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 |
|---|---|---|---|---|
| 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 |
| Double transfer toe-hand CPT 26554 | not published | not published | $3,891.36 – $13,593.23 | 7 |
| 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 abdomen CPT 48000 | not published | not published | $1,869.65 – $6,627.23 | 7 |
| 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 bone lesion CPT 26992 | not published | not published | $1,048.38 – $3,530.70 | 7 |
| Drainage of bone lesion CPT 27303 | not published | not published | $669.33 – $2,292.64 | 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 spinal cyst CPT 63172 | not published | not published | $1,380.45 – $4,711.58 | 7 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $1,682.72 – $5,801.36 | 7 |
| 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 |
| Drain chest lesion CPT 21502 | not published | not published | $515.17 – $1,784.29 | 7 |
| Drain finger abscess;simple 26010 CPT 26010 | not published | not published | $149.67 – $1,095.15 | 12 |
| Drain lower leg bursa CPT 27604 | not published | not published | $340.44 – $1,728.38 | 7 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $407.94 – $1,922.66 | 7 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $352.95 – $1,686.15 | 7 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $1,131.75 – $3,979.65 | 7 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $447.73 – $1,513.95 | 7 |
| Drain ovary abscess open CPT 58820 | not published | not published | $356.23 – $1,185.90 | 7 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $1,101.32 – $3,875.96 | 7 |
| Drain penis lesion CPT 54015 | not published | not published | $318.58 – $1,118.44 | 7 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $706.62 – $2,432.93 | 7 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $232.72 – $1,462.80 | 7 |
| Drain shoulder lesion CPT 23030 | not published | not published | $265.02 – $1,568.21 | 7 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $529.69 – $2,425.16 | 7 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $168.09 – $631.31 | 7 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $773.11 – $2,705.81 | 7 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $451.44 | $792.00 | $115.19 – $552.08 | 12 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $312.93 | $549.00 | $58.28 – $401.14 | 12 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $606.48 | $1,064.00 | $134.46 – $806.59 | 12 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $45.56 – $1,235.81 | 12 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $900.34 – $3,054.11 | 7 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $296.13 – $1,047.86 | 7 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $90.65 – $350.93 | 7 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $90.65 – $354.75 | 7 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $787.15 – $2,758.39 | 7 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $587.29 – $1,990.95 | 7 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $123.48 – $1,017.53 | 12 |
| Drng of finger abscess comp 26011 CPT 26011 | not published | not published | $194.89 – $1,582.24 | 7 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $88.36 – $1,420.44 | 12 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $211.27 – $1,099.35 | 12 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $330.65 – $1,249.16 | 7 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $518.39 – $1,761.19 | 7 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $442.69 – $1,511.06 | 7 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $444.83 – $1,533.75 | 7 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $246.76 – $1,321.84 | 7 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $176.42 – $813.04 | 7 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $1,102.54 – $3,898.39 | 7 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $1,008.35 – $3,542.63 | 7 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $742.21 – $2,566.84 | 7 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $1,600.82 – $5,633.40 | 7 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $165.52 – $773.36 | 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.