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Critical Access Hospital

Ripon Medical Center

Ripon, Wisconsin · Fond Du Lac County · Emergency services listed

Summary

Ripon Medical Center is a critical access hospital in Ripon, Wisconsin. Medicare data lists emergency services. Its official website lists 22 services, specialties and programs. Medicare lists 108 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types

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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
22Services listed

Quick answers

Does Ripon Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Ripon Medical Center. In a medical emergency, call 911.
Where is Ripon Medical Center?
845 Parkside St, Ripon, WI 54971, in Fond Du Lac County, Wisconsin.
What is the phone number of Ripon Medical Center?
(920) 748-3101, as listed by Medicare (CMS).
What is the Medicare star rating of Ripon Medical Center?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas[4][5][6][7][8][9][10]

Treatments[4][7][8]

  • Urgent care
  • Outpatient mental health walk-in care
  • Athletic training
  • Rehabilitation (speech, occupational and physical therapy)

Procedures[4][9][10]

Programs and centers[7][8]

  • Behavioral Health Walk-in Clinic
  • Sports and Spine Center

Emergency care (hospital website)[4]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel IV

Visiting and practical information

VisitingOpen visiting hours; some specialized units may set their own hours[4]

Doctors and clinicians (108)

108 doctors and other clinicians list Ripon Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (108)

And 84 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Ripon Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics) 5 of 5 stars
Overall rating of the hospital5 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well5 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines5 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean5 of 5 stars
Quiet at night5 of 5 stars
Rated the hospital 9 or 10 out of 1083%National average: 72%
Would definitely recommend the hospital77%National average: 71%
Nurses “always” communicated well90%National average: 80%
Doctors “always” communicated well84%National average: 80%
Staff “always” explained medicines before giving them72%National average: 62%
Were given information about recovery at home89%National average: 86%
Room and bathroom “always” clean81%National average: 74%
Area around the room “always” quiet at night85%National average: 60%
Completed surveys104Response rate: 34%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infectionsNot reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patientsToo few cases to report
Deaths within 30 days: heart failure patientsToo few cases to report
Deaths within 30 days: pneumonia patientsToo few cases to report
Deaths within 30 days: COPD patientsToo few cases to report
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)Not reported to Medicare
Complications after hip or knee replacementToo few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackToo few cases to report
Readmitted within 30 days: heart failure20.2%
Readmitted within 30 days: pneumonia16.6%
Readmitted within 30 days: COPD18.9%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementNot reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)146 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 82 common services exactly as Ripon Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Faclty Op New Level 3 $404 $222.20 Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Faclty Op New Level 4 $473 $260.15 Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Faclty Op New Level 5 $538 $295.90 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Office Outpt Visit Est Level 3 $340 $187 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Faclty Op Est Pt Level 3 $340 $187 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Cardiac Rehab Visit Level 3 $219 $120.45 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Office Outpt Visit Est Level 4 $383 $210.65 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Faclty Op Est Pt Level 4 $383 $210.65 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Cardiac Rehab Visit Level 4 $328 $180.40 Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ed Emergent Level Iii $990 $544.50 Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Hp Emergency Dept Visit Level 3 $436 $239.80 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ed Emergent Level Iv $1,841.64 $1,012.90 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Emergency Dept Visit Level 4 $1,841.64 $1,012.90 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Hp Emergency Dept Visit Level 4 $651 $358.05 Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ed Emergent Level V $2,574 $1,415.70 Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ed Exam Sexual Assault $1,755 $965.25 Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Hp Emergency Dept Visit Level 5 $951 $523.05 Not listed in the file

