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 |
|---|---|---|---|---|
| Prep cadaver renal allograft CPT 50323 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Prep donor liver/venous CPT 47146 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Prep donor liver whole CPT 47143 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Prep donor pancreas CPT 48551 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Prep donor renal graft CPT 50325 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $2,654.00 – $2,654.00 | 1 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Prep renal graft/venous CPT 50327 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Pressure max expiratory/inspiratory CPT 94799 | $397.65 | $723.00 | not published | 0 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $3,388.00 – $3,388.00 | 1 |
| Pressure velocity wire add ves CPT 93572 | $1,416.80 | $2,576.00 | $1,887.00 – $2,334.00 | 2 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $226.05 | $411.00 | $48.28 – $143.50 | 2 |
| Pretreat rbc absorption reference CPT 86978 | $136.40 | $248.00 | $33.43 – $48.28 | 2 |
| Pretreat rbc density gradient separation reference CPT 86972 | $226.05 | $411.00 | $55.91 – $143.50 | 2 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $446.60 | $812.00 | $33.43 – $40.15 | 2 |
| Pretreat rbc w enzyme reference CPT 86971 | $446.60 | $812.00 | $32.03 – $283.41 | 2 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $195.80 | $356.00 | not published | 0 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $175.75 | $319.54 | not published | 0 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $3,407.80 | $6,196.00 | $2,959.00 – $3,388.00 | 3 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $3,292.30 | $5,986.00 | $3,388.00 – $4,761.00 | 3 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,167.65 | $2,123.00 | $1,887.00 – $2,654.00 | 3 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $96.25 | $175.00 | not published | 0 |
| Prgrmg dev eval scrms ip CPT 93285 | $91.30 | $166.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93282 | $121.55 | $221.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93283 | $145.20 | $264.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93284 | $135.30 | $246.00 | not published | 0 |
| Prgr stim/pace a/iv drug CPT 93623 | $3,119.05 | $5,671.00 | $1,887.00 – $2,334.00 | 2 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $3,644.30 | $6,626.00 | $6,019.00 – $18,364.00 | 3 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $1,595.55 | $2,901.00 | $1,887.00 – $5,512.00 | 3 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $670.45 | $1,219.00 | $1,887.00 – $2,654.00 | 3 |
| Pr incision & drainage abscess simple/single CPT 10060 | $563.20 | $1,024.00 | $1,887.00 – $2,654.00 | 3 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $638.55 | $1,161.00 | $1,887.00 – $2,654.00 | 3 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $733.70 | $1,334.00 | $1,887.00 – $2,654.00 | 3 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $282.22 | $513.13 | not published | 0 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $192.42 | $349.85 | not published | 0 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $95.15 | $173.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $3,000.59 | $5,455.62 | not published | 0 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | not published | not published | $198.18 – $498.30 | 5 |
| Procalcitonin CPT 84145 | $112.75 | $205.00 | $27.22 – $54.22 | 4 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | not published | not published | $3.20 – $8.04 | 5 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $2.15 – $2.15 | 1 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $2,654.00 – $3,030.00 | 3 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $4,428.00 – $8,770.00 | 3 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $149.52 – $318.42 | 4 |
| Progesterone CPT 84144 | $165.00 | $300.00 | $20.86 – $37.66 | 4 |
| Prolactin CPT 84146 | $174.90 | $318.00 | $19.38 – $39.23 | 4 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $76.45 | $139.00 | not published | 0 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.76 – $0.76 | 1 |
| Promethazine hcl injection HCPCS J2550 | not published | not published | $3.64 – $9.72 | 5 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $2,654.00 – $3,030.00 | 3 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $7,609.00 – $18,364.00 | 3 |
| Prophylactic tx radius CPT 25490 | not published | not published | $6,779.00 – $16,106.00 | 3 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $3,735.00 – $16,106.00 | 3 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $7,609.00 – $16,106.00 | 3 |
| Propofol infusion 10 mg/ml HCPCS J2704 | not published | not published | $0.09 – $0.21 | 5 |
| _propoxygc/msur CPT 80367 | not published | not published | $35.06 – $35.06 | 1 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | not published | not published | $27.51 – $27.51 | 1 |
| Prostate biopsy, any mthd HCPCS G0416 | $686.95 | $1,249.00 | $283.41 – $283.41 | 1 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Prostate laser enucleation CPT 52649 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $3,735.00 – $16,106.00 | 3 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | not published | not published | $1.23 – $3.11 | 5 |
| Protein analysis w/probe CPT 88372 | not published | not published | $26.22 – $46.03 | 4 |
| Protein c activity CPT 85303 | $118.80 | $216.00 | $13.84 – $27.98 | 4 |
| Protein c concentrate HCPCS J2724 | not published | not published | $2.86 – $40.92 | 5 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $108.35 | $197.00 | $10.74 – $21.74 | 4 |
| Protein s total CPT 85305 | $101.20 | $184.00 | $11.61 – $23.48 | 4 |
| Protein total 24 hour urine CPT 84156 | $47.85 | $87.00 | $3.67 – $7.43 | 4 |
| Protein total body fluid CPT 84157 | $52.80 | $96.00 | $4.00 – $7.43 | 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.