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 |
|---|---|---|---|---|
| Craniectomy exc brain tumor fossa 61518 CPT 61518 | not published | not published | $2,684.82 – $9,290.29 | 7 |
| Craniectomy exc brain tumor meningioma 61519 CPT 61519 | not published | not published | $2,839.98 – $9,902.33 | 7 |
| Craniectomy or craniotomy for drng abscess 61320 CPT 61320 | not published | not published | $1,837.00 – $6,385.31 | 7 |
| Craniectomy or craniotomy for drng inf 61315 CPT 61315 | not published | not published | $2,007.67 – $6,944.66 | 7 |
| Craniectomy or craniotomy for drng supr 61313 CPT 61313 | not published | not published | $1,932.42 – $6,671.85 | 7 |
| Craniectomy subocc w/cerv lam (press relief) 61343 CPT 61343 | not published | not published | $2,128.50 – $7,383.83 | 7 |
| Crbrospnl fld flw imag cistern CPT 78630 | $1,029.99 | $1,807.00 | $33.57 – $1,086.69 | 12 |
| C-reactive protein CPT 86140 | $13.11 | $23.00 | $5.18 – $19.99 | 16 |
| C-reactive protein high sensitivity CPT 86141 | $18.81 | $33.00 | $12.95 – $49.99 | 16 |
| C-reactive protein, quantitative CPT 86406 | not published | not published | $10.02 – $41.07 | 16 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | not published | not published | $772.36 – $2,779.95 | 7 |
| Create eardrum opening CPT 69436 | not published | not published | $169.14 – $565.50 | 7 |
| Create passage to kidney CPT 52334 | not published | not published | $188.38 – $667.01 | 7 |
| Create tear duct drain CPT 68745 | not published | not published | $863.83 – $2,858.89 | 7 |
| Create tear duct drain CPT 68750 | not published | not published | $911.28 – $2,978.48 | 7 |
| Create tear sac drain CPT 68720 | not published | not published | $858.12 – $2,843.96 | 7 |
| Creatine isoforms CPT 82554 | not published | not published | $8.81 – $45.82 | 16 |
| Creatine kinase CPT 82550 | $17.10 | $30.00 | $6.51 – $25.13 | 16 |
| Creatine kinase isoenzymes CPT 82552 | $33.06 | $58.00 | $13.39 – $51.69 | 16 |
| Creatine kinase mb CPT 82553 | $21.09 | $37.00 | $8.81 – $44.58 | 16 |
| Creatine - sendout CPT 82540 | not published | not published | $4.64 – $17.91 | 16 |
| Creatinine CPT 82565 | $13.68 | $24.00 | $5.12 – $19.76 | 16 |
| Creatinine 24 hour urine CPT 82570 | $16.53 | $29.00 | $5.18 – $19.99 | 16 |
| Creatinine clearance urine CPT 82575 | $23.37 | $41.00 | $9.46 – $36.52 | 16 |
| #creutz-prot.,western blot CPT 84182 | $34.20 | $60.00 | $25.36 – $112.75 | 16 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | $549.38 – $1,868.25 | 7 |
| Cricotracheal resection CPT 31592 | not published | not published | $1,813.28 – $6,186.71 | 6 |
| Crisis psychotherapy 90839 CPT 90839 | $738.72 | $1,296.00 | $141.00 – $484.52 | 11 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | $79.80 | $140.00 | $69.87 – $93.32 | 6 |
| Critical care 30-74 minutes CPT 99291 | $1,386.24 | $2,432.00 | $222.55 – $1,701.11 | 12 |
| Critical care each additional 30 minutes CPT 99292 | $1,386.24 | $2,432.00 | $111.70 – $268.76 | 7 |
| Crnec exc tum/bone les skull CPT 61500 | not published | not published | $1,302.09 – $4,532.89 | 7 |
| Crnop skull defect>5 cm diam CPT 62141 | not published | not published | $1,128.81 – $3,887.96 | 7 |
| Cross-over vein graft CPT 34520 | not published | not published | $955.65 – $3,428.55 | 7 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | not published | not published | $761.01 – $2,695.46 | 7 |
| Cryoablate prostate CPT 55873 | not published | not published | $798.20 – $22,505.48 | 7 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | $154.91 – $629.33 | 12 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $13.68 | $24.00 | $9.18 – $54.58 | 16 |
| Cryopreservation embryo(s) CPT 89258 | not published | not published | $76.99 – $1,649.19 | 8 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $164.74 – $345.95 | 8 |
| Cryopreservation sperm CPT 89259 | not published | not published | $49.79 – $345.95 | 8 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $46.78 – $882.61 | 11 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $51.37 – $107.88 | 8 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $207.45 – $9,921.56 | 7 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $119.40 – $511.16 | 12 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $51.58 – $190.31 | 12 |
| Cryptococcus abs qn - sendout CPT 86641 | not published | not published | $8.32 – $55.62 | 16 |
| Cryptosporidium antigen CPT 87272 | $29.07 | $51.00 | $11.98 – $46.24 | 16 |
| Crystal identification light microscopy CPT 89060 | $18.81 | $33.00 | $7.33 – $28.29 | 16 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $2,670.36 – $6,132.40 | 7 |