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca Not listed in the file Not listed in the file $8.46 – $17.11
Basic metabolic panel (blood test): rates for 6 insurance plans
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $17.11
  • Centivo — Broad(WI1) Other Commercial Plan: $10.58
  • Centivo — Median(WI2) Other Commercial Plan: $10.58
  • Centivo — Value(WI3) Other Commercial Plan: $10.58
  • The Alliance — All Commercial Plans: $14.81
  • UnitedHealthCare — All Commercial Plans: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Basic Metabolic Panel (Ca Total) $182 $100.10 Not listed in the file
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Basic Metabolic Panel Fasting $177 $97.35 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel Not listed in the file Not listed in the file $10.56 – $21.40
Comprehensive metabolic panel (blood test): rates for 6 insurance plans
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $21.40
  • Centivo — Broad(WI1) Other Commercial Plan: $13.20
  • Centivo — Median(WI2) Other Commercial Plan: $13.20
  • Centivo — Value(WI3) Other Commercial Plan: $13.20
  • The Alliance — All Commercial Plans: $18.48
  • UnitedHealthCare — All Commercial Plans: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Comprehensive Metabolic Panel $241 $132.55 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Lab Comprehensive Metabolic Pbb Bill $241 $132.55 Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel Not listed in the file Not listed in the file $47.81 – $96.72
Obstetric blood test panel: rates for 6 insurance plans
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $96.72
  • Centivo — Broad(WI1) Other Commercial Plan: $59.76
  • Centivo — Median(WI2) Other Commercial Plan: $59.76
  • Centivo — Value(WI3) Other Commercial Plan: $59.76
  • The Alliance — All Commercial Plans: $83.67
  • UnitedHealthCare — All Commercial Plans: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel Not listed in the file Not listed in the file $13.39 – $27.10
Cholesterol panel (lipid panel): rates for 6 insurance plans
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $27.10
  • Centivo — Broad(WI1) Other Commercial Plan: $16.74
  • Centivo — Median(WI2) Other Commercial Plan: $16.74
  • Centivo — Value(WI3) Other Commercial Plan: $16.74
  • The Alliance — All Commercial Plans: $23.43
  • UnitedHealthCare — All Commercial Plans: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Lipid Profile $216 $118.80 Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel Not listed in the file Not listed in the file $8.68 – $17.57
Kidney function panel: rates for 6 insurance plans
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $17.57
  • Centivo — Broad(WI1) Other Commercial Plan: $10.85
  • Centivo — Median(WI2) Other Commercial Plan: $10.85
  • Centivo — Value(WI3) Other Commercial Plan: $10.85
  • The Alliance — All Commercial Plans: $15.19
  • UnitedHealthCare — All Commercial Plans: $8.68
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Renal Function Panel $105 $57.75 Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel Not listed in the file Not listed in the file $8.17 – $16.54
Liver function panel: rates for 6 insurance plans
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $16.54
  • Centivo — Broad(WI1) Other Commercial Plan: $10.21
  • Centivo — Median(WI2) Other Commercial Plan: $10.21
  • Centivo — Value(WI3) Other Commercial Plan: $10.21
  • The Alliance — All Commercial Plans: $14.30
  • UnitedHealthCare — All Commercial Plans: $8.17
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Hepatic Function Panel $170 $93.50 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope Not listed in the file Not listed in the file $3.17 – $6.41
Urine test (automated, with microscope): rates for 6 insurance plans
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $6.41
  • Centivo — Broad(WI1) Other Commercial Plan: $3.96
  • Centivo — Median(WI2) Other Commercial Plan: $3.96
  • Centivo — Value(WI3) Other Commercial Plan: $3.96
  • The Alliance — All Commercial Plans: $5.55
  • UnitedHealthCare — All Commercial Plans: $3.17
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Urinalysis Routine Auto W Microscopic $105 $57.75 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope Not listed in the file Not listed in the file $3.48 – $6.09
Urine test (manual, without microscope): rates for 6 insurance plans
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $5.18
  • Centivo — Broad(WI1) Other Commercial Plan: $4.35
  • Centivo — Median(WI2) Other Commercial Plan: $4.35
  • Centivo — Value(WI3) Other Commercial Plan: $4.35
  • The Alliance — All Commercial Plans: $6.09
  • UnitedHealthCare — All Commercial Plans: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope Not listed in the file Not listed in the file $2.25 – $4.55
Urine test (automated, without microscope): rates for 6 insurance plans
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $4.55
  • Centivo — Broad(WI1) Other Commercial Plan: $2.81
  • Centivo — Median(WI2) Other Commercial Plan: $2.81
  • Centivo — Value(WI3) Other Commercial Plan: $2.81
  • The Alliance — All Commercial Plans: $3.94
  • UnitedHealthCare — All Commercial Plans: $2.25
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Urinalysis Dipstick Auto $45 $24.75 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total Not listed in the file Not listed in the file $18.39 – $37.22
PSA (prostate specific antigen) blood test: rates for 6 insurance plans
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $37.22
  • Centivo — Broad(WI1) Other Commercial Plan: $22.99
  • Centivo — Median(WI2) Other Commercial Plan: $22.99
  • Centivo — Value(WI3) Other Commercial Plan: $22.99
  • The Alliance — All Commercial Plans: $32.18
  • UnitedHealthCare — All Commercial Plans: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Psa Total Refer $225 $123.75 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Prostate Specific Antigen Diag $218 $119.90 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone Not listed in the file Not listed in the file $16.80 – $34.01
Thyroid stimulating hormone (TSH) test: rates for 6 insurance plans
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $34.01
  • Centivo — Broad(WI1) Other Commercial Plan: $21
  • Centivo — Median(WI2) Other Commercial Plan: $21
  • Centivo — Value(WI3) Other Commercial Plan: $21
  • The Alliance — All Commercial Plans: $29.40
  • UnitedHealthCare — All Commercial Plans: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Tsh $252 $138.60 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Tsh Neonatal $252 $138.60 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc Not listed in the file Not listed in the file $7.77 – $15.72
Complete blood count (CBC) with differential: rates for 6 insurance plans
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $15.72
  • Centivo — Broad(WI1) Other Commercial Plan: $9.71
  • Centivo — Median(WI2) Other Commercial Plan: $9.71
  • Centivo — Value(WI3) Other Commercial Plan: $9.71
  • The Alliance — All Commercial Plans: $13.60
  • UnitedHealthCare — All Commercial Plans: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Cbc W Auto Differential $137 $75.35 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated Not listed in the file Not listed in the file $6.47 – $13.08
Complete blood count (CBC), automated: rates for 6 insurance plans
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $13.08
  • Centivo — Broad(WI1) Other Commercial Plan: $8.09
  • Centivo — Median(WI2) Other Commercial Plan: $8.09
  • Centivo — Value(WI3) Other Commercial Plan: $8.09
  • The Alliance — All Commercial Plans: $11.32
  • UnitedHealthCare — All Commercial Plans: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Cbc W/O Auto Differential $108 $59.40 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time Not listed in the file Not listed in the file $4.29 – $7.94
Blood clotting time test (prothrombin time, PT): rates for 6 insurance plans
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $7.94
  • Centivo — Broad(WI1) Other Commercial Plan: $5.36
  • Centivo — Median(WI2) Other Commercial Plan: $5.36
  • Centivo — Value(WI3) Other Commercial Plan: $5.36
  • The Alliance — All Commercial Plans: $7.51
  • UnitedHealthCare — All Commercial Plans: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Pt Poct $57 $31.35 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Pt-Inr $57 $31.35 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial Not listed in the file Not listed in the file $6.01 – $12.16
Blood clotting test (partial thromboplastin time, PTT): rates for 6 insurance plans
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $12.16
  • Centivo — Broad(WI1) Other Commercial Plan: $7.51
  • Centivo — Median(WI2) Other Commercial Plan: $7.51
  • Centivo — Value(WI3) Other Commercial Plan: $7.51
  • The Alliance — All Commercial Plans: $10.52
  • UnitedHealthCare — All Commercial Plans: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Ptt Inhibitor I $36 $19.80 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Ptt $36 $19.80 Not listed in the file

