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 |
|---|---|---|---|---|
| Excision graft extremity CPT 35903 | not published | not published | $553.90 – $1,980.75 | 7 |
| Excision graft neck CPT 35901 | not published | not published | $466.89 – $1,643.40 | 7 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $1,613.90 – $6,177.00 | 7 |
| Excision gum each quadrant CPT 41820 | not published | not published | $864.98 – $864.98 | 2 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $894.39 – $2,969.48 | 7 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $170.17 – $973.99 | 7 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $342.92 – $1,689.98 | 7 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | not published | not published | $140.88 – $867.15 | 7 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $143.44 – $1,061.03 | 7 |
| Excision of bile duct cyst CPT 47715 | not published | not published | $1,330.75 – $4,694.18 | 7 |
| Excision of bile duct tumor CPT 47711 | not published | not published | $1,558.49 – $5,501.44 | 7 |
| Excision of bile duct tumor CPT 47712 | not published | not published | $1,982.34 – $7,031.89 | 7 |
| Excision of bowel lesion(s) CPT 44111 | not published | not published | $988.21 – $3,488.78 | 7 |
| Excision of brain tumor CPT 61545 | not published | not published | $3,077.14 – $10,692.08 | 7 |
| Excision of esophagus lesion CPT 43100 | not published | not published | $669.16 – $2,268.60 | 7 |
| Excision of esophagus lesion CPT 43101 | not published | not published | $996.86 – $3,525.15 | 7 |
| Excision of gum flap CPT 41821 | not published | not published | $195.86 – $195.86 | 2 |
| Excision of gum lesion CPT 41822 | not published | not published | $210.52 – $1,249.09 | 7 |
| Excision of gum lesion CPT 41823 | not published | not published | $386.46 – $1,839.15 | 7 |
| Excision of gum lesion CPT 41826 | not published | not published | $207.34 – $1,146.19 | 7 |
| Excision of gum lesion CPT 41827 | not published | not published | $306.03 – $1,630.46 | 7 |
| Excision of gum lesion CPT 41828 | not published | not published | $230.07 – $1,253.78 | 7 |
| Excision of gum lesion 41825 CPT 41825 | not published | not published | $129.47 – $793.73 | 7 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $854.20 – $2,957.74 | 7 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $622.76 – $2,127.86 | 7 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $787.24 – $2,724.56 | 7 |
| Excision of mouth lesion complex 40816 CPT 40816 | not published | not published | $322.25 – $1,459.24 | 7 |
| Excision of neck cyst CPT 42815 | not published | not published | $567.02 – $1,968.34 | 7 |
| Excision of neck cyst confined 42810 CPT 42810 | not published | not published | $300.82 – $1,396.24 | 7 |
| Excision of penis lesion(s) 54060 CPT 54060 | not published | not published | $139.22 – $682.99 | 7 |
| Excision of rectal lesion CPT 45160 | not published | not published | $1,030.87 – $3,608.29 | 7 |
| Excision of rectal prolapse CPT 45135 | not published | not published | $1,344.12 – $4,715.48 | 7 |
| Excision of rectal stricture CPT 45150 | not published | not published | $432.61 – $1,480.35 | 7 |
| Excision of salivary cyst CPT 42408 | not published | not published | $370.77 – $1,925.18 | 7 |
| Excision of skull/sutures CPT 61558 | not published | not published | $1,833.75 – $6,319.28 | 7 |
| Excision of skull/sutures CPT 61559 | not published | not published | $2,331.48 – $8,048.14 | 7 |
| Excision of skull tumor CPT 61563 | not published | not published | $1,923.68 – $6,655.61 | 7 |
| Excision of skull tumor CPT 61564 | not published | not published | $2,330.39 – $8,076.45 | 7 |
| Excision of stomach lesion CPT 43610 | not published | not published | $980.14 – $3,460.99 | 7 |
| Excision of stomach lesion CPT 43611 | not published | not published | $1,231.24 – $4,314.56 | 7 |
| Excision of tongue lesion CPT 41112 | not published | not published | $257.66 – $1,221.49 | 7 |
| Excision of tongue lesion CPT 41114 | not published | not published | $652.53 – $2,245.09 | 7 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | not published | not published | $279.82 – $1,327.01 | 7 |
| Excision of tonsil tags CPT 42860 | not published | not published | $207.33 – $682.28 | 7 |
| Excision of umbilicus 49250 CPT 49250 | not published | not published | $606.46 – $2,088.26 | 7 |
| Excision of uvula CPT 42140 | not published | not published | $173.73 – $1,023.98 | 7 |
| Excision of vaginal septum 57130 CPT 57130 | not published | not published | $181.33 – $745.50 | 7 |
| Excision olecranon bursa CPT 24105 | not published | not published | $385.31 – $1,271.59 | 7 |
| Excision perinephric cyst CPT 50290 | not published | not published | $936.59 – $3,286.05 | 7 |
| Excision radial head CPT 24130 | not published | not published | $539.96 – $1,828.31 | 7 |
| Excision tongue lesion without closure 41110 CPT 41110 | not published | not published | $137.58 – $800.81 | 7 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | not published | not published | $480.82 – $1,663.54 | 7 |