| C-section delivery incl p/p care 59515 CPT 59515 | not published | not published | $1,316.09 – $3,290.00 | 7 |
| Csf leakage imaging CPT 78650 | $973.56 | $1,708.00 | $26.43 – $68.11 | 7 |
| Csf shunt reprogram 62252 CPT 62252 | not published | not published | $43.77 – $605.47 | 12 |
| Csf ventriculography CPT 78635 | not published | not published | $30.96 – $1,086.69 | 12 |
| CT 3d report other modality w/workstation CPT 76377 | $76.38 | $134.00 | $40.06 – $90.13 | 7 |
| Cta abdomen without & /or w/contrast CPT 74175 | $594.51 | $1,043.00 | $91.21 – $359.39 | 12 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $653.79 | $1,147.00 | $119.27 – $359.39 | 12 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $530.10 | $930.00 | $94.90 – $359.39 | 12 |
| Cta neck without &/or w/contrast CPT 70498 | $714.78 | $1,254.00 | $88.12 – $359.39 | 12 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,023.15 | $1,795.00 | $110.26 – $720.99 | 12 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $713.07 | $1,251.00 | $91.56 – $359.39 | 12 |
| CT Angiogram of the Head CPT 70496 | $714.78 | $1,254.00 | $88.12 – $359.39 | 12 |
| CT angio hrt w/3d image CPT 75574 | $509.01 | $893.00 | $120.45 – $720.99 | 12 |
| CT angio pelvis CPT 72191 | $649.23 | $1,139.00 | $90.12 – $359.39 | 12 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $477.66 | $838.00 | $90.12 – $359.39 | 12 |
| CT bone density axial CPT 77078 | not published | not published | $12.99 – $177.77 | 12 |
| CT colonography dx CPT 74261 | $552.90 | $970.00 | $102.23 – $273.69 | 12 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $126.21 – $359.39 | 12 |
| CT colonography screening CPT 74263 | $893.76 | $1,568.00 | $117.02 – $488.00 | 11 |
| CT guidance for needle placement CPT 77012 | $397.86 | $698.00 | $73.45 – $180.17 | 7 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $263.34 | $462.00 | $58.20 – $141.93 | 7 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $230.61 – $484.28 | 5 |
| CT guid parench tis ablat CPT 77013 | $570.57 | $1,001.00 | $192.16 – $466.79 | 7 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $27.93 | $49.00 | $29.13 – $177.77 | 12 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $127.95 – $720.99 | 12 |
| CT hrt w/3d image CPT 75572 | $509.01 | $893.00 | $87.64 – $720.99 | 12 |
| CT limited or localized follow-up study CPT 76380 | $195.51 | $343.00 | $47.98 – $177.77 | 12 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $338.01 | $593.00 | $58.62 – $359.39 | 12 |
| CT lower extremity without contrast (both sides) CPT 73700 | $270.18 | $474.00 | $50.39 – $214.68 | 12 |
| CT lwr extremity w/o&w/dye CPT 73702 | $448.59 | $787.00 | $61.21 – $359.39 | 12 |
| CT neck soft tissue w/contrast CPT 70491 | $380.76 | $668.00 | $69.80 – $359.39 | 12 |
| CT neck soft tissue without contrast CPT 70490 | $268.47 | $471.00 | $64.64 – $214.68 | 12 |
| CT neck soft tissue without & w/contrast CPT 70492 | $418.38 | $734.00 | $81.36 – $359.39 | 12 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $471.39 | $827.00 | $63.91 – $359.39 | 12 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $411.54 | $722.00 | $57.14 – $359.39 | 12 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $348.27 | $611.00 | $65.00 – $214.68 | 12 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $135.88 – $1,275.00 | 12 |
| CT scan for therapy guide CPT 77014 | $217.17 | $381.00 | $47.88 – $110.91 | 7 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $855.57 | $1,501.00 | $101.15 – $720.99 | 12 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $808.26 | $1,418.00 | $91.80 – $720.99 | 12 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $713.07 | $1,251.00 | $87.75 – $488.00 | 12 |
| CT thoracic spine w/contrast CPT 72129 | $357.39 | $627.00 | $61.69 – $359.39 | 12 |
| CT thoracic spine without contrast CPT 72128 | $286.14 | $502.00 | $50.39 – $214.68 | 12 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $700.53 | $1,229.00 | $54.56 – $214.68 | 11 |
| CT t-spine w /wo contrast CPT 72130 | $452.01 | $793.00 | $64.27 – $359.39 | 12 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $334.59 | $587.00 | $58.62 – $720.99 | 12 |
| CT upper extremity without contrast (both sides) CPT 73200 | $269.61 | $473.00 | $50.39 – $214.68 | 12 |
| CT uppr extremity w/o&w/dye CPT 73202 | not published | not published | $61.21 – $359.39 | 12 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $76.99 – $1,294.55 | 8 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $76.99 – $1,346.54 | 8 |
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.