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 |
|---|---|---|---|---|
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $80.89 – $197.77 | 4 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $597.85 | $1,087.00 | $1,887.00 – $5,512.00 | 3 |
| Pvb thoracic cont infusion CPT 64463 | $1,177.00 | $2,140.00 | $2,654.00 – $3,030.00 | 3 |
| Pvb thoracic single inj site CPT 64461 | $1,177.00 | $2,140.00 | $2,654.00 – $3,030.00 | 3 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Pyridoxine hcl 100 mg HCPCS J3415 | not published | not published | $13.83 – $42.97 | 5 |
| Pyruvate CPT 84210 | $95.15 | $173.00 | $14.48 – $25.34 | 4 |
| Pyruvate kinase CPT 84220 | not published | not published | $9.44 – $19.09 | 4 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,936.00 | $3,520.00 | $917.72 – $917.72 | 1 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,936.00 | $3,520.00 | $575.99 – $575.99 | 1 |
| Quest t3 uptake CPT 84479 | $56.10 | $102.00 | $6.47 – $13.08 | 4 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $11.60 – $11.60 | 1 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $945.58 – $945.58 | 1 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $265.27 – $682.04 | 4 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | not published | not published | $318.90 – $763.31 | 4 |
| Rabies vaccine id CPT 90676 | not published | not published | $720.03 – $720.03 | 1 |
| Radial keratotomy CPT 65771 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Radiation handling CPT 77790 | not published | not published | $49.43 – $49.43 | 1 |
| Radiation physics consult CPT 77336 | $554.40 | $1,008.00 | $262.77 – $262.77 | 1 |
| Radiation therapy dose plan CPT 77300 | $380.60 | $692.00 | $114.78 – $114.78 | 1 |
| Radiation therapy management CPT 77431 | not published | not published | $346.03 – $346.03 | 1 |
| Radiation treatment aid(s) CPT 77332 | $336.05 | $611.00 | $183.68 – $183.68 | 1 |
| Radiation treatment aid(s) CPT 77333 | $430.65 | $783.00 | $31.60 – $31.60 | 1 |
| Radiation treatment aid(s) CPT 77334 | $972.95 | $1,769.00 | $295.36 – $295.36 | 1 |
| Radiation treatment delivery CPT 77401 | not published | not published | $81.49 – $81.49 | 1 |
| Radiation treatment delivery CPT 77402 | $421.30 | $766.00 | $480.73 – $480.73 | 1 |
| Radiation treatment delivery CPT 77412 | $676.50 | $1,230.00 | $928.67 – $928.67 | 1 |
| Radiation tx management x5 CPT 77427 | not published | not published | $629.87 – $629.87 | 1 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $5,257.00 – $5,257.00 | 1 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $3,735.00 – $18,364.00 | 3 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $3,735.00 – $18,364.00 | 3 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $3,735.00 – $18,364.00 | 3 |
| Radical resection of elbow CPT 24149 | not published | not published | $6,779.00 – $8,770.00 | 3 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $3,735.00 – $18,364.00 | 3 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Radiesse injection HCPCS Q2026 | not published | not published | $907.73 – $907.73 | 1 |
| Radiology port images(s) CPT 77417 | $172.15 | $313.00 | $36.35 – $36.35 | 1 |
| Radiotherapy dose plan imrt CPT 77301 | $5,955.40 | $10,828.00 | $5,149.37 – $5,149.37 | 1 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $156.75 | $285.00 | $459.31 – $459.31 | 1 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,936.00 | $3,520.00 | $979.50 – $979.50 | 1 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $2,524.50 | $4,590.00 | $1,780.08 – $1,780.08 | 1 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $2,660.90 | $4,838.00 | $2,076.04 – $2,076.04 | 1 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,015.20 | $3,664.00 | $998.52 – $998.52 | 1 |
| Radphm lcl tumor plr sgl day CPT 78800 | $697.95 | $1,269.00 | $545.12 – $545.12 | 1 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $268.64 – $268.64 | 1 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $6,779.00 – $16,106.00 | 3 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $6,779.00 – $16,106.00 | 3 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $78.94 – $198.50 | 5 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $99.45 – $337.54 | 5 |
| Rapid Strep Test CPT 87880 | $123.75 | $225.00 | $16.53 – $28.93 | 4 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | not published | not published | $400.57 – $1,007.24 | 5 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $238.84 – $600.55 | 5 |
| Rb82 rubidium HCPCS A9555 | not published | not published | $1,231.11 – $1,231.11 | 1 |
| Rbc count only automated CPT 85041 | $25.30 | $46.00 | $3.02 – $6.10 | 4 |
| Rbc deglycerolized each unit HCPCS P9039 | $435.05 | $791.00 | not published | 0 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $8.60 – $17.41 | 4 |
| Rbc osmotic fragility CPT 85555 | not published | not published | $7.47 – $13.51 | 4 |
| Rbc serum pretx incubj drugs CPT 86975 | $286.55 | $521.00 | $43.19 – $109.03 | 2 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Realignment of knee CPT 27457 | not published | not published | $3,735.00 – $16,106.00 | 3 |
| Realignment of knee CPT 27455 | not published | not published | $3,735.00 – $18,364.00 | 3 |
| Realignment of tendons CPT 26437 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Realignment of thigh bone CPT 27454 | not published | not published | $3,735.00 – $18,364.00 | 3 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Rechanneling of artery CPT 35361 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Rechanneling of artery CPT 35306 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Rechanneling of artery CPT 35311 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Rechanneling of artery CPT 35363 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $4,428.00 – $4,428.00 | 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.