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye Not listed in the file Not listed in the file $241.91 – $250.56
CT scan of the head or brain, without contrast: rates for 3 insurance plans
  • BCBS — Blue Access PPO: $250.56
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $241.91
  • BCBS — Blue Traditional Traditional: $250.56
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ct Head Non Contrast $2,500 $1,375 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye Not listed in the file Not listed in the file $869.97 – $901.10
MRI of the brain, before and after contrast: rates for 3 insurance plans
  • BCBS — Blue Access PPO: $901.10
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $869.97
  • BCBS — Blue Traditional Traditional: $901.10
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mri Brain With & Without Contrast $3,352 $1,843.60 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views Not listed in the file Not listed in the file $64.74 – $67.02
Chest X-ray, 2 views: rates for 3 insurance plans
  • BCBS — Blue Access PPO: $67.02
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $64.74
  • BCBS — Blue Traditional Traditional: $67.02
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Xray Chest 2 Views $475 $261.25 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws Not listed in the file Not listed in the file $108.83 – $112.73
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans
  • BCBS — Blue Access PPO: $112.73
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $108.83
  • BCBS — Blue Traditional Traditional: $112.73
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Lumbar Spine 4+ Vw $553 $304.15 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye Not listed in the file Not listed in the file $490.24 – $507.77
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans
  • BCBS — Blue Access PPO: $507.77
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $490.24
  • BCBS — Blue Traditional Traditional: $507.77
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mri Spine Lumbar Non Contrast $4,104 $2,257.20 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye Not listed in the file Not listed in the file $555.58 – $575.46
CT scan of the pelvis, with contrast: rates for 3 insurance plans
  • BCBS — Blue Access PPO: $575.46
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $555.58
  • BCBS — Blue Traditional Traditional: $575.46
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ct Pelvis With Iv Contrast $2,833 $1,558.15 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye Not listed in the file Not listed in the file $557.47 – $577.41
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans
  • BCBS — Blue Access PPO: $577.41
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $557.47
  • BCBS — Blue Traditional Traditional: $577.41
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mri Lower Ext Any Joint Non Contrast $4,176 $2,296.80 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast Not listed in the file Not listed in the file $729.06 – $755.13
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans
  • BCBS — Blue Access PPO: $755.13
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $729.06
  • BCBS — Blue Traditional Traditional: $755.13
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ct Abdomen Pelvis W Contrast $3,115 $1,713.25 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete Not listed in the file Not listed in the file $275.17 – $285.01
Ultrasound of the abdomen, complete: rates for 3 insurance plans
  • BCBS — Blue Access PPO: $285.01
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $275.17
  • BCBS — Blue Traditional Traditional: $285.01
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Us Abdomen Complete $1,226 $674.30 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus Not listed in the file Not listed in the file $306.06 – $317.01
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans
  • BCBS — Blue Access PPO: $317.01
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $306.06
  • BCBS — Blue Traditional Traditional: $317.01
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Us Ob 14+ Wks Single Gest $729 $400.95 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ed Us Ob >=14 Wks Single Gest $838 $460.90 Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob Not listed in the file Not listed in the file $291.80 – $302.25
Transvaginal ultrasound: rates for 3 insurance plans
  • BCBS — Blue Access PPO: $302.25
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $291.80
  • BCBS — Blue Traditional Traditional: $302.25
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Us Transvaginal Non Ob $744 $409.20 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni Not listed in the file Not listed in the file $114.41
Diagnostic mammogram, one breast: rates for 1 insurance plan
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $114.41
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mamm Dx Unilateral Includes Cad/Ai $363 $199.65 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi Not listed in the file Not listed in the file $146.40
Diagnostic mammogram, both breasts: rates for 1 insurance plan
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $146.40
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mamm Dx Bilateral Includes Cad/Ai $726 $399.30 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad Not listed in the file Not listed in the file $120.90
Screening mammogram, both breasts: rates for 1 insurance plan
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $120.90
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mamm Screen Bilat Includes Cad/Ai $395 $217.25 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mamm Screen Unilat Includes Cad/Ai $198 $108.90 Not listed in the file

