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 |
|---|---|---|---|---|
| Adenovirus assay w/optic CPT 87809 | not published | not published | $17.15 – $83.99 | 16 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $930.17 – $3,218.06 | 7 |
| Adh-sendout CPT 84588 | $67.26 | $118.00 | $33.94 – $131.01 | 16 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $901.33 – $1,892.79 | 5 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $470.43 – $1,598.33 | 7 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $800.99 – $3,358.01 | 7 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $153.33 | $269.00 | $29.45 – $143.68 | 12 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $298.11 | $523.00 | $67.55 – $227.54 | 12 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $672.03 | $1,179.00 | $137.25 – $669.63 | 12 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $507.30 | $890.00 | $106.02 – $669.63 | 12 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $139.65 | $245.00 | $37.66 – $143.68 | 12 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $331.17 | $581.00 | $68.42 – $263.52 | 12 |
| Administration immunization 1 vaccine CPT 90471 | $70.11 | $123.00 | $22.16 – $143.68 | 12 |
| Administration immunization each additional component CPT 90461 | not published | not published | $9.33 – $43.33 | 7 |
| Administration immunization each additional vaccine CPT 90472 | $43.32 | $76.00 | $15.71 – $43.33 | 7 |
| Administration immunization first component each vaccine CPT 90460 | not published | not published | $24.54 – $48.27 | 7 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $17.88 – $143.68 | 12 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | not published | not published | $12.85 – $43.33 | 7 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $24.41 – $24.41 | 4 |
| Administration vaccine hepatitis b HCPCS G0010 | $45.60 | $80.00 | $32.30 – $48.27 | 6 |
| Administration vaccine influenza virus HCPCS G0008 | $71.82 | $126.00 | $32.30 – $48.27 | 6 |
| Administration vaccine pneumococcal HCPCS G0009 | $51.30 | $90.00 | $32.30 – $48.27 | 6 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $21.09 – $21.09 | 4 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $61.66 | $108.17 | $34.19 – $108.17 | 7 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $37.36 – $90.87 | 7 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,261.48 – $4,380.86 | 7 |
| Advance care planning each additional 30 min 99498 CPT 99498 | $145.92 | $256.00 | $77.21 – $164.55 | 6 |
| Aep hearing status deter i&r CPT 92651 | $482.79 | $847.00 | $88.92 – $628.68 | 11 |
| Aep neurodiagnostic i&r CPT 92653 | $418.95 | $735.00 | $89.12 – $628.68 | 11 |
| Aep thrshld est mlt freq i&r CPT 92652 | $418.95 | $735.00 | $120.42 – $628.68 | 11 |
| _afb id by dna probe rflx ast CPT 87149 | $42.75 | $75.00 | $20.05 – $77.39 | 16 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $4.12 – $28.22 | 16 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | not published | not published | $115.36 – $445.29 | 16 |
| After cataract laser surgery CPT 66821 | not published | not published | $331.10 – $1,208.81 | 12 |
| Air conduction bilat CPT 92552 | not published | not published | $40.44 – $260.23 | 12 |
| Air injection into abdomen 49400 CPT 49400 | $607.62 | $1,066.00 | $92.31 – $528.15 | 7 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $215.46 | $378.00 | $13.03 – $315.86 | 12 |
| Albumin body fluid quantitative each specimen CPT 82042 | $14.82 | $26.00 | $7.40 – $30.03 | 16 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $113.33 | $198.82 | $62.55 – $198.82 | 7 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $112.60 | $197.54 | $64.04 – $197.54 | 7 |
| Albumin ischemia modified CPT 82045 | not published | not published | $33.94 – $131.01 | 16 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $21.09 | $37.00 | $5.78 – $22.31 | 16 |
| Albumin serum plasma or whole blood CPT 82040 | $13.11 | $23.00 | $4.95 – $19.11 | 16 |
| Albuterol non-comp con HCPCS J7611 | $0.54 | $0.94 | $0.17 – $0.51 | 6 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $21.09 | $37.00 | $17.27 – $66.66 | 12 |
| Alkaline phosphatase CPT 84075 | $13.68 | $24.00 | $5.18 – $19.99 | 16 |
| Allergen alpha lactalbumin ige CPT 86008 | not published | not published | $17.93 – $69.21 | 12 |
