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 |
|---|---|---|---|---|
| Small bowel endoscopy CPT 44382 | not published | not published | $2,654.00 – $4,761.00 | 3 |
| Small bowel endoscopy CPT 44384 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $2,654.00 – $4,761.00 | 3 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $4,428.00 – $8,770.00 | 3 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.03 | 2 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $64.35 | $117.00 | $5.39 – $10.90 | 4 |
| Smear gram stain CPT 87205 | $47.30 | $86.00 | $4.27 – $8.64 | 4 |
| Smear nasal eosinophil CPT 89190 | not published | not published | $5.79 – $10.13 | 4 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $73.15 | $133.00 | $5.99 – $12.12 | 4 |
| Smear wet mount CPT 87210 | $51.70 | $94.00 | $5.82 – $10.19 | 4 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $301.35 – $527.36 | 4 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $185.20 – $324.10 | 4 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $47.00 – $82.25 | 4 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $51.07 – $89.37 | 4 |
| Sodium 24 hour urine CPT 84300 | $44.55 | $81.00 | $5.06 – $9.86 | 4 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | not published | not published | $2.71 – $6.81 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | not published | not published | $1.36 – $3.40 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $0.68 – $1.72 | 5 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.25 – $0.25 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | not published | not published | $2.13 – $5.41 | 5 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $79.07 – $198.83 | 5 |
| Sodium serum/plasma/whole blood CPT 84295 | $39.05 | $71.00 | $4.81 – $9.73 | 4 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $2.52 – $2.52 | 1 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,345.31 – $2,354.29 | 4 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,195.83 – $2,092.70 | 4 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,288.51 – $5,754.89 | 4 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,046.35 – $1,831.11 | 4 |
| Somatropin injection HCPCS J2941 | not published | not published | $133.19 – $133.19 | 1 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,989.55 – $5,231.71 | 4 |
| So neo gsap dna mcrstl ins CPT 81457 | $192.50 | $350.00 | $896.87 – $1,569.52 | 4 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $62.02 – $62.02 | 1 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $5,512.00 – $8,770.00 | 3 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $5,512.00 – $8,770.00 | 3 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Special physics consult CPT 77370 | $444.95 | $809.00 | $401.73 – $401.73 | 1 |
| Special radiation dosimetry CPT 77331 | $445.50 | $810.00 | $62.49 – $62.49 | 1 |
| Special radiation treatment CPT 77470 | $1,618.65 | $2,943.00 | $160.61 – $160.61 | 1 |
| Special teletx port plan CPT 77321 | $949.30 | $1,726.00 | $145.66 – $145.66 | 1 |
| Specific gravity body fluid CPT 84315 | not published | not published | $3.28 – $5.74 | 4 |
| Specimen fat stain CPT 89125 | not published | not published | $5.88 – $10.29 | 4 |
| Speech evaluation complex CPT 70371 | not published | not published | $159.92 – $159.92 | 1 |
| Sperm antibody test CPT 89325 | not published | not published | $10.67 – $21.59 | 4 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.59 – $34.28 | 4 |
| Sperm identification CPT 89257 | not published | not published | $49.47 – $49.47 | 1 |
| Sperm isolation complex CPT 89261 | not published | not published | $49.47 – $49.47 | 1 |
| Sperm isolation simple CPT 89260 | not published | not published | $49.47 – $49.47 | 1 |
| Sperm washing 58323 CPT 58323 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $3,388.00 – $8,770.00 | 3 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $5,512.00 – $8,770.00 | 3 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $2,013.00 | $3,660.00 | $2,654.00 – $3,030.00 | 3 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $7,609.00 – $18,364.00 | 3 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $303.05 | $551.00 | not published | 0 |
| Spleen imaging CPT 78185 | not published | not published | $661.55 – $661.55 | 1 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Splicing of ureters CPT 50770 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $345.94 | $628.98 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $73.06 | $132.84 | not published | 0 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Split blood or products CPT 86985 | not published | not published | $35.06 – $143.50 | 2 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $2,334.00 – $2,654.00 | 2 |
| Sputum specimen collection CPT 89220 | $246.95 | $449.00 | $23.16 – $143.50 | 2 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $11,288.41 – $11,288.41 | 1 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $3,388.00 – $18,364.00 | 3 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $3,388.00 – $18,364.00 | 3 |
| Srs cran les complex addl CPT 61799 | not published | not published | $3,579.00 – $10,779.00 | 3 |
| Srs cran les simple addl CPT 61797 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $175.40 – $306.95 | 4 |
| Srs linear based CPT 77372 | $8,030.00 | $14,600.00 | $3,586.50 – $3,586.50 | 1 |
| Srs multisource CPT 77371 | not published | not published | $4,103.08 – $4,103.08 | 1 |
| Srs spinal lesion CPT 63620 | not published | not published | $3,388.00 – $18,364.00 | 3 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $284.90 | $518.00 | not published | 0 |
| Staph a dna amp probe CPT 87640 | $151.25 | $275.00 | $35.09 – $71.00 | 4 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $494.45 | $899.00 | not published | 0 |
| Stem cells total count CPT 86367 | not published | not published | $76.34 – $136.12 | 4 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $20,641.50 | $37,530.00 | $8,923.00 – $44,873.00 | 3 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $3,982.32 | $7,240.59 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $401.95 | $730.82 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $1,367.47 | $2,486.31 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $10,552.30 | $19,186.00 | $7,609.00 – $27,583.00 | 3 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $9,784.50 | $17,790.00 | $5,512.00 – $18,364.00 | 3 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $6,019.00 – $6,019.00 | 1 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $11,025.85 | $20,047.00 | $8,923.00 – $27,583.00 | 3 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $183.68 – $183.68 | 1 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $6,779.00 – $6,779.00 | 1 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $1,417.12 – $1,417.12 | 1 |
| Sternal debridement CPT 21627 | not published | not published | $3,735.00 – $18,364.00 | 3 |
| St evaluate speech sound production CPT 92522 | $492.25 | $895.00 | not published | 0 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $569.80 | $1,036.00 | not published | 0 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $506.00 | $920.00 | not published | 0 |
| St evaluation swallow function CPT 92610 | $246.95 | $449.00 | not published | 0 |
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.