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy Not listed in the file Not listed in the file $3,735 – $16,106
Left heart catheterization (diagnostic): rates for 7 insurance plans
  • BCBS — Blue Access PPO: $4,589
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $3,735
  • BCBS — Blue Traditional Traditional: $4,589
  • Centivo — Broad(WI1) Other Commercial Plan: $16,106
  • Centivo — Median(WI2) Other Commercial Plan: $16,106
  • Centivo — Value(WI3) Other Commercial Plan: $16,106
  • Network Health Plan — HMO/POS: $15,691
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation Not listed in the file Not listed in the file $17,314 – $18,364
Heart rhythm study (electrophysiology evaluation): rates for 4 insurance plans
  • Centivo — Broad(WI1) Other Commercial Plan: $18,364
  • Centivo — Median(WI2) Other Commercial Plan: $18,364
  • Centivo — Value(WI3) Other Commercial Plan: $18,364
  • Network Health Plan — HMO/POS: $17,314
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ep Eval W/O Induction Right A/V $16,486 $9,067.30 Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol Not listed in the file Not listed in the file $41,120 – $43,643
Heart rhythm study with ablation for atrial fibrillation: rates for 4 insurance plans
  • Centivo — Broad(WI1) Other Commercial Plan: $43,643
  • Centivo — Median(WI2) Other Commercial Plan: $43,643
  • Centivo — Value(WI3) Other Commercial Plan: $43,643
  • Network Health Plan — HMO/POS: $41,120
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ep Eval Ablation Afib By Pulm Vein Iso $46,413 $25,527.15 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Polysomn 4 Or More Less Than 6 Hrs $5,844 $3,214.20 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Polysomn 4 Or More >=6Yrs $7,129 $3,920.95 Not listed in the file

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ther Exercise Ea 15 Min Pt $125 $68.75 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ther Exercise Ea 15 Min Ot $125 $68.75 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ther Exercise Ea 15 Min $125 $68.75 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Pt Eval Low Complexity 1 Rvu $205 $112.75 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Pt Eval Low Complexity 2 Rvu $205 $112.75 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Pt Eval Low Complexity 3 Rvu $205 $112.75 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Pt Eval Mod Complexity 2 Rvu $244 $134.20 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Pt Eval Mod Complexity 3 Rvu $244 $134.20 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Pt Eval Mod Complexity 4 Rvu $244 $134.20 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Pt Eval High Complexity 3 Rvu $282 $155.10 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Pt Eval High Complexity 4 Rvu $282 $155.10 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Pt Eval High Complexity 5 Rvu $282 $155.10 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psychotherapy W Pt 30 Min Gl $168 $92.40 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psychotherapy W Pt 30 Min $186 $102.30 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Op Psychotherapy W Pt 30 Min $186 $102.30 Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psychotherapy W Pt 45 Min Gl $507 $278.85 Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Op Psychotherapy W Pt 45 Min $186 $102.30 Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psychotherapy W Pt 45 Min $190 $104.50 Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Op Psychotherapy W Pt 60 Min $165 $90.75 Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psychotherapy W Pt 60 Min Gl $631 $347.05 Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psychotherapy W Pt 60 Min $238 $130.90 Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Op Family Psychotherapy Wo Pt 50Min $238 $130.90 Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Family Psychotherapy Wo Pt 50 Min $217 $119.35 Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Family Psychotherapy W Pt 50 Min $216 $118.80 Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Op Family Psychotherapy W Pt 50 Min $238 $130.90 Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Op Group Therapy Day Rate $226 $124.30 Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Iop Group Psychotherapy Session $207 $113.85 Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Op Group Psychotherapy Session $226 $124.30 Not listed in the file

