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 |
|---|---|---|---|---|
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $4,428.00 – $8,770.00 | 3 |
| Tx atrial fib pulm vein isol CPT 93656 | $25,527.15 | $46,413.00 | $41,120.00 – $43,643.00 | 2 |
| Tx closed distal humerus fx CPT 24999 | $398.20 | $724.00 | $1,887.00 – $10,779.00 | 3 |
| Tx closed hip disl traumatic without anes CPT 27250 | $1,508.65 | $2,743.00 | $1,887.00 – $2,654.00 | 3 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Tx closed tib shaft fx without manip CPT 27750 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $2,654.00 – $3,030.00 | 3 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Tx l/r atrial fib addl CPT 93657 | $8,279.15 | $15,053.00 | $1,887.00 – $2,334.00 | 2 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $2,857.25 | $5,195.00 | $3,735.00 – $7,791.00 | 3 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $6,797.45 | $12,359.00 | $3,735.00 – $7,791.00 | 3 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $3,388.00 – $3,388.00 | 1 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Tympanic membrane repair CPT 69610 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $3,388.00 – $16,106.00 | 3 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Tyms gene com variants CPT 81346 | not published | not published | $174.81 – $305.92 | 4 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $245.70 – $245.70 | 1 |
| U2af1 gene common variants CPT 81357 | not published | not published | $193.25 – $338.19 | 4 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $4.02 – $7.04 | 4 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $74.74 – $187.94 | 5 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $234.00 – $409.50 | 4 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $409.20 | $744.00 | $80.67 – $80.67 | 1 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $13.78 – $13.78 | 1 |
| Ultrasound breast complete CPT 76641 | $436.70 | $794.00 | $237.15 – $237.15 | 1 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $449.35 | $817.00 | $181.31 – $181.31 | 1 |
| Ultrasound chest CPT 76604 | $470.80 | $856.00 | $203.89 – $203.89 | 1 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $485.10 | $882.00 | $73.17 – $73.17 | 1 |
| Ultrasound dx ophth b-scan CPT 76512 | $424.05 | $771.00 | $132.59 – $132.59 | 1 |
| Ultrasound elastography ea l target les CPT 76983 | $52.25 | $95.00 | $114.24 – $114.24 | 1 |
| Ultrasound elastography parenchyma CPT 76981 | $207.35 | $377.00 | $262.60 – $262.60 | 1 |
| Ultrasound encephalogram CPT 76506 | $409.20 | $744.00 | $287.06 – $287.06 | 1 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $409.20 | $744.00 | $397.56 – $397.56 | 1 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $409.20 | $744.00 | $165.86 – $165.86 | 1 |
| Ultrasound guidance for vascular access CPT 76937 | $293.70 | $534.00 | $57.02 – $57.02 | 1 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $470.80 | $856.00 | $92.20 – $92.20 | 1 |
| Ultrasound guide intraoperative CPT 76998 | $409.20 | $744.00 | $211.13 – $211.13 | 1 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $209.52 – $209.52 | 1 |
| Ultrasound hips infant dynamic CPT 76885 | $400.95 | $729.00 | $363.10 – $363.10 | 1 |
| Ultrasound infant hips ltd without stress CPT 76886 | not published | not published | $252.60 – $252.60 | 1 |
| Ultrasound joint complete left CPT 76881 | $470.80 | $856.00 | $279.95 – $279.95 | 1 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $470.80 | $856.00 | $37.54 – $37.54 | 1 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $52.32 – $52.32 | 1 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $409.20 | $744.00 | $146.14 – $146.14 | 1 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $409.20 | $744.00 | $74.86 – $74.86 | 1 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $400.95 | $729.00 | $281.81 – $281.81 | 1 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $409.20 | $744.00 | $239.53 – $239.53 | 1 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $470.80 | $856.00 | $172.98 – $172.98 | 1 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $409.20 | $744.00 | $197.94 – $197.94 | 1 |
| Ultrasound prostate/transrectal CPT 76872 | $443.27 | $805.95 | $202.71 – $202.71 | 1 |
| Ultrasound retroperitoneal limited CPT 76775 | $460.90 | $838.00 | $96.95 – $96.95 | 1 |
| Ultrasound scrotum and contents CPT 76870 | $460.90 | $838.00 | $118.34 – $118.34 | 1 |
| Ultrasound spinal canal and contents CPT 76800 | $409.20 | $744.00 | $271.62 – $271.62 | 1 |
| Ultrasound transabd ea addl gest CPT 76812 | $409.20 | $744.00 | $384.48 – $384.48 | 1 |
| Ultrasound transvaginal non obstetric CPT 76830 | $409.20 | $744.00 | $291.80 – $291.80 | 1 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $826.59 – $826.59 | 1 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $603.69 – $603.69 | 1 |
| Umbilical artery cath newborn 36660 CPT 36660 | $53.35 | $97.00 | $3,388.00 – $3,388.00 | 1 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $1,887.00 – $10,779.00 | 3 |
| Unlisted CT procedure CPT 76497 | $136.95 | $249.00 | $272.79 – $272.79 | 1 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $49.47 – $49.47 | 1 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $49.47 – $49.47 | 1 |
| Unlisted dialysis procedure CPT 90999 | $746.90 | $1,358.00 | not published | 0 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $1,887.00 – $2,334.00 | 2 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Unlisted fluoroscopic px CPT 76496 | $502.15 | $913.00 | $134.11 – $134.11 | 1 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $5,257.00 – $16,106.00 | 3 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $5,257.00 – $16,106.00 | 3 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $5,257.00 – $16,106.00 | 3 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $5,257.00 – $16,106.00 | 3 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $5,257.00 – $16,106.00 | 3 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $10,779.00 – $16,106.00 | 3 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $5,257.00 – $16,106.00 | 3 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $5,257.00 – $16,106.00 | 3 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $5,257.00 – $16,106.00 | 3 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $5,257.00 – $16,106.00 | 3 |
| Unlisted laps px renal CPT 50549 | not published | not published | $5,257.00 – $16,106.00 | 3 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $5,257.00 – $16,106.00 | 3 |
| Unlisted laps px testis CPT 54699 | not published | not published | $10,779.00 – $16,106.00 | 3 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $5,257.00 – $16,106.00 | 3 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $5,257.00 – $16,106.00 | 3 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Unlisted misc path test CPT 89240 | not published | not published | $49.47 – $49.47 | 1 |
| Unlisted mr procedure CPT 76498 | $2,305.60 | $4,192.00 | $236.90 – $236.90 | 1 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $1,887.00 – $10,779.00 | 3 |
| Unlisted procedure colon CPT 45399 | not published | not published | $3,579.00 – $10,779.00 | 3 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $3,579.00 – $10,779.00 | 3 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $1,887.00 – $10,779.00 | 3 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $1,887.00 – $10,779.00 | 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.