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 |
|---|---|---|---|---|
| Cytogenetics 25-99 CPT 88274 | not published | not published | $42.38 – $163.59 | 16 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $36.23 – $157.10 | 16 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $1,218.00 – $4,477.60 | 7 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $900.00 – $3,474.00 | 12 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $29.07 | $51.00 | $14.39 – $55.55 | 16 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $14.82 | $26.00 | $8.32 – $65.04 | 16 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $13.42 – $51.80 | 16 |
| Cyto/molecular report CPT 88291 | not published | not published | $36.05 – $72.12 | 8 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $25.37 – $97.93 | 16 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $8.57 – $56.55 | 16 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $19.98 – $49.43 | 13 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $83.22 | $146.00 | $29.21 – $119.51 | 13 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $138.51 | $243.00 | $26.61 – $102.71 | 16 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $72.39 | $127.00 | $20.26 – $78.20 | 16 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $38.19 | $67.00 | $23.29 – $79.23 | 13 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $57.00 | $100.00 | $23.29 – $79.23 | 13 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $71.25 | $125.00 | $9.45 – $22.92 | 8 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $157.89 | $277.00 | $23.29 – $345.95 | 13 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $136.23 | $239.00 | $49.79 – $166.72 | 13 |
| Cytopath smear other source CPT 88160 | not published | not published | $23.29 – $60.85 | 13 |
| Cytopath smear other source CPT 88162 | not published | not published | $41.66 – $107.88 | 13 |
| Cytopath smear oth prep screen & interp CPT 88161 | $38.19 | $67.00 | $23.29 – $58.47 | 13 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $15.11 – $68.55 | 16 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $56.61 – $303.59 | 16 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $29.68 – $114.56 | 16 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $501.60 | $880.00 | $51.09 – $345.95 | 13 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $14.83 | $26.02 | $5.26 – $26.02 | 6 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $31.84 | $55.86 | $17.65 – $55.86 | 7 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $1.57 | $2.75 | $0.03 – $2.75 | 7 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $83.19 | $145.94 | $69.03 – $145.94 | 6 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $125.60 | $220.35 | $41.32 – $220.35 | 7 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $191.02 – $879.95 | 11 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $188.67 – $845.03 | 7 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $243.64 – $1,015.01 | 7 |
| Dch glucoscan CPT 82948 | not published | not published | $4.54 – $19.45 | 16 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $71.41 – $628.68 | 12 |
| Dch validity tests CPT 81002 | $3.99 | $7.00 | $3.48 – $13.43 | 16 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $7,241.85 | $12,705.00 | $637.50 – $2,117.29 | 7 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $1,746.45 – $6,030.68 | 7 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $287.58 – $990.04 | 7 |
| D&c of cervical stump CPT 57558 | not published | not published | $135.49 – $520.69 | 7 |
| Deamidated gliadin antibody iga CPT 86258 | $27.93 | $49.00 | $12.05 – $46.51 | 12 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $695.88 – $2,499.71 | 7 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $29.05 – $1,235.81 | 12 |
| Debridement (>20 cm) charge pt CPT 97598 | $132.24 | $232.00 | $22.21 – $55.09 | 7 |
| Debridement bone <= 20 sq cm CPT 11044 | not published | not published | $230.93 – $1,124.78 | 7 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | not published | not published | $55.37 – $263.25 | 7 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | not published | not published | $97.47 – $436.09 | 7 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $634.98 | $1,114.00 | $63.16 – $806.59 | 12 |
| Debride nail1-5 11720 CPT 11720 | $137.94 | $242.00 | $14.80 – $119.91 | 12 |
| Debride nail6 or more 11721 CPT 11721 | $214.89 | $377.00 | $24.91 – $165.15 | 12 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $302.11 – $1,892.85 | 12 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $422.16 – $2,424.41 | 7 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $569.60 – $2,048.81 | 7 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $761.84 – $2,741.36 | 7 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | not published | not published | $25.69 – $148.65 | 7 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $53.48 – $401.14 | 12 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $284.15 – $1,709.40 | 12 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $15.48 – $85.58 | 7 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | not published | not published | $158.40 – $1,235.81 | 12 |
| Decalcification CPT 88311 | $26.79 | $47.00 | $11.49 – $18.71 | 8 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $23.67 | $41.52 | $1.61 – $41.52 | 7 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $350.55 | $615.00 | $36.64 – $669.63 | 12 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $478.62 – $1,704.86 | 7 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $781.74 – $2,307.38 | 7 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,263.95 – $4,298.40 | 7 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $589.01 – $2,030.33 | 7 |
| Decompress fingers/hand CPT 26035 | not published | not published | $898.40 – $3,066.30 | 7 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $1,368.05 – $4,301.14 | 7 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $811.89 – $2,799.26 | 7 |
| Decompression fasct forearm CPT 24495 | not published | not published | $968.42 – $2,924.25 | 7 |
| Decompression of leg CPT 27892 | not published | not published | $553.74 – $1,962.38 | 7 |
| Decompression of leg CPT 27893 | not published | not published | $643.60 – $2,184.30 | 7 |
| Decompression of leg CPT 27894 | not published | not published | $831.09 – $2,992.05 | 7 |
| Decompression of lower leg CPT 27600 | not published | not published | $411.01 – $1,440.38 | 7 |
| Decompression of lower leg CPT 27601 | not published | not published | $460.15 – $1,596.71 | 7 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $578.31 – $1,951.65 | 7 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $607.14 – $2,077.35 | 7 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $687.70 – $2,341.65 | 7 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $732.78 – $2,503.76 | 7 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $381.28 – $1,934.81 | 7 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $386.16 – $1,290.45 | 7 |
| Decompressive craniotomy CPT 61322 | not published | not published | $2,310.84 – $7,990.73 | 7 |
| Decompress optic nerve CPT 67570 | not published | not published | $1,350.26 – $4,493.55 | 7 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $1,596.76 – $5,540.93 | 7 |
| Decompress small bowel CPT 44021 | not published | not published | $972.70 – $3,443.55 | 7 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $1,477.34 – $5,131.39 | 7 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $1,746.57 – $6,082.99 | 7 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $309.87 – $1,099.13 | 7 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $154.63 – $1,053.15 | 7 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $789.41 – $3,338.25 | 7 |
| Delay flap arms/legs CPT 15610 | not published | not published | $257.56 – $1,301.63 | 7 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $363.82 – $1,660.54 | 7 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $344.39 – $1,596.64 | 7 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $224.00 – $1,200.45 | 7 |
| Delivery of placenta 59414 CPT 59414 | $1,782.96 | $3,128.00 | $88.19 – $315.41 | 7 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $913.24 – $2,444.45 | 7 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $1,363.21 – $3,396.48 | 7 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $2,371.20 | $4,160.00 | $637.52 – $2,318.81 | 6 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $215.46 | $378.00 | $18.80 – $410.61 | 12 |
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.