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion Not listed in the file Not listed in the file $3,735 – $7,791
Removal of breast growth (open surgery): rates for 7 insurance plans
  • BCBS — Blue Access PPO: $4,589
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $3,735
  • BCBS — Blue Traditional Traditional: $4,589
  • Centivo — Broad(WI1) Other Commercial Plan: $7,529
  • Centivo — Median(WI2) Other Commercial Plan: $7,529
  • Centivo — Value(WI3) Other Commercial Plan: $7,529
  • Network Health Plan — HMO/POS: $7,791
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty Not listed in the file Not listed in the file $6,779 – $27,583
Total hip replacement: rates for 8 insurance plans
  • BCBS — Blue Access PPO: $8,333
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $6,779
  • BCBS — Blue Traditional Traditional: $8,333
  • Centivo — Broad(WI1) Other Commercial Plan: $26,827
  • Centivo — Median(WI2) Other Commercial Plan: $26,827
  • Centivo — Value(WI3) Other Commercial Plan: $26,827
  • FABOH — All Commercial Plans: $11,502
  • Network Health Plan — HMO/POS: $27,583
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty Not listed in the file Not listed in the file $7,609 – $27,583
Total knee replacement: rates for 8 insurance plans
  • BCBS — Blue Access PPO: $9,356
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $7,609
  • BCBS — Blue Traditional Traditional: $9,356
  • Centivo — Broad(WI1) Other Commercial Plan: $26,827
  • Centivo — Median(WI2) Other Commercial Plan: $26,827
  • Centivo — Value(WI3) Other Commercial Plan: $26,827
  • FABOH — All Commercial Plans: $10,165
  • Network Health Plan — HMO/POS: $27,583
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery Not listed in the file Not listed in the file $1,887 – $8,265
Shoulder arthroscopy: shaving of shoulder bone: rates for 8 insurance plans
  • BCBS — Blue Access PPO: $6,822
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $5,512
  • BCBS — Blue Traditional Traditional: $6,822
  • Centivo — Broad(WI1) Other Commercial Plan: $1,887
  • Centivo — Median(WI2) Other Commercial Plan: $1,887
  • Centivo — Value(WI3) Other Commercial Plan: $1,887
  • FABOH — All Commercial Plans: $8,265
  • Network Health Plan — HMO/POS: $2,334
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery Not listed in the file Not listed in the file $3,735 – $8,770
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 8 insurance plans
  • BCBS — Blue Access PPO: $4,589
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $3,735
  • BCBS — Blue Traditional Traditional: $4,589
  • Centivo — Broad(WI1) Other Commercial Plan: $8,770
  • Centivo — Median(WI2) Other Commercial Plan: $8,770
  • Centivo — Value(WI3) Other Commercial Plan: $8,770
  • FABOH — All Commercial Plans: $5,067
  • Network Health Plan — HMO/POS: $8,657
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids Not listed in the file Not listed in the file $4,226 – $7,791
Removal of tonsils and adenoids (under age 12): rates for 8 insurance plans
  • BCBS — Blue Access PPO: $5,441
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $4,428
  • BCBS — Blue Traditional Traditional: $5,441
  • Centivo — Broad(WI1) Other Commercial Plan: $7,529
  • Centivo — Median(WI2) Other Commercial Plan: $7,529
  • Centivo — Value(WI3) Other Commercial Plan: $7,529
  • FABOH — All Commercial Plans: $4,226
  • Network Health Plan — HMO/POS: $7,791
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash Not listed in the file Not listed in the file $1,484 – $4,761
Upper GI endoscopy (diagnostic): rates for 8 insurance plans
  • BCBS — Blue Access PPO: $3,335
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $2,654
  • BCBS — Blue Traditional Traditional: $3,335
  • Centivo — Broad(WI1) Other Commercial Plan: $3,579
  • Centivo — Median(WI2) Other Commercial Plan: $3,579
  • Centivo — Value(WI3) Other Commercial Plan: $3,579
  • FABOH — All Commercial Plans: $1,484
  • Network Health Plan — HMO/POS: $4,761
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ed Egd Flex Transoral Dx $657 $361.35 Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple Not listed in the file Not listed in the file $1,484 – $4,761
Upper GI endoscopy with biopsy: rates for 8 insurance plans
  • BCBS — Blue Access PPO: $3,335
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $2,654
  • BCBS — Blue Traditional Traditional: $3,335
  • Centivo — Broad(WI1) Other Commercial Plan: $3,579
  • Centivo — Median(WI2) Other Commercial Plan: $3,579
  • Centivo — Value(WI3) Other Commercial Plan: $3,579
