,860.00 | $3,579.00 – $4,761.00 | 3 |
| Pr application of long arm splint CPT 29105 | $314.60 | $572.00 | $1,887.00 – $2,654.00 | 3 |
| Pr application splint static short arm CPT 29125 | $285.45 | $519.00 | $1,887.00 – $2,654.00 | 3 |
| Pr biopsy skin punch single lesion CPT 11104 | $591.80 | $1,076.00 | $1,887.00 – $2,654.00 | 3 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $6,779.00 – $8,770.00 | 3 |
| Pr correction hammertoe CPT 28285 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $30.80 | $56.00 | not published | 0 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | not published | $3,388.00 – $3,388.00 | 1 |
| Prcrd drg 6+yr without anomly CPT 33017 | $1,243.00 | $2,260.00 | $3,388.00 – $3,388.00 | 1 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $834.24 | $1,516.80 | $3,735.00 – $7,791.00 | 4 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $278.85 | $507.00 | $1,887.00 – $2,334.00 | 2 |
| Prealbumin CPT 84134 | $69.30 | $126.00 | $11.29 – $25.53 | 4 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | not published | not published | $0.52 – $1.55 | 5 |
| Prednisone 1 mg tablet HCPCS J7512 | not published | not published | $0.01 – $0.03 | 5 |
| Pregabalin - sendout CPT 80366 | $188.65 | $343.00 | $35.06 – $35.06 | 1 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $1,156.65 | $2,103.00 | $3,388.00 – $4,761.00 | 3 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $15.05 – $30.47 | 4 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $460.90 | $838.00 | $306.06 – $306.06 | 1 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $460.90 | $838.00 | $245.46 – $245.46 | 1 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $5,512.00 – $5,512.00 | 1 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $5,512.00 – $5,512.00 | 1 |
| Preparation for bladder xray CPT 51605 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Preparation palate mold CPT 42280 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Prepare donor heart CPT 33944 | not published | not published | $5,257.00 – $5,257.00 | 1 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $5,257.00 – $5,257.00 | 1 |
| Prepare donor intestine CPT 44715 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Prepare donor lung double CPT 32856 | not published | not published | $5,257.00 – $5,257.00 | 1 |
| Prepare donor lung single CPT 32855 | not published | not published | $5,257.00 – $5,257.00 | 1 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $49.47 – $49.47 | 1 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $2,654.00 – $2,654.00 | 1 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $6,019.00 – $6,019.00 | 1 |
| Prepare penis study CPT 54230 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $1,887.00 – $5,512.00 | 3 |
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.