SSM Health Waupun Memorial Hospital
620 W Brown St, Waupun, WI · SSM Health · · NPI 1548248644
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 |
|---|---|---|---|---|
| Artery by graft; iliofemoral 35565 CPT 35565 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Artery to vein shunt CPT 36835 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Artery transpose/endovas taa CPT 33889 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Artery-vein nonautograft CPT 36830 | not published | not published | $4,428.00 – $18,364.00 | 3 |
| Artery xray each vessel 7577426 CPT 75774 | $1,551.55 | $2,821.00 | $233.59 – $233.59 | 1 |
| Artery xray of abdomen 75726-26 CPT 75726 | $3,287.35 | $5,977.00 | $312.01 – $312.01 | 1 |
| Artery x-rays adrenal gland CPT 75731 | not published | not published | $382.80 – $382.80 | 1 |
| Artery x-rays adrenals CPT 75733 | not published | not published | $400.15 – $400.15 | 1 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $6,262.85 | $11,387.00 | $356.66 – $356.66 | 1 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $6,262.85 | $11,387.00 | $408.47 – $408.47 | 1 |
| Artery x-rays chest CPT 75756 | not published | not published | $366.18 – $366.18 | 1 |
| Artery x-rays lung CPT 75741 | $3,296.15 | $5,993.00 | $290.61 – $290.61 | 1 |
| Artery x-rays lung CPT 75746 | $1,094.50 | $1,990.00 | $318.65 – $318.65 | 1 |
| Artery x-rays lungs CPT 75743 | $5,560.50 | $10,110.00 | $294.18 – $294.18 | 1 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $1,778.15 | $3,233.00 | $348.37 – $348.37 | 1 |
| Artery x-rays spine CPT 75705 | $6,262.85 | $11,387.00 | $430.34 – $430.34 | 1 |
| Art expos/graft artery perfusion 33987 CPT 33987 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | not published | not published | $7,609.00 – $18,364.00 | 3 |
| Arthrd ant ntrbd min dsc lum CPT 22558 | not published | not published | $3,735.00 – $27,583.00 | 3 |
| Arthrd ant ntrbdy cervical CPT 22551 | not published | not published | $7,609.00 – $18,364.00 | 3 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | not published | not published | $7,609.00 – $43,643.00 | 3 |
| Arthrd dst rad/ul jt sgm rsc CPT 25830 | not published | not published | $6,779.00 – $16,106.00 | 3 |
| Arthrd elbow jt autog graft CPT 24802 | not published | not published | $7,609.00 – $18,364.00 | 3 |
| Arthrd glenohumeral jt w/grf CPT 23802 | not published | not published | $7,609.00 – $18,364.00 | 3 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | not published | not published | $7,609.00 – $27,583.00 | 3 |
| Arthrd si jt perq/min nvas CPT 27279 | not published | not published | $8,923.00 – $27,583.00 | 3 |
| Arthrd si jt prq wo tfxj dev CPT 27278 | not published | not published | $8,923.00 – $27,583.00 | 2 |
| Arthrd wrist complete wo grf CPT 25800 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Arthrd wrist lmtd without b1 grf CPT 25820 | not published | not published | $6,779.00 – $16,106.00 | 3 |
| Arthrd wrist with autograft CPT 25825 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Arthrd wrist w/sliding graft CPT 25805 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Arthrd wrst iliac/oth agrft CPT 25810 | not published | not published | $7,609.00 – $18,364.00 | 3 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $958.65 | $1,743.00 | $1,887.00 – $2,654.00 | 3 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $1,568.05 | $2,851.00 | $2,654.00 – $3,030.00 | 3 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $1,576.30 | $2,866.00 | $1,887.00 – $2,654.00 | 3 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $749.10 | $1,362.00 | $1,887.00 – $2,654.00 | 3 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $982.30 | $1,786.00 | $1,887.00 – $2,654.00 | 3 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $1,147.85 | $2,087.00 | $1,887.00 – $2,654.00 | 3 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | not published | not published | $5,512.00 – $16,106.00 | 3 |
| Arthrodesis big toe joint 28760 CPT 28760 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Arthrodesis/cerv/thor/lumb/ea add 22585 CPT 22585 | not published | not published | $5,512.00 – $18,364.00 | 3 |
| Arthrodesis/combine app/ea add 22634 CPT 22634 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Arthrodesis elbw joint local CPT 24800 | not published | not published | $6,779.00 – $16,106.00 | 3 |
| Arthrodesis glenohumeral jt CPT 23800 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Arthrodesis pantalar CPT 28705 | not published | not published | $8,923.00 – $18,364.00 | 3 |
| Arthrodesis/post interbdy/ea add 22632 CPT 22632 | not published | not published | $1,887.00 – $7,609.00 | 3 |
| Arthrodesis presacral intrbod with instr l5-s1 22586 CPT 22586 | not published | not published | $7,609.00 – $27,583.00 | 3 |
| Arthrodesis/sg level/cerv/below c2 22600 CPT 22600 | not published | not published | $7,609.00 – $27,583.00 | 3 |
