Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)
1506 S. Oneida St, Appleton, WI · Ascension · · NPI 1407803638
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $29.28 – $113.02 | 16 |
| 17-hydroxypregnenolone CPT 84143 | not published | not published | $22.81 – $88.05 | 16 |
| 17-ketosteroids CPT 83586 | not published | not published | $12.80 – $49.41 | 16 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $98.16 – $260.17 | 12 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | not published | not published | $944.96 – $2,027.38 | 7 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $24.03 – $260.23 | 12 |
| 2nd order venous cath CPT 36012 | $4,878.63 | $8,559.00 | $173.22 – $3,196.95 | 7 |
| 3d ech img cgen car anomal CPT 93319 | $871.53 | $1,529.00 | $24.49 – $206.48 | 6 |
| 3-d radiotherapy plan CPT 77295 | $3,467.88 | $6,084.00 | $241.72 – $558.17 | 7 |
| 3d recon without postprocess indpndt CPT 76376 | $86.07 | $151.00 | $10.08 – $24.13 | 7 |
| 5' nucleotidase - sendout CPT 83915 | $22.80 | $40.00 | $11.15 – $43.04 | 16 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $39.33 | $69.00 | $21.18 – $63.16 | 8 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | not published | not published | $77.73 – $242.88 | 6 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | not published | not published | $83.01 – $254.41 | 6 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | not published | not published | $88.16 – $265.14 | 6 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | not published | not published | $70.97 – $219.13 | 6 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | not published | not published | $77.73 – $233.59 | 6 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | not published | not published | $77.73 – $232.83 | 6 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | not published | not published | $88.16 – $255.85 | 6 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | not published | not published | $103.87 – $299.68 | 6 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $3,054.75 – $11,007.15 | 7 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $93.21 | $163.53 | $49.13 – $163.53 | 7 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $75.81 | $133.00 | $8.32 – $46.36 | 16 |
| Abd aorta w/runoff s&i CPT 75630 | $1,818.30 | $3,190.00 | $96.78 – $200.13 | 7 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $1,207.21 – $4,219.05 | 7 |
| Abd/low ext cath 1st CPT 36245 | $6,426.75 | $11,275.00 | $233.55 – $4,870.80 | 7 |
| Abd/low ext cath 2nd CPT 36246 | $6,485.46 | $11,378.00 | $247.09 – $3,106.24 | 7 |
| Abd/low ext cath 3rd CPT 36247 | $10,213.26 | $17,918.00 | $295.69 – $5,507.33 | 7 |
| Abd/low ext cath addl CPT 36248 | $1,275.09 | $2,237.00 | $48.77 – $501.11 | 7 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $522.69 | $917.00 | $70.54 – $359.39 | 12 |
| Abdominal CT scan (with contrast) CPT 74160 | $439.47 | $771.00 | $64.27 – $359.39 | 12 |
| Abdominal CT scan (without contrast) CPT 74150 | $309.51 | $543.00 | $60.09 – $214.68 | 12 |
| Abdominal MRI (with and without contrast) CPT 74183 | $1,451.79 | $2,547.00 | $110.85 – $720.99 | 12 |
| Abdominal MRI (with contrast) CPT 74182 | not published | not published | $87.02 – $720.99 | 12 |
| Abdominal MRI (without contrast) CPT 74181 | $772.92 | $1,356.00 | $73.62 – $488.00 | 12 |
| Abdominal paracentesis w/image guidance CPT 49083 | $977.55 | $1,715.00 | $109.86 – $1,892.79 | 12 |
| Abdominal Ultrasound (complete) CPT 76700 | $428.64 | $752.00 | $40.68 – $214.68 | 12 |
| Abdominal Ultrasound (limited) CPT 76705 | $410.97 | $721.00 | $29.50 – $214.68 | 12 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $1,204.08 – $4,206.49 | 7 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $909.15 | $1,595.00 | $75.33 – $1,892.79 | 12 |
| Abl1 gene CPT 81170 | $513.00 | $900.00 | $300.00 – $1,158.00 | 15 |
| Ablate arrhythmia add on CPT 93655 | $3,754.02 | $6,586.00 | $298.97 – $16,158.00 | 8 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $1,338.56 – $4,753.73 | 7 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $1,883.82 – $6,781.58 | 7 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $641.96 – $2,278.31 | 7 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $1,800.99 – $6,454.69 | 7 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $351.75 – $20,877.38 | 6 |
| Ablate bone tumor(s) perq CPT 20982 | not published | not published | $372.09 – $13,993.58 | 7 |
