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 |
|---|---|---|---|---|
| Repair pda div 18 yrs&older CPT 33824 | not published | not published | $6,019.00 – $43,643.00 | 3 |
| Repair penis CPT 54380 | not published | not published | $3,388.00 – $8,770.00 | 3 |
| Repair penis CPT 54385 | not published | not published | $3,388.00 – $8,770.00 | 3 |
| Repair penis and bladder CPT 54390 | not published | not published | $3,735.00 – $16,106.00 | 3 |
| Repair pm/icd lead dual CPT 33220 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Repair pm/icd lead sgl CPT 33218 | $2,871.00 | $5,220.00 | $3,735.00 – $8,770.00 | 3 |
| Repair prosth valve clot 33496 CPT 33496 | not published | not published | $6,019.00 – $6,019.00 | 1 |
| Repair pulm artery stenosis w/patch/graft 33917 CPT 33917 | not published | not published | $6,019.00 – $6,019.00 | 1 |
| Repair pulmonary atresia CPT 33920 | not published | not published | $6,019.00 – $6,019.00 | 1 |
| Repair pul venous stenosis CPT 33726 | not published | not published | $6,019.00 – $6,019.00 | 1 |
| Repair radius or ulna CPT 25400 | not published | not published | $6,779.00 – $16,106.00 | 3 |
| Repair radius & ulna CPT 25415 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Repair rect/bladder fistula CPT 45800 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Repair rectourethral fistula CPT 45820 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Repair rectum; remove sigmoid 45550 CPT 45550 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Repair rectum & vagina CPT 57250 | not published | not published | $4,428.00 – $8,770.00 | 3 |
| Repair rectum-vagina fistula CPT 57300 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Repair rectum-vagina fistula abd appr 57305 CPT 57305 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Repair recur fem hernia reduce 49555 CPT 49555 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Repair retinal detach cplx CPT 67113 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Repair & revise nerve add-on CPT 64874 | not published | not published | $1,887.00 – $5,512.00 | 3 |
| Repair/revise wrist joint CPT 25320 | not published | not published | $6,779.00 – $16,106.00 | 3 |
| Repair rotator cuff acute CPT 23410 | not published | not published | $6,779.00 – $16,106.00 | 3 |
| Repair rotator cuff chronic CPT 23412 | not published | not published | $6,779.00 – $16,106.00 | 3 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $391.60 | $712.00 | $1,887.00 – $2,654.00 | 3 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $1,143.45 | $2,079.00 | $1,887.00 – $2,654.00 | 3 |
| Repair ruptd popliteal art CPT 35152 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Repair salivary duct CPT 42500 | not published | not published | $4,428.00 – $7,791.00 | 3 |
| Repair salivary duct CPT 42505 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Repair sciatic nerve CPT 64858 | not published | not published | $4,428.00 – $8,770.00 | 3 |
| Repair shoulder capsule CPT 23450 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Repair shoulder capsule CPT 23455 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Repair shoulder capsule CPT 23460 | not published | not published | $6,779.00 – $18,364.00 | 3 |
| Repair shoulder capsule CPT 23462 | not published | not published | $6,779.00 – $16,106.00 | 3 |
| Repair shoulder capsule CPT 23465 | not published | not published | $6,779.00 – $16,106.00 | 3 |
| Repair shoulder capsule CPT 23466 | not published | not published | $6,779.00 – $16,106.00 | 3 |
| Repair single ventricle CPT 33617 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Repair single ventricle CPT 33619 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Repair skull cavity lesion CPT 62120 | not published | not published | $6,779.00 – $6,779.00 | 1 |
| Repair spinal fluid leakage 63707 CPT 63707 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Repair stern/nuss without scope CPT 21742 | not published | not published | $3,735.00 – $16,106.00 | 3 |
| Repair sternum/nuss w/scope CPT 21743 | not published | not published | $3,735.00 – $16,106.00 | 3 |
| Repair stomach-bowel fistula 43880 CPT 43880 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Repair stomach opening CPT 43870 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Repair tear ducts CPT 68700 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $6,245.80 | $11,356.00 | $3,735.00 – $8,770.00 | 3 |
| Repair testis injury CPT 54670 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Repair throat esophagus 42953 CPT 42953 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Repair throat wound CPT 42900 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Repair toe dislocation CPT 28645 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Repair/transpose mp nerve 64856 CPT 64856 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Repair umbil hern reduc > 5 yr 49585 CPT 49585 | not published | not published | $5,415.00 – $5,415.00 | 1 |