| Arthrodesis/sng lev/ea add ver seg 22614 CPT 22614 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Arthrodesis subtalar CPT 28725 | not published | not published | $7,609.00 – $18,364.00 | 3 |
| Arthrodesis triple CPT 28715 | not published | not published | $7,609.00 – $18,364.00 | 3 |
| Arthroplasty finger joint 26535 CPT 26535 | not published | not published | $3,735.00 – $16,106.00 | 3 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | not published | not published | $3,735.00 – $18,364.00 | 4 |
| Arthro/shoul surg; w/spacer HCPCS C9781 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Arthrotomy carpometacarpal joint 26070 CPT 26070 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Arthrotomy/elbow/exp/drain/rmv fb 24000 CPT 24000 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Arthrotomy glenhumrl jt w/bx CPT 23100 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Arthrotomy glenohumeral jt CPT 23105 | not published | not published | $6,779.00 – $8,770.00 | 3 |
| Arthrotomy strnclav joint CPT 23106 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | not published | not published | $3,735.00 – $16,106.00 | 3 |
| Arthrp ntrcrpl/crp/mtcrp ssp CPT 25448 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Arthrp prostc dstl scph crpl CPT 25443 | not published | not published | $6,779.00 – $16,106.00 | 3 |
| Arthrp w/prostc dstl rds CPT 25441 | not published | not published | $7,609.00 – $27,583.00 | 3 |
| Arthrp w/prostc dstl ulna CPT 25442 | not published | not published | $8,923.00 – $27,583.00 | 3 |
| Arthrp w/prostc dst rds&crps CPT 25446 | not published | not published | $8,923.00 – $27,583.00 | 3 |
| Arthrp w/prostc lunate CPT 25444 | not published | not published | $7,609.00 – $18,364.00 | 3 |
| Arthrp w/prostc trapezium CPT 25445 | not published | not published | $6,779.00 – $16,106.00 | 3 |
| Arthrs kne srg drlg ost diss CPT 29885 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Arthrt acrmclv/strnclav jt CPT 23101 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Arthrt ac sc jt exp/rmvl fb CPT 23044 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Arthrt elbow w/synovectomy CPT 24102 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Arthrt elbw capsl exc rls CPT 24006 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Arthrt elbw jt expl bx rmvl CPT 24101 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Arthrt elbw synovial bx only CPT 24100 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Arthrt gh jt expl/drg/rmv fb CPT 23040 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Arthrt glenhumrl jt w/expl CPT 23107 | not published | not published | $6,779.00 – $8,770.00 | 3 |
| Arthrt hip expl/rmv loose/fb CPT 27033 | not published | not published | $3,735.00 – $16,106.00 | 3 |
| Arthrt rdcrpl/midcarpl jt CPT 25040 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | not published | $1,887.00 – $8,265.00 | 4 |
| Artificial insemination CPT 58321 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Artific inseminationintrauterine 58322 CPT 58322 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Artiss fibrin sealant HCPCS C9250 | not published | not published | $366.18 – $366.18 | 1 |
| Art trnsposj subclav carotid 35694 CPT 35694 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Asc aort gft/cp/root rem/cor recon 33864 CPT 33864 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Ascend aorta graft oth dissect 33859 CPT 33859 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Ascend aorta graft w/aortic dissection 33858 CPT 33858 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Asd repair/cp bypass w without patch 33641 CPT 33641 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Aspa gene CPT 81200 | not published | not published | $47.25 – $82.69 | 4 |
| Asp core fat pad CPT 17999 | $97.90 | $178.00 | $1,887.00 – $10,779.00 | 3 |
| Asp & inj bone cyst CPT 20615 | not published | not published | $2,654.00 – $3,030.00 | 3 |
| Asp & inj w/heparin pleurx cath CPT 32999 | $525.25 | $955.00 | $2,959.00 – $10,779.00 | 3 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $3,413.85 | $6,207.00 | $3,388.00 – $7,791.00 | 3 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $601.15 | $1,093.00 | $1,887.00 – $2,654.00 | 3 |
| Aspirate pleura without imaging 32554 CPT 32554 | $1,225.95 | $2,229.00 | $2,654.00 – $3,030.00 | 3 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $1,159.95 | $2,109.00 | $2,654.00 – $3,030.00 | 3 |
| Aspiration orbital contents CPT 67415 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Aspiration peritonsillar abscess CPT 42999 | not published | not published | $1,887.00 – $10,779.00 | 3 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $737.00 | $1,340.00 | $2,654.00 – $3,030.00 | 3 |
| Asp pq spinal cord cyst/syrinx CPT 62268 | not published | not published | $2,654.00 – $3,030.00 | 3 |
| Assay acid phosphatase CPT 84060 | not published | not published | $7.64 – $14.94 | 4 |
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.