| Ablate heart dysrhythm focus CPT 93650 | $11,532.24 | $20,232.00 | $568.81 – $16,158.00 | 8 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $214.69 – $1,000.09 | 7 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $161.98 – $788.85 | 7 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $447.46 – $20,001.45 | 6 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $448.17 – $12,783.45 | 7 |
| Ablation cardiac vagal inputs atrium CPT 93799 | not published | not published | $150.41 – $315.86 | 5 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $901.33 – $1,892.79 | 5 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $230.61 – $484.28 | 5 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $460.28 – $25,046.63 | 6 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $420.29 – $882.61 | 5 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $230.61 – $484.28 | 5 |
| Ablation of upper extremity nerves rf CPT 64999 | not published | not published | $283.78 – $595.94 | 5 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $1,020.19 – $3,672.68 | 6 |
| Abortion CPT 59850 | not published | not published | $392.03 – $1,344.71 | 7 |
| Abortion (mpr) CPT 59866 | not published | not published | $233.15 – $824.66 | 12 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $17.54 – $148.28 | 7 |
| Abrasion lesion single CPT 15786 | not published | not published | $142.11 – $878.89 | 12 |
| Abscess drain retroperitoneal surg code CPT 49406 | $5,802.60 | $10,180.00 | $199.38 – $3,226.31 | 6 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $948.48 | $1,664.00 | $118.09 – $435.94 | 6 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $294.01 – $1,094.74 | 7 |
| Acetaminophen level CPT 80143 | $22.23 | $39.00 | $18.64 – $71.95 | 12 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $89.25 | $156.58 | $36.85 – $156.58 | 6 |
| Acetone qualitative CPT 82009 | $17.10 | $30.00 | $4.52 – $17.45 | 16 |
| Acetylcholine receptor modulating antibody CPT 86043 | not published | not published | $12.05 – $53.14 | 10 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $12.29 – $47.44 | 16 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $6.14 | $10.78 | $0.88 – $10.78 | 7 |
| Acetylcysteine non-comp unit HCPCS J7608 | $9.58 | $16.80 | $10.23 – $16.80 | 6 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $48.93 – $1,071.21 | 12 |
| Acne surgery 10040 CPT 10040 | not published | not published | $54.43 – $401.14 | 12 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | not published | not published | $53.13 – $186.75 | 11 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | not published | not published | $37.06 – $85.34 | 6 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | not published | not published | $53.13 – $96.52 | 6 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $95.72 – $324.37 | 11 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $123.89 – $485.84 | 12 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $34.20 | $60.00 | $15.93 – $56.34 | 12 |
| Acoustic immitance testing CPT 92570 | not published | not published | $31.10 – $315.86 | 12 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $15.93 – $79.23 | 12 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $649.32 – $2,195.36 | 7 |
| Actigraphy testing CPT 95803 | not published | not published | $44.86 – $150.31 | 12 |
| Actinotherapy uv light CPT 96900 | not published | not published | $26.53 – $79.23 | 12 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $23.54 – $135.67 | 11 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $23.54 – $121.44 | 11 |
| Acute hepatitis panel CPT 80074 | $130.53 | $229.00 | $47.63 – $183.85 | 16 |
| Acute venous thrombus image CPT 78456 | not published | not published | $49.78 – $119.24 | 7 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $0.30 | $0.52 | $0.06 – $0.52 | 6 |
| #acylcarnitineprfl CPT 82017 | $43.32 | $76.00 | $16.87 – $65.12 | 16 |
| Acylcarnitines qual CPT 82016 | not published | not published | $16.49 – $63.65 | 16 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $154.46 – $324.37 | 5 |
| Adding walker to prev cast CPT 29440 | not published | not published | $29.72 – $318.55 | 12 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $2.35 | $4.13 | $0.65 – $2.66 | 6 |
| Adenovirus ag ia CPT 87301 | not published | not published | $11.98 – $46.24 | 16 |
| Adenovirus antibody,serum - quest CPT 86603 | not published | not published | $8.32 – $49.68 | 16 |
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.