| Repair umbilical lesion CPT 49600 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Repair umbilical lesion CPT 49606 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Repair umbilical lesion CPT 49605 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Repair umbilical lesion CPT 49610 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Repair umbilical lesion CPT 49611 | not published | not published | $3,735.00 – $3,735.00 | 1 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | not published | not published | $5,699.00 – $16,106.00 | 4 |
| Repair upper jaw fistula CPT 30580 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Repair urethrovaginal lesion CPT 57311 | not published | not published | $4,428.00 – $8,770.00 | 3 |
| Repair urethrovaginal lesion 57310 CPT 57310 | not published | not published | $7,609.00 – $16,106.00 | 3 |
| Repair uro sphincter CPT 53449 | not published | not published | $4,428.00 – $8,770.00 | 3 |
| Repair vagina CPT 57335 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Repair vagina/perineum CPT 57210 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Repair valve femoral vein CPT 34501 | not published | not published | $4,428.00 – $18,364.00 | 3 |
| Repair venous anomaly CPT 33724 | not published | not published | $6,019.00 – $6,019.00 | 1 |
| Repair ventral hern init reduc 49560 CPT 49560 | not published | not published | $5,415.00 – $5,415.00 | 1 |
| Repair vessel defect 33802 CPT 33802 | not published | not published | $6,019.00 – $6,019.00 | 1 |
| Repair vessel graft defect CPT 35870 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Repair webbed toe(s) CPT 28345 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Repair windpipe opening CPT 31614 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Repeat thyroid surgery CPT 60260 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Replac av w/bypas/other pros valve 33405 CPT 33405 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Replace aortic valve allograft freehand 33406 CPT 33406 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Replace aortic valve annulus enlgment 33411 CPT 33411 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Replace aortic valve open axillry 33363 CPT 33363 | $25,272.50 | $45,950.00 | $7,609.00 – $7,609.00 | 1 |
| Replace aortic valve open femoral 33362 CPT 33362 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Replace aortic valve open iliac 33364 CPT 33364 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Replace aortic valve open transaortic 33365 CPT 33365 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Replace aortic valve w/byp cntrl aprch 33369 CPT 33369 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Replace aortic valve w/byp open aprch 33368 CPT 33368 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Replace aortic valve w/byp prq aprch 33367 CPT 33367 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Replace brain cavity shunt CPT 62258 | not published | not published | $4,428.00 – $4,428.00 | 1 |
| Replace duod/jej tube perc CPT 49451 | $432.85 | $787.00 | $2,654.00 – $4,761.00 | 3 |
| Replace elbow joint CPT 24363 | not published | not published | $8,923.00 – $27,583.00 | 3 |
| Replace eye fluid CPT 67025 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Replace g/c tube perc CPT 49450 | $1,700.60 | $3,092.00 | $2,654.00 – $4,761.00 | 3 |
| Replace g-j tube perc CPT 49452 | $651.75 | $1,185.00 | $2,654.00 – $4,761.00 | 3 |
| Replace/irrigate catheter CPT 62194 | not published | not published | $3,388.00 – $7,791.00 | 3 |
| Replace/irrigate catheter CPT 62225 | not published | not published | $3,579.00 – $4,761.00 | 3 |
| Replacement aortic valve opn CPT 33410 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Replacement of aortic valve CPT 33412 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Replacement of aortic valve CPT 33413 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Replacement pulmonary valve 33475 CPT 33475 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Replacement tricuspid valve 33465 CPT 33465 | not published | not published | $7,609.00 – $7,609.00 | 1 |
| Replace picvad cath CPT 36585 | not published | not published | $3,735.00 – $8,770.00 | 3 |
| Replace/revise brain shunt CPT 62230 | not published | not published | $4,428.00 – $16,106.00 | 3 |
| Replace skull plate/flap CPT 62143 | not published | not published | $3,735.00 – $3,735.00 | 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.