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 |
|---|---|---|---|---|
| Ep & ablate ventric tachy CPT 93654 | $35,910.57 | $63,001.00 | $982.53 – $16,158.00 | 8 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $723.16 – $2,883.15 | 7 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $137.81 – $597.68 | 7 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $734.96 – $2,880.94 | 7 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $100.91 – $403.95 | 7 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $669.18 | $1,174.00 | $53.86 – $379.43 | 7 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $343.14 – $2,242.24 | 12 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $256.92 – $1,797.37 | 12 |
| Epidurography CPT 72275 | not published | not published | $92.41 – $171.52 | 3 |
| Epiglottidectomy CPT 31420 | not published | not published | $874.53 – $2,963.44 | 7 |
| Epikeratoplasty CPT 65767 | not published | not published | $5,544.45 – $5,544.45 | 2 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $2,570.99 – $9,451.44 | 7 |
| Ep induct arrhy by elect pacing CPT 93618 | $7,643.13 | $13,409.00 | $212.85 – $16,158.00 | 8 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $763.46 – $2,601.23 | 7 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $648.15 – $2,203.84 | 7 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | not published | not published | $145.36 – $752.21 | 7 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $27.66 | $48.53 | $10.15 – $37.35 | 6 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $45.73 | $80.23 | $9.93 – $80.23 | 7 |
| Epstein barr early antigen antibody CPT 86663 | $45.03 | $79.00 | $13.12 – $50.64 | 16 |
| Epstein barr nuclear antigen antibody CPT 86664 | $38.76 | $68.00 | $15.29 – $59.02 | 16 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $43.89 | $77.00 | $18.14 – $70.02 | 16 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $64.68 | $113.48 | $16.25 – $38.15 | 3 |
| Ercp biliary & pancreas CPT 74330 | $213.18 | $374.00 | $28.74 – $111.73 | 7 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $475.38 – $1,698.04 | 6 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $389.26 – $1,388.18 | 6 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $445.07 – $1,589.25 | 6 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $445.32 – $1,590.15 | 7 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $374.55 – $1,335.34 | 7 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $387.06 – $1,380.19 | 6 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $367.79 – $1,310.89 | 7 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $495.00 – $1,768.16 | 6 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $331.99 – $1,183.50 | 7 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $247.61 | $434.41 | $124.50 – $434.41 | 7 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $138.28 | $242.59 | $16.65 – $242.59 | 6 |
| ER Visit (level 1, minor) CPT 99281 | $263.34 | $462.00 | $11.83 – $182.33 | 13 |
| ER Visit (level 2) CPT 99282 | $461.13 | $809.00 | $43.40 – $332.03 | 13 |
| ER Visit (level 3) CPT 99283 | $790.02 | $1,386.00 | $73.88 – $837.38 | 13 |
| ER Visit (level 4) CPT 99284 | $1,252.29 | $2,197.00 | $125.71 – $2,562.78 | 12 |
| ER Visit (level 5, high severity) CPT 99285 | $1,957.38 | $3,434.00 | $182.14 – $2,760.87 | 13 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $104.19 | $182.78 | $69.09 – $182.78 | 7 |
| Escharotomy ea addl incision CPT 16036 | not published | not published | $82.12 – $291.00 | 7 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $235.68 | $413.47 | $0.62 – $413.47 | 6 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $275.62 | $483.54 | $0.35 – $44.10 | 6 |
| Esophageal dilat s&i CPT 74360 | not published | not published | $28.24 – $67.61 | 7 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $110.82 – $404.81 | 7 |
| Esophageal motility CPT 78258 | not published | not published | $35.45 – $811.23 | 12 |
| Esophageal recording CPT 93615 | not published | not published | $38.18 – $16,158.00 | 8 |
| Esophageal recording CPT 93616 | not published | not published | $61.71 – $16,158.00 | 8 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $1,333.39 – $4,699.58 | 7 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $1,323.12 – $4,690.91 | 7 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $2,886.91 – $9,558.45 | 7 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $198.47 – $702.75 | 6 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $100.91 – $1,892.79 | 11 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $242.20 – $861.15 | 6 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $191.70 – $679.76 | 6 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $162.80 – $585.08 | 7 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $121.78 – $3,689.36 | 7 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $170.11 – $2,264.78 | 7 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $106.57 – $1,230.45 | 7 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $90.62 – $1,892.79 | 12 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $83.89 – $1,892.79 | 11 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $144.54 – $1,393.50 | 7 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $202.62 – $2,534.03 | 6 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $138.32 – $1,430.14 | 7 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $264.17 – $4,471.54 | 6 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $192.08 – $662.85 | 6 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $161.39 – $556.46 | 6 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $570.35 – $1,969.24 | 6 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $165.55 – $1,461.86 | 7 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $205.62 – $733.58 | 7 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $203.88 – $708.60 | 6 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $175.80 – $609.08 | 6 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $176.51 – $610.35 | 6 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $195.21 – $691.20 | 6 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $1,293.16 – $4,560.98 | 7 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $145.92 – $516.64 | 7 |
| Esophagus motility study CPT 91010 | $555.18 | $974.00 | $68.44 – $1,071.21 | 12 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $51.66 – $1,071.21 | 12 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $158.33 – $3,979.99 | 7 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $133.27 – $1,297.05 | 7 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $818.05 – $2,891.89 | 7 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $1,102.93 – $3,939.98 | 7 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $9.69 – $31.60 | 7 |
| Esoph imped function test CPT 91037 | not published | not published | $51.64 – $628.68 | 12 |
| Esoph imped funct test > 1hr CPT 91038 | $768.36 | $1,348.00 | $58.75 – $1,071.21 | 12 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $137.46 – $1,040.03 | 6 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $139.79 – $494.93 | 7 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $107.05 – $876.41 | 7 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $3,485.37 – $12,579.90 | 6 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $3,678.61 – $13,290.64 | 6 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $3,122.63 – $11,200.09 | 6 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $3,394.97 – $12,205.73 | 7 |
| Esrd home pt serv p mo 12-19 CPT 90965 | not published | not published | $529.64 – $1,509.17 | 7 |
| Esrd home pt serv p mo 20+ CPT 90966 | not published | not published | $312.03 – $790.31 | 7 |
| Esrd home pt serv p mo 2-11 CPT 90964 | not published | not published | $551.55 – $1,579.14 | 7 |
| Esrd home pt serv p mo <2yrs CPT 90963 | not published | not published | $643.63 – $1,806.41 | 7 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | not published | not published | $215.38 – $610.50 | 7 |
| Esrd serv 1 visit p mo <2yrs CPT 90953 | not published | not published | $1,367.38 – $1,367.38 | 2 |
| Esrd serv 1 vst p mo 12-19 CPT 90959 | not published | not published | $345.96 – $981.75 | 7 |
| Esrd serv 2-3 vsts p mo <2yr CPT 90952 | not published | not published | $1,601.04 – $1,601.04 | 2 |
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.