| Allergen egg white ige CPT 86003 | $12.54 | $22.00 | $4.64 – $20.15 | 16 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $53.01 | $93.00 | $7.97 – $30.76 | 16 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $12.97 – $93.16 | 12 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $10.83 – $93.16 | 12 |
| Allergy Skin Testing CPT 95004 | not published | not published | $3.71 – $2,053.97 | 12 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $5.12 – $2,053.97 | 12 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $1,318.95 – $4,559.85 | 7 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $144.21 | $253.00 | $209.62 – $253.00 | 6 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $7.48 – $79.23 | 12 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $3.80 – $49.43 | 12 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $6.53 | $11.46 | $5.40 – $11.46 | 7 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $64.41 – $248.62 | 16 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $17.00 – $65.62 | 16 |
| Alpha-fetoprotein tumor marker CPT 82105 | $39.90 | $70.00 | $16.77 – $64.73 | 16 |
| Alprostadil for injection HCPCS J0270 | $130.17 | $228.36 | $0.59 – $0.59 | 2 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $160.74 | $282.00 | $93.49 – $255.91 | 7 |
| Alt/sgpt CPT 84460 | $13.68 | $24.00 | $5.30 – $20.46 | 16 |
| Aluminum - quest CPT 82108 | $61.56 | $108.00 | $25.48 – $98.35 | 16 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $258.83 – $1,433.33 | 7 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $525.54 | $922.00 | $41.87 – $222.91 | 12 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $30.24 – $31.67 | 3 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $5.83 – $260.23 | 12 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $4.01 | $7.04 | $1.22 – $7.04 | 6 |
| Amino acid screen, urine CPT 82128 | not published | not published | $13.87 – $53.54 | 16 |
| Amino acid single qual CPT 82127 | not published | not published | $14.18 – $54.73 | 16 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $19.61 – $75.69 | 16 |
| Aminolevulinic acid delta CPT 82135 | $54.72 | $96.00 | $16.45 – $63.50 | 16 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $34.49 | $60.50 | $6.31 – $20.43 | 6 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $9.66 | $16.94 | $3.56 – $10.68 | 4 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $3.89 | $6.82 | $1.35 – $1.35 | 2 |
| Amitriptyline (elavil) -sendout CPT 80335 | $45.03 | $79.00 | $31.67 – $33.24 | 3 |
| Ammonia CPT 82140 | $38.76 | $68.00 | $14.57 – $56.24 | 16 |
| Amniocentesisdiagnostic 59000 CPT 59000 | not published | not published | $79.45 – $1,757.89 | 12 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $174.22 – $616.43 | 12 |
| Amniotic fluid scan CPT 82143 | not published | not published | $9.35 – $36.09 | 16 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $723.80 – $2,374.13 | 7 |
| Amphetamine confirm urine -sendout CPT 80324 | $132.24 | $232.00 | $28.86 – $31.67 | 3 |
| Amphetamines 5 or more CPT 80326 | $42.18 | $74.00 | $28.86 – $53.00 | 3 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $96.09 | $168.58 | $21.97 – $168.58 | 7 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $4.52 | $7.93 | $1.33 – $5.80 | 6 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $7.92 | $13.89 | $2.87 – $11.19 | 6 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $262.99 – $552.28 | 5 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $442.09 – $1,542.90 | 7 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $717.28 – $2,518.84 | 7 |
| Amputate hand at wrist CPT 25922 | not published | not published | $678.62 – $2,251.88 | 7 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $802.98 – $2,645.81 | 7 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $781.59 – $2,786.48 | 7 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $597.99 – $2,028.08 | 7 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $644.40 – $2,193.79 | 7 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $714.97 – $2,447.70 | 7 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $628.24 – $2,135.36 | 7 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $839.36 – $2,759.85 | 7 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $515.28 – $1,813.24 | 7 |
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.