  • FABOH — All Commercial Plans: $1,484
  • Network Health Plan — HMO/POS: $4,761
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy Not listed in the file Not listed in the file $1,543 – $4,761
Colonoscopy (diagnostic): rates for 8 insurance plans
  • BCBS — Blue Access PPO: $3,335
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $2,654
  • BCBS — Blue Traditional Traditional: $3,335
  • Centivo — Broad(WI1) Other Commercial Plan: $3,579
  • Centivo — Median(WI2) Other Commercial Plan: $3,579
  • Centivo — Value(WI3) Other Commercial Plan: $3,579
  • FABOH — All Commercial Plans: $1,543
  • Network Health Plan — HMO/POS: $4,761
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy Not listed in the file Not listed in the file $1,543 – $4,761
Colonoscopy with biopsy: rates for 8 insurance plans
  • BCBS — Blue Access PPO: $4,106
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $3,388
  • BCBS — Blue Traditional Traditional: $4,106
  • Centivo — Broad(WI1) Other Commercial Plan: $3,579
  • Centivo — Median(WI2) Other Commercial Plan: $3,579
  • Centivo — Value(WI3) Other Commercial Plan: $3,579
  • FABOH — All Commercial Plans: $1,543
  • Network Health Plan — HMO/POS: $4,761
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal Not listed in the file Not listed in the file $1,543 – $4,761
Colonoscopy with removal of polyps (snare): rates for 8 insurance plans
  • BCBS — Blue Access PPO: $4,106
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $3,388
  • BCBS — Blue Traditional Traditional: $4,106
  • Centivo — Broad(WI1) Other Commercial Plan: $3,579
  • Centivo — Median(WI2) Other Commercial Plan: $3,579
  • Centivo — Value(WI3) Other Commercial Plan: $3,579
  • FABOH — All Commercial Plans: $1,543
  • Network Health Plan — HMO/POS: $4,761
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us Not listed in the file Not listed in the file $3,388 – $4,761
Ultrasound of the lower bowel by endoscope: rates for 7 insurance plans
  • BCBS — Blue Access PPO: $4,106
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $3,388
  • BCBS — Blue Traditional Traditional: $4,106
  • Centivo — Broad(WI1) Other Commercial Plan: $3,579
  • Centivo — Median(WI2) Other Commercial Plan: $3,579
  • Centivo — Value(WI3) Other Commercial Plan: $3,579
  • Network Health Plan — HMO/POS: $4,761
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $1,276.45 – $3,335
Screening colonoscopy (not high risk): rates for 7 insurance plans
  • BCBS — Blue Access PPO: $1,322.11
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $1,276.45
  • BCBS — Blue Traditional Traditional: $1,322.11
  • Centivo — Broad(WI1) Other Commercial Plan: $2,959
  • Centivo — Median(WI2) Other Commercial Plan: $2,959
  • Centivo — Value(WI3) Other Commercial Plan: $2,959
  • Network Health Plan — HMO/POS: $3,030
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy Not listed in the file Not listed in the file $5,257 – $18,364
Gallbladder removal by laparoscope: rates for 8 insurance plans
  • BCBS — Blue Access PPO: $6,462
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $5,257
  • BCBS — Blue Traditional Traditional: $6,462
  • Centivo — Broad(WI1) Other Commercial Plan: $18,364
  • Centivo — Median(WI2) Other Commercial Plan: $18,364
  • Centivo — Value(WI3) Other Commercial Plan: $18,364
  • FABOH — All Commercial Plans: $7,926
  • Network Health Plan — HMO/POS: $17,314
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr Not listed in the file Not listed in the file $3,735 – $8,770
Groin (inguinal) hernia repair, age 5 or older: rates for 8 insurance plans
  • BCBS — Blue Access PPO: $4,589
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $3,735
  • BCBS — Blue Traditional Traditional: $4,589
  • Centivo — Broad(WI1) Other Commercial Plan: $8,770
  • Centivo — Median(WI2) Other Commercial Plan: $8,770
  • Centivo — Value(WI3) Other Commercial Plan: $8,770
  • FABOH — All Commercial Plans: $5,415
  • Network Health Plan — HMO/POS: $8,657
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate Not listed in the file Not listed in the file $3,388 – $4,761
Prostate biopsy: rates for 7 insurance plans
  • BCBS — Blue Access PPO: $4,106
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $3,388
  • BCBS — Blue Traditional Traditional: $4,106
  • Centivo — Broad(WI1) Other Commercial Plan: $3,579
  • Centivo — Median(WI2) Other Commercial Plan: $3,579
  • Centivo — Value(WI3) Other Commercial Plan: $3,579
  • Network Health Plan — HMO/POS: $4,761
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: Noncdm Charge Record $667.86 $367.32 Not listed in the file
