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 |
|---|---|---|---|---|
| Dilate esophagus CPT 43453 | not published | not published | $89.88 – $3,216.00 | 7 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $82.88 – $1,892.79 | 12 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $337.42 – $1,223.44 | 6 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $168.71 – $611.70 | 6 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $480.17 – $1,740.98 | 6 |
| Dilate tear duct opening CPT 68801 | not published | not published | $85.06 – $805.60 | 12 |
| Dilate urethra stricture CPT 53600 | not published | not published | $65.52 – $491.00 | 12 |
| Dilate urethra stricture CPT 53601 | not published | not published | $55.14 – $294.11 | 12 |
| Dilate urethra stricture CPT 53605 | not published | not published | $65.75 – $236.29 | 7 |
| Dilate urethra stricture CPT 53621 | not published | not published | $74.19 – $507.75 | 12 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $43.28 – $315.86 | 12 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $177.35 – $605.63 | 7 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $49.93 – $253.28 | 7 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $201.02 – $692.18 | 7 |
| Dilation of salivary duct CPT 42660 | not published | not published | $88.28 – $1,028.10 | 12 |
| Dilation of urethra CPT 53661 | not published | not published | $41.87 – $260.23 | 12 |
| Dilation of urethra CPT 53665 | not published | not published | $39.08 – $140.18 | 7 |
| Dilation of vagina CPT 57400 | not published | not published | $134.04 – $475.31 | 7 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $62.18 – $284.96 | 7 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $89.98 – $1,347.53 | 12 |
| Dilat xst trc ndurlgc px CPT 50436 | $3,256.98 | $5,714.00 | $153.96 – $554.96 | 6 |
| Dilat xst trc new access rcs CPT 50437 | $5,647.56 | $9,908.00 | $255.48 – $929.89 | 6 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $7.33 | $12.86 | $1.19 – $12.86 | 6 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $29.07 – $29.07 | 2 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $30.81 – $83.76 | 12 |
| Disability dlco CPT 94727 | $163.02 | $286.00 | $12.67 – $315.86 | 12 |
| Disaccharidases CPT 82657 | $224.58 | $394.00 | $22.17 – $85.58 | 16 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $497.44 – $1,677.90 | 7 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,493.41 – $5,231.55 | 7 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $195.08 – $691.01 | 7 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $59.80 – $144.63 | 7 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $100.99 – $418.31 | 6 |
| Dissolve clot heart vessel CPT 92975 | $1,905.51 | $3,343.00 | $365.38 – $1,191.75 | 7 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $1,100.42 – $3,988.69 | 7 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $820.19 – $2,812.65 | 7 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $351.74 – $1,206.26 | 7 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $28.93 – $31.67 | 3 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $281.44 – $1,039.13 | 6 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $147.15 – $1,076.94 | 15 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $137.00 – $528.82 | 12 |
| Dna antibody native/double stranded CPT 86225 | $33.63 | $59.00 | $13.74 – $53.04 | 16 |
| Dna gardnerella CPT 87510 | $41.04 | $72.00 | $20.05 – $77.39 | 16 |
| Dna probe chlamydia CPT 87490 | not published | not published | $22.75 – $87.82 | 16 |
| Dna probe gc CPT 87590 | not published | not published | $26.88 – $103.76 | 16 |
| Dna trichomonas CPT 87660 | $35.34 | $62.00 | $20.05 – $77.39 | 16 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $20.69 | $36.30 | $10.77 – $24.82 | 6 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $4.48 | $7.86 | $0.76 – $6.92 | 7 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $3.35 | $5.87 | $0.88 – $5.87 | 6 |
| Doppler echo complete CPT 93320 | $337.44 | $592.00 | $18.93 – $61.79 | 7 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $6,603.45 | $11,585.00 | $71.30 – $234.10 | 7 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $729.03 | $1,279.00 | $22.16 – $315.86 | 12 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $369.36 | $648.00 | $12.19 – $260.23 | 12 |
| Dornase alfa non-comp unit HCPCS J7639 | $103.28 | $181.20 | $73.15 – $119.66 | 6 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $31.47 | $55.21 | $3.75 – $20.30 | 6 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $722.64 | $1,267.79 | $128.80 – $1,267.79 | 7 |
| Dpyd gene common variants CPT 81232 | $253.08 | $444.00 | $174.81 – $674.77 | 12 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $126.67 – $1,420.44 | 12 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $152.88 – $1,420.44 | 12 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $170.23 – $782.33 | 7 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $132.62 – $1,420.44 | 12 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $216.70 – $1,175.21 | 7 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $505.75 – $1,722.56 | 7 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $115.71 – $570.23 | 12 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $170.32 – $1,050.26 | 7 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $431.06 – $1,494.38 | 7 |
| Drainage of eye CPT 65800 | not published | not published | $93.49 – $436.61 | 7 |
| Drainage of eye CPT 65810 | not published | not published | $491.91 – $1,690.46 | 7 |
| Drainage of eye CPT 65815 | not published | not published | $504.81 – $2,344.13 | 7 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $391.25 – $1,260.83 | 7 |
| Drainage of kidney lesion CPT 50390 | $1,008.90 | $1,770.00 | $96.95 – $1,420.44 | 12 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $123.71 – $796.01 | 12 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $245.39 – $1,259.21 | 7 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $235.52 – $1,236.00 | 7 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $272.97 – $1,405.69 | 7 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $302.52 – $1,510.16 | 12 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $317.60 – $1,488.30 | 12 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $365.38 – $1,660.80 | 7 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $363.71 – $1,657.80 | 7 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $423.10 – $1,864.46 | 7 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $128.18 – $913.69 | 12 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $129.96 – $1,028.10 | 12 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $549.31 – $2,555.55 | 7 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $711.14 – $2,341.80 | 7 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $464.71 – $1,614.53 | 7 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $474.74 – $1,654.73 | 7 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $625.70 – $2,173.13 | 7 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $169.73 – $1,052.89 | 7 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $587.09 – $2,040.86 | 7 |
| Drainage of salivary gland CPT 42305 | not published | not published | $457.11 – $1,544.74 | 7 |
| Drainage of salivary gland CPT 42320 | not published | not published | $189.42 – $1,028.10 | 12 |
| Drainage of throat abscess CPT 42725 | not published | not published | $834.93 – $2,904.79 | 7 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $412.72 – $1,434.60 | 7 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $172.19 – $672.98 | 7 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $442.95 – $1,536.08 | 12 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $678.71 – $2,374.95 | 7 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $52.48 – $2,053.97 | 12 |
| Drain blood from under nail 11740 CPT 11740 | not published | not published | $34.50 – $260.23 | 12 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $210.04 – $2,646.71 | 6 |
| Drain cath image guided visceral pq CPT 49405 | $5,845.92 | $10,256.00 | $199.38 – $3,226.73 | 6 |
| Drain cerebro spinal fluid 62272 CPT 62272 | not published | not published | $89.91 – $1,398.10 | 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.