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 |
|---|---|---|---|---|
| Azathioprine 50 mg tablet HCPCS J7500 | not published | not published | $1.11 – $4.07 | 5 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $623.37 – $623.37 | 1 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | not published | not published | $2.31 – $5.79 | 5 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | not published | not published | $2.24 – $5.64 | 5 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $188.22 – $473.29 | 5 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $44.10 – $127.69 | 5 |
| Baclofen eval charges CPT 97750 | $75.90 | $138.00 | not published | 0 |
| Bacterial meningitis antigen CPT 86403 | not published | not published | $11.54 – $20.63 | 4 |
| Bacterial vaginosis pcr CPT 87801 | $162.25 | $295.00 | $70.20 – $142.03 | 4 |
| Bactericidal level serum CPT 87197 | not published | not published | $15.02 – $30.41 | 4 |
| #bac vag cand-c. albicans naa CPT 87481 | not published | not published | $35.09 – $71.00 | 4 |
| Balloon dilate urtrl strix CPT 50706 | $1,269.40 | $2,308.00 | $1,887.00 – $5,512.00 | 3 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Bartonella dna pcr-sendout CPT 87471 | $80.85 | $147.00 | $35.09 – $71.00 | 4 |
| Basiliximab HCPCS J0480 | not published | not published | $5,042.88 – $12,680.27 | 5 |
| Bausch health Ultrasound surg HCPCS V2788 | $650.67 | $1,183.04 | not published | 0 |
| B cells total count CPT 86355 | not published | not published | $37.73 – $76.34 | 4 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $3.25 – $8.17 | 5 |
| Bckdhb gene CPT 81205 | not published | not published | $94.99 – $166.23 | 4 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $4.26 – $10.69 | 5 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $59.45 – $149.49 | 5 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $1.36 – $4.90 | 5 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $15.62 – $46.63 | 5 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | not published | not published | $14.57 – $36.61 | 5 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $29.96 – $78.00 | 5 |
| Benign lesion paring 2-4 CPT 11056 | $290.95 | $529.00 | $1,887.00 – $2,654.00 | 3 |
| Benign lesion paring 4+ CPT 11057 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| #_benzodiazconfur CPT 80346 | $158.95 | $289.00 | $35.06 – $35.06 | 1 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | not published | not published | $18.28 – $45.99 | 5 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $33.55 | $61.00 | $11.77 – $44.54 | 4 |
| Beta-2 microglobulin CPT 82232 | $139.70 | $254.00 | $16.18 – $32.74 | 4 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | not published | not published | $7.54 – $20.44 | 5 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | not published | not published | $79.25 – $199.25 | 5 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | not published | not published | $32.80 – $78.21 | 4 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | not published | not published | $29.63 – $62.62 | 4 |
| Bevacizumab injection HCPCS C9257 | not published | not published | $4.98 – $4.98 | 1 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | $134.75 | $245.00 | not published | 0 |
| Bfb train ea addl 15 min 90913 CPT 90913 | $134.75 | $245.00 | not published | 0 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $16.87 – $29.52 | 4 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | $5,512.00 – $8,770.00 | 3 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $1,067.00 | $1,940.00 | $2,654.00 – $3,030.00 | 3 |
| Bilateral n block inj occipital 64405 CPT 64405 | $1,378.30 | $2,506.00 | $1,887.00 – $2,654.00 | 3 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $834.90 | $1,518.00 | $1,887.00 – $2,654.00 | 3 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $26.58 – $53.78 | 4 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | not published | $2,334.00 – $3,735.00 | 3 |
| Biliary endo perq dx w/speci CPT 47552 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $3,735.00 – $18,364.00 | 3 |
| Biliary endoscopy thru skin CPT 47554 | not published | not published | $5,257.00 – $18,364.00 | 3 |
| Biliary endoscopy thru skin CPT 47555 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Biliary endoscopy thru skin CPT 47556 | not published | not published | $5,257.00 – $18,364.00 | 3 |
| Bilicheck CPT 88720 | $11.55 | $21.00 | $5.02 – $10.15 | 4 |
| Bilirubin direct CPT 82248 | $18.15 | $33.00 | $5.02 – $10.15 | 4 |
| Bilirubin total CPT 82247 | $18.15 | $33.00 | $5.02 – $10.15 | 4 |
| Bilobectomy 32482 CPT 32482 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Biofeedback, pt CPT 90901 | $118.25 | $215.00 | not published | 0 |
| Biopsy abdominal mass CPT 49180 | $2,493.15 | $4,533.00 | $3,388.00 – $4,761.00 | 3 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Biopsy, bone open deep CPT 20245 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Biopsy bone trocar/needle superficial CPT 20220 | $1,166.55 | $2,121.00 | $2,959.00 – $3,388.00 | 3 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | not published | not published | $2,654.00 – $3,030.00 | 3 |
| Biopsy conjunctiva CPT 68100 | not published | not published | $2,959.00 – $3,388.00 | 3 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Biopsy external ear 69100 CPT 69100 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Biopsy eyelid & lid margin CPT 67810 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Biopsy eye muscle CPT 67346 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Biopsy finger joint lining CPT 26105 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Biopsy finger joint lining CPT 26110 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Biopsy forearm soft tissues CPT 25066 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Biopsy hand joint lining CPT 26100 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $2,388.10 | $4,342.00 | $3,388.00 – $4,761.00 | 3 |
| Biopsy knee joint lining CPT 27330 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Biopsy lower leg soft tissue CPT 27613 | not published | not published | $2,959.00 – $3,388.00 | 3 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,152.80 | $2,096.00 | $3,388.00 – $4,761.00 | 3 |
| Biopsy needle liver percutaneous CPT 47000 | $2,982.65 | $5,423.00 | $3,388.00 – $4,761.00 | 3 |
| Biopsy needle lymph node superficial CPT 38505 | $1,392.60 | $2,532.00 | $3,388.00 – $4,761.00 | 3 |
| Biopsy of cornea CPT 65410 | not published | not published | $2,959.00 – $3,388.00 | 3 |
| Biopsy of epididymis CPT 54800 | not published | not published | $2,959.00 – $3,388.00 | 3 |
| Biopsy of foot joint lining CPT 28050 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Biopsy of foot joint lining CPT 28052 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Biopsy of heart lining CPT 93505 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Biopsy of hip joint CPT 27052 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Biopsy of inestine 44100 CPT 44100 | not published | not published | $2,654.00 – $4,761.00 | 3 |
| Biopsy of lip 40490 CPT 40490 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Biopsy of nail unit 11755 CPT 11755 | not published | not published | $2,654.00 – $3,030.00 | 3 |
| Biopsy of nerve CPT 64795 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Biopsy of ovary(s) 58900 CPT 58900 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Biopsy of penis CPT 54105 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Biopsy of penis 54100 CPT 54100 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Biopsy of prostate CPT 55700 | $367.32 | $667.86 | $3,388.00 – $4,761.00 | 3 |
| Biopsy of prostate CPT 55705 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Biopsy of sacroiliac joint CPT 27050 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Biopsy of salivary gland 42400 CPT 42400 | $1,483.35 | $2,697.00 | $2,654.00 – $3,030.00 | 3 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Biopsy of tear gland CPT 68510 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Biopsy of tear sac CPT 68525 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Biopsy of testis CPT 54500 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Biopsy of testis CPT 54505 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Biopsy of toe joint lining CPT 28054 | not published | not published | $3,735.00 – $7,791.00 | 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.