SSM Health · Ripon, WI
42
In-network payers
268
Disclosed rate categories
18
Beds
Ripon Medical Center is an 18-bed voluntary non-profit - private hospital in Ripon, WI, affiliated with SSM Health. Below you'll find publicly disclosed negotiated rates and facility details, including 42 in-network payers and 268 disclosed rate categories.
CCN (Medicare provider number)
521321
NPI
1053362624
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
18
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Ripon Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$778 - $3,224
from 4 insurers · median $2,579
Typical for a hospital with this service line
CT imaging
CPT 74176
$396 - $2,958
from 4 insurers · median $2,567
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,834 - $2,681
from 4 insurers · median $2,332
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$3,780 - $6,267
from 4 insurers · median $4,664
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$3,748 - $6,267
from 4 insurers · median $4,695
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$3,165 - $5,491
from 3 insurers · median $3,335
Typical for a hospital with this service line
MRI imaging
CPT 70553
$928 - $3,224
from 4 insurers · median $2,746
Typical for a hospital with this service line
CT imaging
CPT 71275
$737 - $2,679
from 4 insurers · median $1,474
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,418 - $5,244
from 4 insurers · median $4,500
Hospital reports nuclear medicine services to CMS
Digestive procedures
CPT 45378
$3,160 - $4,218
from 3 insurers · median $4,159
Typical for a hospital with this service line
CT imaging
CPT 71260
$590 - $2,583
from 4 insurers · median $1,474
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$69 - $417
from 4 insurers · median $324
Typical for a hospital with this service line
MRI imaging
CPT 72148
$516 - $2,975
from 4 insurers · median $2,756
Typical for a hospital with this service line
MRI imaging
CPT 70551
$552 - $2,958
from 4 insurers · median $2,657
Typical for a hospital with this service line
Gynecology
CPT 58571
$7,666 - $29,654
from 4 insurers · median $12,342
Typical for a hospital with this service line
Mammography
CPT 77067
$126 - $344
from 4 insurers · median $227
Typical for a hospital with this service line
MRI imaging
CPT 73721
$595 - $3,028
from 4 insurers · median $2,756
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$2,149 - $2,958
from 4 insurers · median $2,597
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$3,594 - $4,737
from 2 insurers · median $4,166
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93880
$887 - $2,958
from 4 insurers · median $2,597
Typical for a hospital with this service line
Ultrasound
CPT 76705
$220 - $831
from 4 insurers · median $526
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$4,082 - $14,597
from 3 insurers · median $5,577
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$4,424 - $5,838
from 3 insurers · median $5,514
Typical for a hospital with this service line
Gynecology
CPT 58661
$6,026 - $14,597
from 2 insurers · median $10,311
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 19 | 635% | 17 | 1 |
| Insurer B* | 23 | 504% | 23 | 0 |
| Insurer C* | 23 | 480% | 13 | 7 |
| Insurer D* | 23 | 227% | 3 | 19 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Ripon Medical Center.
845 Parkside Street, Ripon, WI 54971
(920) 748-3101
The nearest hospitals of similar type and size. Their rates are compared with Ripon Medical Center for the same insurers and services above.
Thedacare-Berlin
▼ Rates typically 37% lower than Ripon Medical Center (24 services)
Thedacare Medical Center - Wild Rose
▼ Rates typically 38% lower than Ripon Medical Center (24 services)
Calumet Hospital
▼ Rates typically 34% lower than Ripon Medical Center (20 services)
Thedacare Medical Center - Waupaca
▼ Rates typically 30% lower than Ripon Medical Center (24 services)
Thedacare Medical Center-New London
▼ Rates typically 30% lower than Ripon Medical Center (24 services)
Gundersen Moundview Hospital
Rates about the same as Ripon Medical Center (24 services)
Waupun Memorial Hospital
Prairie Ridge Health
Stoughton Hospital Association
Door County Medical Center
About Ripon Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Ripon Medical Center range from $928 to $3,224 across 4 insurers. Cigna's rate is $3,224. The median at nearby comparable hospitals is $1,779. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Ripon Medical Center range from $778 to $3,224 across 4 insurers. Aetna's rate is $2,733. The median at nearby comparable hospitals is $1,822. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Ripon Medical Center range from $3,780 to $6,267 across 4 insurers. Blue Cross Blue Shield's rate is $3,908. The median at nearby comparable hospitals is $3,119. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Ripon Medical Center range from $126 to $344 across 4 insurers. Aetna's rate is $344. The median at nearby comparable hospitals is $384. What a patient pays depends on their plan's deductible, coinsurance and network status.
Ripon Medical Center has 18 beds. Facility type: Critical Access Hospital.
Ripon Medical Center is located at 845 Parkside Street, Ripon, WI 54971. Its main phone number is (920) 748-3101.
Ripon Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 521321.
The National Provider Identifier (NPI) on file for Ripon Medical Center is 1053362624.
Ripon Medical Center is affiliated with SSM Health.
Ripon Medical Center lists 42 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
268 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers