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 |
|---|---|---|---|---|
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | not published | not published | $2,238.97 – $5,629.88 | 5 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $50.41 – $102.01 | 4 |
| Thyroxine binding globulin (tbg) CPT 84442 | not published | not published | $14.78 – $29.93 | 4 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | $7,609.00 – $18,364.00 | 3 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $16,951.00 | $30,820.00 | $8,923.00 – $44,873.00 | 3 |
| Tib/per revasc stnt & ather CPT 37235 | not published | not published | $5,512.00 – $18,364.00 | 3 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | not published | not published | $5,512.00 – $27,583.00 | 3 |
| Tigecycline injection HCPCS J3243 | not published | not published | $0.33 – $1.72 | 5 |
| Tilt table study CPT 93660 | $1,786.40 | $3,248.00 | $1,887.00 – $2,334.00 | 2 |
| Tinzaparin sodium injection HCPCS J1655 | not published | not published | $9.69 – $9.69 | 1 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | not published | not published | $3.91 – $9.85 | 5 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $636,648.23 – $1,539,910.91 | 4 |
| Tis clt agrft f/s/n/h/f/g ad CPT 15156 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Tis clt agrft f/s/n/h/f/g ea CPT 15157 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Tis cltr skn agrft t/a/l add CPT 15151 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Tis cltr skn agrft t/a/l ea CPT 15152 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | not published | $196.92 – $495.15 | 5 |
| Tiss ex molecul study add-on CPT 88388 | not published | not published | $14.03 – $14.03 | 1 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $37.01 – $37.01 | 1 |
| Tissue culture placenta CPT 88235 | not published | not published | $100.79 – $263.03 | 4 |
| Tissue culture skin/biopsy CPT 88233 | $40.70 | $74.00 | $100.79 – $246.28 | 4 |
| Tissue culture tumor CPT 88239 | not published | not published | $100.79 – $258.16 | 4 |
| Tissue exam koh skin/hair/nails CPT 87220 | $41.80 | $76.00 | $4.27 – $8.64 | 4 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | not published | not published | $329.51 – $329.51 | 1 |
| Tissue transglutaminase iga CPT 86364 | $64.35 | $117.00 | $11.53 – $20.18 | 4 |
| Tl-201 thallium diag per mci HCPCS A9505 | $41.25 | $75.00 | $117.12 – $117.12 | 1 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $7,609.00 – $18,364.00 | 3 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $7,609.00 – $18,364.00 | 3 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $7,609.00 – $18,364.00 | 3 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $7,609.00 – $18,364.00 | 3 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $157.64 – $157.64 | 1 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | not published | not published | $1.76 – $5.36 | 5 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $16.28 – $43.56 | 5 |
| Tobramycin peak therapeutic drug level CPT 80200 | $139.15 | $253.00 | $16.13 – $32.64 | 4 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | not published | not published | $6.46 – $16.25 | 5 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $8.33 – $20.61 | 4 |
| Toe joint transfer CPT 26556 | not published | not published | $3,735.00 – $18,364.00 | 3 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | not published | not published | $84.36 – $84.36 | 1 |
| Tomosynthesis breast screen bilateral CPT 77063 | $19.25 | $35.00 | $85.05 – $85.05 | 1 |
| Tongue and neck surgery CPT 41135 | not published | not published | $4,428.00 – $7,791.00 | 3 |
| Tongue base vol reduction CPT 41530 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Tongue suspension CPT 41512 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Tongue to lip surgery CPT 41510 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $4,428.00 – $7,791.00 | 3 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | not published | not published | $1.40 – $4.85 | 5 |
| Topotecan oral HCPCS J8705 | not published | not published | $135.27 – $340.11 | 5 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $42.57 – $107.05 | 5 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $5,257.00 – $5,257.00 | 1 |
| Total hip arthroplasty CPT 27132 | not published | not published | $6,779.00 – $27,583.00 | 3 |
| Total Hip Replacement CPT 27130 | not published | not published | $6,779.00 – $27,583.00 | 4 |
| Total hysterectomy CPT 58150 | not published | not published | $5,257.00 – $8,770.00 | 3 |
| Total Knee Replacement CPT 27447 | not published | not published | $7,609.00 – $27,583.00 | 4 |
| Total lung lavage CPT 32997 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $8,923.00 – $18,364.00 | 3 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $6,779.00 – $27,583.00 | 3 |
| Tot disc arthrp 2ntrspc lmbr CPT 22860 | not published | not published | $8,923.00 – $8,923.00 | 1 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Tot estradiol response panel CPT 80415 | not published | not published | $55.89 – $113.11 | 4 |
| Toxoplasma antibody igg CPT 86777 | $107.25 | $195.00 | $14.39 – $29.12 | 4 |
| Toxoplasma antibody igm CPT 86778 | $94.60 | $172.00 | $14.41 – $25.87 | 4 |
| Tp53 gene full gene sequence CPT 81351 | not published | not published | $641.85 – $1,123.24 | 4 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $308.00 – $539.00 | 4 |
| Tp53 gene trgt sequence alys CPT 81352 | $1,082.12 | $1,967.50 | $329.51 – $576.64 | 4 |
| Tpmt gene com vrnts CPT 81335 | $464.75 | $845.00 | $174.81 – $305.92 | 4 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $8,923.00 – $27,583.00 | 3 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | $4,428.00 – $7,791.00 | 3 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | not published | not published | $4,428.00 – $18,364.00 | 3 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | not published | not published | $392.76 – $987.59 | 5 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $2,654.00 – $3,030.00 | 3 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Tracheo-esophagoplasty cong CPT 43314 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Tracheoplasty intrathoracic CPT 31760 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $104.50 | $190.00 | not published | 0 |
| Transabdom amnioinfus w/us CPT 59070 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Transab esoph hiat hern repair 43332 CPT 43332 | not published | not published | $5,257.00 – $5,257.00 | 1 |
| Transab esoph hiat hern rpr CPT 43333 | not published | not published | $5,257.00 – $5,257.00 | 1 |
| Transcath biopsy CPT 37200 | $2,889.70 | $5,254.00 | $4,428.00 – $18,364.00 | 3 |
| Transcath closure of asd CPT 93580 | $20,724.55 | $37,681.00 | $41,120.00 – $43,643.00 | 2 |
| Transcath closure of vsd CPT 93581 | not published | not published | $41,120.00 – $43,643.00 | 2 |
| Transcatheter bx s&i CPT 75970 | $443.30 | $806.00 | $1,341.89 – $1,341.89 | 1 |
| Transcath mv repair addl prosthesis CPT 33419 | $3,113.00 | $5,660.00 | $1,887.00 – $5,512.00 | 3 |
| Transcath mv repair init prosthesis CPT 33418 | $10,756.90 | $19,558.00 | $3,735.00 – $3,735.00 | 1 |
| Transcath occlusion cns CPT 61624 | $968.00 | $1,760.00 | $6,779.00 – $27,583.00 | 3 |
| Transcath occlusion non-cns CPT 61626 | $4,382.40 | $7,968.00 | $7,609.00 – $27,583.00 | 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.