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy Not listed in the file Not listed in the file $7,609 – $27,583
Prostate removal by laparoscope (radical prostatectomy): rates for 7 insurance plans
  • BCBS — Blue Access PPO: $9,356
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $7,609
  • BCBS — Blue Traditional Traditional: $9,356
  • Centivo — Broad(WI1) Other Commercial Plan: $26,827
  • Centivo — Median(WI2) Other Commercial Plan: $26,827
  • Centivo — Value(WI3) Other Commercial Plan: $26,827
  • Network Health Plan — HMO/POS: $27,583
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy Not listed in the file Not listed in the file $3,388 – $7,791
Hysteroscopy with biopsy of the uterus lining: rates for 8 insurance plans
  • BCBS — Blue Access PPO: $4,106
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $3,388
  • BCBS — Blue Traditional Traditional: $4,106
  • Centivo — Broad(WI1) Other Commercial Plan: $7,529
  • Centivo — Median(WI2) Other Commercial Plan: $7,529
  • Centivo — Value(WI3) Other Commercial Plan: $7,529
  • FABOH — All Commercial Plans: $3,824
  • Network Health Plan — HMO/POS: $7,791
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac Not listed in the file Not listed in the file $2,654 – $3,335
Spinal injection, lower back (epidural), with imaging guidance: rates for 7 insurance plans
  • BCBS — Blue Access PPO: $3,335
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $2,654
  • BCBS — Blue Traditional Traditional: $3,335
  • Centivo — Broad(WI1) Other Commercial Plan: $2,959
  • Centivo — Median(WI2) Other Commercial Plan: $2,959
  • Centivo — Value(WI3) Other Commercial Plan: $2,959
  • Network Health Plan — HMO/POS: $3,030
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Inj Epidural Lumbar Sacral W Img $3,107 $1,708.85 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s Not listed in the file Not listed in the file $1,221 – $3,335
Nerve root injection, lower back, with imaging guidance: rates for 8 insurance plans
  • BCBS — Blue Access PPO: $3,335
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $2,654
  • BCBS — Blue Traditional Traditional: $3,335
  • Centivo — Broad(WI1) Other Commercial Plan: $2,959
  • Centivo — Median(WI2) Other Commercial Plan: $2,959
  • Centivo — Value(WI3) Other Commercial Plan: $2,959
  • FABOH — All Commercial Plans: $1,221
  • Network Health Plan — HMO/POS: $3,030
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Inj Transforam Nerve L/S Sngl $4,049 $2,226.95 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Inj Trans Nerve L/S Sngl Bilat $8,100 $4,455 Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery Not listed in the file Not listed in the file $3,170 – $7,791
Carpal tunnel release: rates for 8 insurance plans
  • BCBS — Blue Access PPO: $4,106
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $3,388
  • BCBS — Blue Traditional Traditional: $4,106
  • Centivo — Broad(WI1) Other Commercial Plan: $7,529
  • Centivo — Median(WI2) Other Commercial Plan: $7,529
  • Centivo — Value(WI3) Other Commercial Plan: $7,529
  • FABOH — All Commercial Plans: $3,170
  • Network Health Plan — HMO/POS: $7,791
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ed Carpal Tunnel Release Unilat $8,305 $4,567.75 Not listed in the file
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Carpal Tunnel Release Bilat $12,517 $6,884.35 Not listed in the file
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery Not listed in the file Not listed in the file $2,654 – $3,335
Laser treatment of clouding after cataract surgery: rates for 7 insurance plans
  • BCBS — Blue Access PPO: $3,335
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $2,654
  • BCBS — Blue Traditional Traditional: $3,335
  • Centivo — Broad(WI1) Other Commercial Plan: $2,959
  • Centivo — Median(WI2) Other Commercial Plan: $2,959
  • Centivo — Value(WI3) Other Commercial Plan: $2,959
  • Network Health Plan — HMO/POS: $3,030
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage Not listed in the file Not listed in the file $3,388 – $7,791
Cataract removal with lens implant: rates for 8 insurance plans
  • BCBS — Blue Access PPO: $4,106
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $3,388
  • BCBS — Blue Traditional Traditional: $4,106
  • Centivo — Broad(WI1) Other Commercial Plan: $7,529
  • Centivo — Median(WI2) Other Commercial Plan: $7,529
  • Centivo — Value(WI3) Other Commercial Plan: $7,529
  • FABOH — All Commercial Plans: $4,112
  • Network Health Plan — HMO/POS: $7,791

