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 |
|---|---|---|---|---|
| Exc ch wal tum without lymphadec CPT 21602 | not published | not published | $1,547.08 – $5,611.61 | 6 |
| Exc ch wal tum w/lymphadec CPT 21603 | not published | not published | $1,690.07 – $6,192.34 | 6 |
| Exc coa rpr l subcl art/prst CPT 33851 | not published | not published | $1,254.32 – $4,452.94 | 7 |
| Exc coa w/direct anastomosis CPT 33840 | not published | not published | $1,221.94 – $4,336.24 | 7 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $829.07 – $2,845.50 | 7 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $648.86 – $2,222.70 | 7 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $858.11 – $2,799.26 | 7 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $561.35 – $1,906.95 | 7 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | not published | not published | $768.44 – $2,634.08 | 7 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $891.42 – $3,073.20 | 7 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | not published | not published | $653.17 – $2,221.09 | 7 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $681.09 – $2,320.39 | 7 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $456.72 – $1,588.09 | 7 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | not published | not published | $620.46 – $2,101.95 | 7 |
| Exc/destruct open intra-abd tumors cysts or endometriomas CPT 49204 | not published | not published | $1,537.38 – $5,406.15 | 7 |
| Exc excessive skin buttock CPT 15835 | not published | not published | $963.70 – $3,360.49 | 7 |
| Exc excessive skin hip CPT 15834 | not published | not published | $925.57 – $3,206.18 | 7 |
| Exc excessive skin leg CPT 15833 | not published | not published | $909.30 – $3,146.03 | 7 |
| Exc excessive skin thigh CPT 15832 | not published | not published | $953.03 – $3,300.08 | 7 |
| Exc excsv skin forearm/hand CPT 15837 | not published | not published | $744.06 – $3,121.35 | 7 |
| Exc excsv submental fat pad CPT 15838 | not published | not published | $676.34 – $2,314.61 | 7 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | not published | not published | $347.10 – $1,671.26 | 7 |
| Exc face tum deep < 2 cm CPT 21013 | not published | not published | $420.50 – $1,910.66 | 7 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | not published | not published | $542.94 – $1,866.26 | 7 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | not published | not published | $163.44 – $1,420.44 | 12 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | not published | not published | $237.01 – $1,149.86 | 7 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | not published | not published | $477.90 – $1,659.11 | 7 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | not published | not published | $279.47 – $1,450.24 | 7 |
| Exc forearm les sc 3 cm/> CPT 25071 | not published | not published | $440.45 – $1,508.03 | 7 |
| Exc forearm tum deep < 3 cm CPT 25076 | not published | not published | $545.38 – $1,855.39 | 7 |
| Exc forearm tum deep 3 cm/> CPT 25073 | not published | not published | $559.76 – $1,911.30 | 7 |
| Exc hand les sc < 1.5 cm CPT 26115 | not published | not published | $352.77 – $1,925.25 | 7 |
| Exc hand tum deep 1.5 cm/> CPT 26113 | not published | not published | $576.35 – $1,965.56 | 7 |
| Exc hand tum deep < 1.5 cm 26116 CPT 26116 | not published | not published | $554.04 – $1,887.04 | 7 |
| Exchange biliary drg cath CPT 47536 | $5,029.68 | $8,824.00 | $134.53 – $2,547.08 | 6 |
| Exchange blood transfusion newborn 36450 CPT 36450 | $650.37 | $1,141.00 | $179.47 – $882.61 | 12 |
| Exchange drainage catheter CPT 49423 | $3,097.95 | $5,435.00 | $72.10 – $2,180.70 | 7 |
| Exchange lens prosthesis CPT 66986 | not published | not published | $952.37 – $3,301.31 | 7 |
| Exchange nephrostomy cath CPT 50435 | $2,921.25 | $5,125.00 | $102.67 – $2,058.64 | 6 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | not published | not published | $258.67 – $1,426.24 | 7 |
| Exc hidradenitis peri/umb comp 11471 CPT 11471 | not published | not published | $365.51 – $1,893.30 | 7 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | not published | not published | $297.48 – $1,553.89 | 7 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | not published | not published | $630.07 – $2,163.71 | 7 |
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | not published | not published | $752.94 – $2,626.28 | 7 |
| Excimer lsr psriasis 250-500 CPT 96921 | not published | not published | $76.68 – $588.86 | 12 |
| Excimer lsr psriasis<250sqcm CPT 96920 | not published | not published | $67.75 – $536.98 | 12 |
| Excimer lsr psriasis>500sqcm CPT 96922 | not published | not published | $123.64 – $806.59 | 12 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | not published | not published | $678.94 – $2,347.01 | 7 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | not published | not published | $371.23 – $1,798.84 | 7 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | not published | not published | $716.09 – $2,469.86 | 7 |
