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 |
|---|---|---|---|---|
| Ext ecg>7d<15d rev&interpj CPT 93248 | not published | not published | $27.17 – $93.36 | 6 |
| Ext ecg>7d<15d scan a/r CPT 93247 | not published | not published | $123.92 – $260.23 | 11 |
| Extended culture of oocytes CPT 89272 | not published | not published | $76.99 – $1,649.19 | 8 |
| Extended visual field xm CPT 92083 | not published | not published | $28.75 – $260.23 | 12 |
| Extensive ear canal surgery 69150 CPT 69150 | not published | not published | $1,055.52 – $3,681.75 | 7 |
| Extensive ear/neck surgery 69155 CPT 69155 | not published | not published | $1,705.76 – $5,882.78 | 7 |
| Extensive hand surgery CPT 26250 | not published | not published | $1,100.80 – $3,804.49 | 7 |
| Extensive hysterectomy CPT 58285 | not published | not published | $1,476.27 – $5,045.14 | 7 |
| Extensive jaw surgery CPT 21045 | not published | not published | $1,252.51 – $4,375.13 | 7 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $1,326.09 – $4,437.94 | 7 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $1,760.73 – $5,942.03 | 7 |
| Extensive prostate surgery CPT 55810 | not published | not published | $1,355.15 – $4,790.85 | 7 |
| Extensive prostate surgery CPT 55812 | not published | not published | $1,665.56 – $5,884.84 | 7 |
| Extensive prostate surgery CPT 55815 | not published | not published | $1,822.15 – $6,446.51 | 7 |
| Extensive prostate surgery CPT 55840 | not published | not published | $1,215.09 – $4,280.18 | 7 |
| Extensive prostate surgery CPT 55842 | not published | not published | $1,214.61 – $4,281.08 | 7 |
| Extensive prostate surgery CPT 55845 | not published | not published | $1,411.47 – $4,983.75 | 7 |
| Extensive prostate surgery CPT 55862 | not published | not published | $1,137.96 – $4,010.66 | 7 |
| Extensive prostate surgery CPT 55865 | not published | not published | $1,384.86 – $4,884.00 | 7 |
| Extensive removal of liver CPT 47122 | not published | not published | $3,392.35 – $12,072.00 | 7 |
| Extensive sternum surgery CPT 21632 | not published | not published | $1,212.43 – $4,243.61 | 7 |
| Extensive surgery of throat CPT 42842 | not published | not published | $1,059.98 – $3,637.35 | 7 |
| Extensive surgery of throat CPT 42844 | not published | not published | $1,441.22 – $5,008.95 | 7 |
| Extensive surgery of throat CPT 42845 | not published | not published | $2,290.55 – $8,058.30 | 7 |
| Extensive testis surgery CPT 54535 | not published | not published | $777.78 – $2,723.81 | 7 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $1,702.20 – $5,953.91 | 7 |
| Extensive vulva surgery CPT 56632 | not published | not published | $1,496.56 – $5,031.45 | 7 |
| External cannula declotting CPT 36860 | not published | not published | $107.63 – $877.76 | 7 |
| External chromosome analysis 20-25 cells CPT 88264 | $373.35 | $655.00 | $144.61 – $558.19 | 16 |
| External ocular photography CPT 92285 | not published | not published | $3.06 – $79.23 | 12 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | not published | not published | $20.38 – $49.43 | 8 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $3,590.39 – $14,949.78 | 10 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $257.07 | $451.00 | $71.24 – $554.88 | 16 |
| Extnd color vision xm CPT 92283 | not published | not published | $8.96 – $119.91 | 12 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $45.03 | $79.00 | $17.93 – $69.21 | 16 |
| Extraction of lens CPT 66930 | not published | not published | $904.81 – $3,121.69 | 7 |
| Extraction of lens CPT 66940 | not published | not published | $829.04 – $2,851.50 | 7 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $790.59 – $2,738.51 | 7 |
| Eye allergy tests CPT 95060 | not published | not published | $41.87 – $260.23 | 12 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $28.72 – $108.19 | 7 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $163.95 – $1,113.26 | 7 |
| Eye suture during surgery CPT 67335 | not published | not published | $195.81 – $537.49 | 7 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $175.40 – $677.04 | 12 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $282.88 – $1,091.92 | 12 |
| F-18 fdg pet diag HCPCS A9552 | $981.54 | $1,722.00 | $599.96 – $599.96 | 2 |
| F9 full gene sequence CPT 81238 | not published | not published | $600.00 – $2,316.00 | 12 |
| Face bone graft CPT 21210 | not published | not published | $803.01 – $7,254.08 | 7 |