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetrical care Not listed in the file Not listed in the file $3,735 – $4,589
Vaginal delivery, with care before and after: rates for 3 insurance plans
  • BCBS — Blue Access PPO: $4,589
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $3,735
  • BCBS — Blue Traditional Traditional: $4,589
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cesarean delivery Not listed in the file Not listed in the file $3,735 – $4,589
Cesarean delivery (C-section), with care before and after: rates for 3 insurance plans
  • BCBS — Blue Access PPO: $4,589
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $3,735
  • BCBS — Blue Traditional Traditional: $4,589
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery Not listed in the file Not listed in the file $3,735 – $4,589
Vaginal delivery after a previous C-section, with care before and after: rates for 3 insurance plans
  • BCBS — Blue Access PPO: $4,589
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $3,735
  • BCBS — Blue Traditional Traditional: $4,589

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc Not listed in the file Not listed in the file $106,798.83 – $201,250.39
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 18 insurance plan rates
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $152,582.33
  • Centivo — Broad(WI1) Other Commercial Plan: $176,491.49
  • Centivo — Median(WI2) Other Commercial Plan: $168,948.96
  • Centivo — Value(WI3) Other Commercial Plan: $159,459.64
  • FABOH — All Commercial Plans: $106,798.83
  • Health Payment Systems — All Commercial Plans: $128,027.50
  • Network Health Plan — HMO/POS: $201,250.39
  • Quartz Health Solutions — All Commercial Plans: $133,756.41
  • The Alliance — All Commercial Plans: $195,166.86
  • Trilogy — All Commercial Plans: $172,862.08
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc Not listed in the file Not listed in the file Not listed in the file
Spinal fusion (not neck), without major complications: rates for 6 insurance plans
  • Cigna — All Commercial Plans: 85% (a percentage in the contract, not a dollar amount)
  • First Health/Coventry — All Commercial Plans: 85% (a percentage in the contract, not a dollar amount)
  • Multiplan — Complementary Network All Commercial Plans: 87% (a percentage in the contract, not a dollar amount)
  • Multiplan — HealthEOS Primary Network All Commercial Plans: 87% (a percentage in the contract, not a dollar amount)
  • Multiplan — PHCS Primary Network All Commercial Plans: 85% (a percentage in the contract, not a dollar amount)
  • Sheboygan Employer Health Network — All Commercial Plans: 75% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc Not listed in the file Not listed in the file $21,057.80 – $39,681.06
Hip or knee replacement (major joint of the leg), without major complications: 10 of 18 insurance plan rates
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $30,085.05
  • Centivo — Broad(WI1) Other Commercial Plan: $34,799.28
  • Centivo — Median(WI2) Other Commercial Plan: $33,312.10
  • Centivo — Value(WI3) Other Commercial Plan: $31,441.07
  • FABOH — All Commercial Plans: $21,057.80
  • Health Payment Systems — All Commercial Plans: $25,243.51
  • Network Health Plan — HMO/POS: $39,681.06
  • Quartz Health Solutions — All Commercial Plans: $26,373.10
  • The Alliance — All Commercial Plans: $38,481.56
  • Trilogy — All Commercial Plans: $34,083.66
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc Not listed in the file Not listed in the file $26,651.67 – $50,222.08
Neck (cervical) spinal fusion, without complications: 10 of 18 insurance plan rates
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $38,076.96
  • Centivo — Broad(WI1) Other Commercial Plan: $44,043.49
  • Centivo — Median(WI2) Other Commercial Plan: $42,161.25
  • Centivo — Value(WI3) Other Commercial Plan: $39,793.19
  • FABOH — All Commercial Plans: $26,651.67
  • Health Payment Systems — All Commercial Plans: $31,949.29
  • Network Health Plan — HMO/POS: $50,222.08
  • Quartz Health Solutions — All Commercial Plans: $33,378.94
  • The Alliance — All Commercial Plans: $48,703.94
  • Trilogy — All Commercial Plans: $43,137.77
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc Not listed in the file Not listed in the file $13,544.72 – $25,523.51
Uterus and ovary surgery (not for cancer), without complications: 10 of 18 insurance plan rates
  • BCBS — Blue Preferred / Blue Preferred Plus HMO/POS: $19,351.20
  • Centivo — Broad(WI1) Other Commercial Plan: $22,383.47
  • Centivo — Median(WI2) Other Commercial Plan: $21,426.89
  • Centivo — Value(WI3) Other Commercial Plan: $20,223.41
  • FABOH — All Commercial Plans: $13,544.72
  • Health Payment Systems — All Commercial Plans: $16,237.04
  • Network Health Plan — HMO/POS: $25,523.51
  • Quartz Health Solutions — All Commercial Plans: $16,963.61
  • The Alliance — All Commercial Plans: $24,751.97
  • Trilogy — All Commercial Plans: $21,923.17

Source: Ripon Medical Center’s standard charges file (hospitalpricedisclosure.com, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeCritical Access Hospital
Address845 Parkside St, Ripon, WI 54971
CountyFond Du Lac County
StateWisconsin
Phone(920) 748‑3101
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall ratingNot rated by CMS
CMS Certification Number521321
Name in Medicare recordsRIPON MEDICAL CENTER
Profile levelMedicare data + hospital website
Name on the hospital’s websiteSSM Health Ripon Community Hospital
Official websitessmhealth.com
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. SSM Health Ripon Community Hospital — ssmhealth.com
  2. Emergency Room — ssmhealth.com
  3. Specialty Services — ssmhealth.com
  4. Sports and Spine Center — ssmhealth.com
  5. Behavioral Health Walk-in Clinic — ssmhealth.com
  6. Lab Services — ssmhealth.com
  7. Imaging & Radiology — ssmhealth.com