| Exc intracard tumor/resect/bypass 33120 CPT 33120 | not published | not published | $2,039.28 – $7,320.53 | 7 |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 | not published | not published | $1,650.89 – $5,825.78 | 7 |
| Exc ischial pr ulc prim sutr CPT 15940 | not published | not published | $727.35 – $2,493.04 | 7 |
| Exc isch pr ulc prm sut ostc CPT 15941 | not published | not published | $960.52 – $3,275.66 | 7 |
| Exc isch pr ulc skn flp clsr CPT 15944 | not published | not published | $969.79 – $3,260.40 | 7 |
| Exc isch pr ulc skn flp ostc CPT 15945 | not published | not published | $1,058.10 – $3,652.65 | 7 |
| Excise anal ext tag/papilla CPT 46220 | not published | not published | $126.88 – $827.33 | 7 |
| Excise epiphyseal bar CPT 20150 | not published | not published | $1,033.05 – $3,585.45 | 7 |
| Excise foot tendon sheath CPT 28086 | not published | not published | $371.86 – $1,966.95 | 7 |
| Excise foot tendon sheath CPT 28088 | not published | not published | $313.79 – $1,595.55 | 7 |
| Excise ileoanal reservior CPT 45136 | not published | not published | $1,843.31 – $6,537.23 | 7 |
| Excise inferior turbinate CPT 30130 | not published | not published | $443.68 – $1,432.80 | 7 |
| Excise intestine lesion(s) 44110 CPT 44110 | not published | not published | $862.21 – $3,007.69 | 7 |
| Excise intraspinl lesion crv CPT 63265 | not published | not published | $1,639.27 – $5,669.36 | 7 |
| Excise intrspinl lesion crvl CPT 63270 | not published | not published | $2,016.38 – $6,976.20 | 7 |
| Excise intrspinl lesion lmbr CPT 63267 | not published | not published | $1,362.42 – $4,707.79 | 7 |
| Excise intrspinl lesion lmbr CPT 63272 | not published | not published | $1,844.69 – $6,425.44 | 7 |
| Excise intrspinl lesion scrl CPT 63268 | not published | not published | $1,433.96 – $4,836.64 | 7 |
| Excise intrspinl lesion scrl CPT 63273 | not published | not published | $1,818.47 – $6,273.68 | 7 |
| Excise intrspinl lesion thrc CPT 63271 | not published | not published | $2,014.70 – $6,978.94 | 7 |
| Excise lesion testis CPT 54512 | not published | not published | $562.92 – $1,968.64 | 7 |
| Excise lip or cheek fold CPT 40819 | not published | not published | $212.85 – $1,033.84 | 7 |
| Excise lwr jaw cyst w/repair CPT 21047 | not published | not published | $1,270.55 – $4,670.10 | 7 |
| Excise mandible lesion CPT 21040 | not published | not published | $384.86 – $1,816.05 | 7 |
| Excise max/zygoma b9 tumor CPT 21030 | not published | not published | $383.43 – $1,801.91 | 7 |
| Excise max/zygoma mal tumor CPT 21034 | not published | not published | $1,176.97 – $4,702.13 | 7 |
| Excise oral mucosa for graft 40818 CPT 40818 | not published | not published | $281.44 – $1,340.06 | 12 |
| Excise parotid gland/lesion CPT 42410 | not published | not published | $659.55 – $2,244.98 | 7 |
| Excise parotid gland/lesion CPT 42415 | not published | not published | $1,105.69 – $3,799.91 | 7 |
| Excise parotid gland/lesion CPT 42420 | not published | not published | $1,236.53 – $4,267.76 | 7 |
| Excise parotid gland/lesion CPT 42425 | not published | not published | $877.17 – $3,010.80 | 7 |
| Excise parotid gland/lesion CPT 42426 | not published | not published | $1,402.00 – $4,859.14 | 7 |
| Excise pharynx lesion CPT 42808 | not published | not published | $175.30 – $827.74 | 7 |
| Excise/repair mouth lesion CPT 40812 | not published | not published | $193.25 – $1,046.18 | 7 |
| Excise sacral spine tumor CPT 49215 | not published | not published | $2,237.29 – $7,864.39 | 7 |
| Excise sublingual gland CPT 42450 | not published | not published | $385.28 – $1,673.29 | 7 |
| Excise submaxillary gland CPT 42440 | not published | not published | $438.28 – $1,485.79 | 7 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | not published | not published | $344.84 – $1,637.55 | 7 |
| Excise tendon forearm/wrist CPT 25109 | not published | not published | $566.28 – $1,930.84 | 7 |
| Excise wrist tendon sheath CPT 25118 | not published | not published | $408.40 – $1,371.71 | 7 |
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $157.61 – $563.59 | 7 |
| Excision aural polyp CPT 69540 | not published | not published | $138.50 – $742.13 | 7 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | not published | not published | $141.57 – $1,420.44 | 12 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | not published | not published | $144.08 – $648.38 | 7 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $1,496.25 | $2,625.00 | $122.41 – $1,420.44 | 12 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $2,473.80 | $4,340.00 | $257.47 – $1,134.90 | 7 |
| Excision breast lesion CPT 19125 | $1,424.43 | $2,499.00 | $470.79 – $1,970.93 | 7 |
| Excision coa w/graft CPT 33845 | not published | not published | $1,316.24 – $4,667.74 | 7 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $229.44 – $1,211.21 | 7 |
| Excision graft abdomen CPT 35907 | not published | not published | $1,836.67 – $6,607.01 | 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.