| Excis partial tal calc CPT 28120 | not published | not published | $524.85 – $2,478.15 | 7 |
| Excis uppr jaw cyst w/repair CPT 21049 | not published | not published | $1,206.29 – $4,364.70 | 7 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | not published | not published | $695.74 – $2,435.06 | 7 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | not published | not published | $493.16 – $1,668.04 | 7 |
| Exc les conjunctiva <1 cm CPT 68110 | not published | not published | $157.35 – $853.05 | 7 |
| Exc les conjunctiva >1 cm CPT 68115 | not published | not published | $193.52 – $1,181.66 | 7 |
| Exc les conjunctiva adj scl CPT 68130 | not published | not published | $437.69 – $1,994.96 | 7 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | not published | not published | $130.22 – $767.70 | 7 |
| Excl laa open any method 33267 CPT 33267 | not published | not published | $1,026.81 – $3,718.13 | 6 |
| Excl laa opn oth px any meth 33268 CPT 33268 | not published | not published | $125.46 – $462.08 | 6 |
| Excl laa thrscp any method CPT 33269 | not published | not published | $816.56 – $2,943.98 | 6 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | not published | not published | $133.71 – $1,420.44 | 12 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | not published | not published | $190.71 – $1,420.44 | 12 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | not published | not published | $292.55 – $1,414.95 | 7 |
| Exc malig feenl >4cm 11646 CPT 11646 | not published | not published | $401.16 – $1,837.28 | 7 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | not published | not published | $129.63 – $717.00 | 7 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | not published | not published | $156.75 – $1,420.44 | 12 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | not published | not published | $218.64 – $1,082.63 | 7 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $1,069.89 | $1,877.00 | $128.78 – $1,420.44 | 12 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $1,265.40 | $2,220.00 | $156.25 – $1,420.44 | 12 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $1,496.25 | $2,625.00 | $170.13 – $896.06 | 12 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $1,769.28 | $3,104.00 | $202.45 – $1,420.44 | 12 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $2,091.90 | $3,670.00 | $221.84 – $1,420.44 | 12 |
| Exc mandible 21025 CPT 21025 | not published | not published | $700.29 – $3,026.06 | 7 |
| Exc neck tum deep < 5 cm CPT 21556 | not published | not published | $549.56 – $1,887.15 | 7 |
| Exc neck tum deep 5 cm/> CPT 21554 | not published | not published | $750.57 – $2,593.76 | 7 |
| Exc of facial bones/osteomy/abcess 21026 CPT 21026 | not published | not published | $455.98 – $2,058.75 | 7 |
| Exc of rectal prlpse 45130 CPT 45130 | not published | not published | $1,110.24 – $3,904.24 | 7 |
| Exc of residual cervix 57540 CPT 57540 | not published | not published | $820.68 – $2,848.65 | 7 |
| Exc of residual cervix via aginal approach 57550 CPT 57550 | not published | not published | $452.12 – $1,524.53 | 7 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | not published | not published | $190.06 – $1,116.49 | 7 |
| Exc prtl bn phlnx toe CPT 28124 | not published | not published | $359.30 – $1,769.55 | 7 |
| Exc rect tum transanal full CPT 45172 | not published | not published | $852.32 – $2,931.79 | 7 |
| Exc rect tum transanal part CPT 45171 | not published | not published | $640.13 – $2,175.56 | 7 |
| Exc sac pr ulc prim str ostc CPT 15933 | not published | not published | $896.20 – $3,071.40 | 7 |
| Exc sac pr ulc skn flp ostc CPT 15935 | not published | not published | $1,196.74 – $4,139.59 | 7 |
| Exc sacral pr ulc prim sutr CPT 15931 | not published | not published | $718.77 – $2,468.66 | 7 |
| Exc sacral pr ulc skn flap CPT 15934 | not published | not published | $1,019.69 – $3,366.90 | 7 |
| Exc shoulder tum deep < 5 cm CPT 23076 | not published | not published | $562.66 – $1,926.19 | 7 |
| Exc skn hdrdnt ax complex CPT 11451 | not published | not published | $342.43 – $1,820.78 | 7 |
| Exc skn hdrdnt ax smpl/ntrm CPT 11450 | not published | not published | $271.18 – $1,461.64 | 7 |
| Exc skn hdrdnt ing complex CPT 11463 | not published | not published | $345.15 – $1,852.05 | 7 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | not published | not published | $177.99 – $1,420.44 | 12 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | not published | not published | $247.34 – $1,222.80 | 7 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | not published | not published | $299.47 – $1,466.55 | 7 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | not published | not published | $321.14 – $1,703.14 | 7 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | not published | not published | $458.97 – $1,578.98 | 7 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | not published | not published | $320.68 – $1,536.19 | 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.