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 |
|---|---|---|---|---|
| Esrd serv 4 visits p mo <2yr CPT 90951 | not published | not published | $1,239.56 – $3,103.85 | 7 |
| Esrd serv 4 vsts p mo 2-11 CPT 90954 | not published | not published | $1,064.45 – $2,694.33 | 7 |
| Esrd srv 1 visit p mo 2-11 CPT 90956 | not published | not published | $369.87 – $1,056.35 | 7 |
| Esrd srv 2-3 vsts p mo 12-19 CPT 90958 | not published | not published | $530.83 – $1,451.81 | 7 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | not published | not published | $312.03 – $791.49 | 7 |
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | not published | not published | $553.34 – $1,519.82 | 7 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | not published | not published | $375.91 – $942.72 | 7 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | not published | not published | $815.16 – $2,136.67 | 7 |
| Esrd svc pr day pt 12-19 CPT 90969 | not published | not published | $17.90 – $50.06 | 7 |
| Esrd svc pr day pt <2 CPT 90967 | not published | not published | $18.65 – $59.69 | 7 |
| Esrd svc pr day pt 20+ CPT 90970 | not published | not published | $10.05 – $26.74 | 7 |
| Esrd svc pr day pt 2-11 CPT 90968 | not published | not published | $18.27 – $52.42 | 7 |
| Essure 58565 CPT 58565 | not published | not published | $476.97 – $6,586.88 | 7 |
| Establish access to aorta CPT 36160 | $2,839.17 | $4,981.00 | $123.96 – $1,991.25 | 7 |
| Establish access to artery CPT 36100 | not published | not published | $146.58 – $1,872.53 | 7 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,026.72 – $3,545.25 | 7 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $1,558.78 – $5,377.50 | 7 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $919.69 – $3,129.60 | 7 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $981.10 – $3,327.19 | 7 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $1,344.05 – $4,630.35 | 7 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $960.23 – $3,357.15 | 7 |
| Established Patient Office Visit (level 1) CPT 99211 | $129.96 | $228.00 | $9.33 – $50.56 | 7 |
| Established Patient Office Visit (level 2) CPT 99212 | $562.02 | $986.00 | $37.18 – $98.51 | 7 |
| Established Patient Office Visit (level 3) CPT 99213 | $210.33 | $369.00 | $69.68 – $163.26 | 7 |
| Established Patient Office Visit (level 4) CPT 99214 | $224.01 | $393.00 | $102.92 – $237.46 | 7 |
| Established Patient Office Visit (level 5) CPT 99215 | $267.33 | $469.00 | $152.42 – $319.23 | 7 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $177.04 – $621.23 | 7 |
| Estradiol total CPT 82670 | $67.26 | $118.00 | $27.94 – $107.85 | 16 |
| Estrogens total-sendout CPT 82672 | not published | not published | $21.70 – $83.76 | 16 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $1,005.11 – $3,377.89 | 7 |
| Ethylene glycol -sendout CPT 82693 | $18.81 | $33.00 | $8.09 – $57.51 | 16 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $2.33 | $4.09 | $1.08 – $4.09 | 6 |
| Euglobulin lysis CPT 85360 | not published | not published | $8.41 – $32.46 | 16 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $545.90 – $1,781.03 | 7 |
| Eval aud funcj ea addl 15 CPT 92627 | not published | not published | $18.85 – $71.89 | 7 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $79.80 – $315.86 | 12 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $153.33 | $269.00 | $117.54 – $246.83 | 12 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $7.97 – $40.07 | 16 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $167.58 | $294.00 | $92.13 – $378.70 | 16 |
| Evaluation heart device CPT 93640 | $1,812.60 | $3,180.00 | $174.02 – $16,158.00 | 8 |
| Evaluation of speech fluency 92521 CPT 92521 | $226.86 | $398.00 | $127.16 – $376.36 | 11 |
| Evaluation psychiatric diagnostic CPT 90791 | $837.90 | $1,470.00 | $154.46 – $476.78 | 12 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $5,425.26 | $9,518.00 | $563.11 – $1,969.69 | 6 |
| Evasc prlng admn rx agnt add CPT 61651 | $2,712.63 | $4,759.00 | $240.06 – $843.19 | 6 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $1,192.34 – $4,326.90 | 6 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $9,484.80 | $16,640.00 | $1,192.88 – $4,345.35 | 6 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $10,906.95 | $19,135.00 | $1,775.33 – $6,473.21 | 6 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $2,187.93 – $8,054.55 | 6 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $423.70 – $1,547.55 | 6 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $1,323.53 – $4,787.36 | 6 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $2,203.47 – $7,959.56 | 6 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $6,820.62 | $11,966.00 | $1,119.68 – $4,059.04 | 6 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $1,742.95 – $6,478.24 | 6 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $955.14 – $3,475.88 | 6 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $760.15 – $2,765.44 | 6 |
| Event monitor CPT 93270 | $197.79 | $347.00 | $8.69 – $75.29 | 12 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $7.98 – $628.68 | 12 |
| Evoked oa emissions ltd CPT 92587 | not published | not published | $5.91 – $628.68 | 12 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $265.05 | $465.00 | $28.83 – $98.43 | 6 |
| Evoked potentials upper limbs CPT 95925 | not published | not published | $29.42 – $628.68 | 12 |
| Evoked potential visual not glaucoma CPT 95930 | $518.70 | $910.00 | $19.59 – $628.68 | 12 |
| Evok oa screening qual CPT 92558 | not published | not published | $8.96 – $32.72 | 6 |
| Ewho w/joint(s) cf HCPCS L3764 | $1,957.95 | $3,435.00 | $714.04 – $714.04 | 2 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $92.47 – $614.12 | 12 |
| Exam pelvic add-on CPT 99459 | $84.93 | $149.00 | $24.26 – $24.26 | 4 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $109.85 – $383.48 | 7 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $569.40 – $1,938.98 | 7 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $712.50 – $2,470.73 | 7 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $707.27 – $2,487.79 | 7 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $450.15 – $1,553.06 | 7 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $579.72 – $1,993.05 | 7 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $678.89 – $2,357.25 | 7 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $1,207.50 – $4,239.19 | 7 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $1,761.85 – $6,192.53 | 7 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $418.59 – $1,439.81 | 7 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $344.37 – $1,866.53 | 7 |
| Exc aurl glomus tum extended CPT 69554 | not published | not published | $2,647.32 – $9,026.21 | 7 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $1,122.50 – $3,746.63 | 7 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $1,666.30 – $5,638.35 | 7 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $378.75 – $1,760.59 | 7 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $751.98 – $2,611.46 | 7 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $328.12 – $1,112.29 | 7 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $237.10 – $1,022.03 | 7 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $331.84 – $1,406.18 | 7 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $190.15 – $847.50 | 7 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $1,069.89 | $1,877.00 | $89.62 – $1,420.44 | 12 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | $114.72 – $1,420.44 | 12 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $155.65 – $1,420.44 | 12 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $188.95 – $817.39 | 7 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $115.77 – $1,420.44 | 12 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | $166.12 – $736.65 | 7 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $279.43 – $1,207.35 | 7 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $1,265.40 | $2,220.00 | $112.13 – $806.59 | 12 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $1,769.28 | $3,104.00 | $157.92 – $1,420.44 | 12 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $333.60 – $1,644.41 | 7 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | not published | $1,354.27 – $4,810.39 | 7 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $612.14 – $2,099.70 | 7 |
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $864.03 – $3,002.48 | 7 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $644.28 – $2,215.09 | 7 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $1,153.67 – $4,159.16 | 6 |
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.