| Facial bones <3 CPT 70140 | $50.73 | $89.00 | $10.06 – $177.77 | 12 |
| Facial nerve function test CPT 92516 | not published | not published | $23.89 – $628.68 | 12 |
| Factor ix CPT 85250 | $46.17 | $81.00 | $19.04 – $73.49 | 16 |
| Factor ix recombinant nos HCPCS J7195 | $3.04 | $5.34 | $0.72 – $2.85 | 7 |
| Factor viii CPT 85240 | $21.09 | $37.00 | $10.01 – $69.09 | 16 |
| Fallopian tube recnl CPT 58345 | not published | not published | $300.57 – $1,031.81 | 7 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $28.64 – $60.14 | 5 |
| Family therapy without pt 50min 90846 CPT 90846 | $725.04 | $1,272.00 | $106.57 – $340.30 | 12 |
| Family therapy with patient 50 min 90847 CPT 90847 | $725.04 | $1,272.00 | $111.39 – $352.47 | 12 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $43.39 | $76.13 | $36.93 – $76.13 | 6 |
| Fancc gene CPT 81242 | not published | not published | $36.62 – $141.35 | 12 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $962.57 – $3,275.25 | 7 |
| Fat/lipids feces qualitative CPT 82705 | $13.68 | $24.00 | $5.10 – $19.69 | 16 |
| Fatty acids nonesterified CPT 82725 | $26.79 | $47.00 | $18.77 – $72.45 | 16 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.56 – $17.60 | 16 |
| #fecal-sodium CPT 84302 | $19.38 | $34.00 | $4.86 – $18.76 | 16 |
| Feeding tube reposition CPT 74355 | not published | not published | $38.46 – $93.25 | 7 |
| Fees w/laryngeal sense i&r CPT 92617 | not published | not published | $43.27 – $137.70 | 7 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $105.93 – $714.06 | 12 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $27.36 | $48.00 | $18.64 – $71.95 | 12 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $224.31 – $822.53 | 7 |
| Fem/popl revasc w/stent CPT 37226 | $26,157.30 | $45,890.00 | $500.43 – $36,487.65 | 7 |
| Feno poc CPT 95012 | not published | not published | $20.10 – $79.23 | 12 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $2.51 | $4.40 | $1.19 – $3.84 | 6 |
| Fern test HCPCS Q0114 | $11.97 | $21.00 | $10.23 – $16.09 | 9 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $3.32 | $5.83 | $1.23 – $5.83 | 7 |
| Ferritin CPT 82728 | $38.76 | $68.00 | $13.63 – $52.61 | 16 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $3.69 | $6.48 | $0.51 – $6.48 | 7 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $795.00 – $3,068.70 | 12 |
| Fetal biophys profile w/nst 76818 CPT 76818 | not published | not published | $54.02 – $214.68 | 12 |
| Fetal chrmoml microdeltj CPT 81422 | $879.51 | $1,543.00 | $759.05 – $2,929.93 | 13 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $879.51 | $1,543.00 | $759.05 – $2,929.93 | 12 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $275.31 | $483.00 | $36.10 – $406.14 | 12 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $196.40 – $697.05 | 12 |
| Fetal fibronectin CPT 82731 | $152.76 | $268.00 | $64.41 – $248.62 | 16 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $292.44 – $1,348.58 | 12 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $18.24 | $32.00 | $7.73 – $29.84 | 16 |
| Fetal hemoglobin rosette CPT 85461 | $17.10 | $30.00 | $9.36 – $36.13 | 16 |
| Fetal lung maturity assess lam body dnst CPT 83664 | not published | not published | $19.32 – $74.58 | 16 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $40.77 – $145.28 | 7 |
| Fetal monitor w/report CPT 59050 | not published | not published | $48.52 – $175.46 | 7 |
| Fetal non stress test CPT 59025 | $258.78 | $454.00 | $28.86 – $406.14 | 12 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $109.07 – $614.12 | 12 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $292.44 – $1,803.79 | 12 |
| #_fet/norfentcnfrmur CPT 80354 | $43.89 | $77.00 | $31.67 – $33.34 | 3 |
| Fibrin degradation d dimer quantitative CPT 85379 | $27.93 | $49.00 | $10.18 – $39.29 | 16 |
| Fibrin degradation products CPT 85362 | $18.24 | $32.00 | $6.89 – $26.60 | 16 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $9.72 – $37.52 | 16 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $10.18 – $39.29 | 16 |
| Fibrinogen activity CPT 85384 | $28.50 | $50.00 | $9.72 – $37.52 | 16 |
| Fibrinogen test CPT 85370 | not published | not published | $11.59 – $47.98 | 16 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $17.67 | $31.00 | $7.39 – $59.75 | 16 |
| Fibrinolytic antiplasmin CPT 85410 | not published | not published | $7.71 – $29.76 | 16 |
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.