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 |
|---|---|---|---|---|
| Fibrinolytic plasmin CPT 85400 | not published | not published | $7.71 – $29.76 | 16 |
| Fibrinolytic plasminogen CPT 85415 | not published | not published | $17.19 – $66.35 | 16 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $10.18 – $39.29 | 16 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $39.33 | $69.00 | $6.53 – $25.21 | 16 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $2,520.20 – $8,886.26 | 7 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $715.03 – $2,511.00 | 7 |
| Filtered speech hearing test CPT 92571 | not published | not published | $32.95 – $87.20 | 12 |
| Filters elec/combo vad, rep HCPCS Q0500 | $573.05 | $1,005.35 | $30.63 – $30.63 | 2 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $850.54 – $2,959.35 | 7 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | not published | not published | $92.32 – $1,420.44 | 11 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | not published | not published | $52.62 – $613.16 | 6 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | not published | not published | $44.27 – $186.26 | 6 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $779.76 | $1,368.00 | $52.07 – $217.61 | 6 |
| Fine needle asp without image guide 10021 CPT 10021 | not published | not published | $56.54 – $806.59 | 12 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $751.46 | $1,318.35 | $448.30 – $448.30 | 2 |
| Finger tendon transfer CPT 26497 | not published | not published | $949.90 – $3,150.41 | 7 |
| Finger tendon transfer CPT 26498 | not published | not published | $1,228.37 – $4,131.79 | 7 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $1,131.16 – $3,837.49 | 7 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $697.07 – $2,400.49 | 7 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $57.10 – $143.55 | 7 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $57.10 – $165.99 | 7 |
| Fitg c-lens keratoconus 1st CPT 92072 | not published | not published | $100.81 – $429.02 | 7 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $37.73 – $79.23 | 7 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $37.73 – $79.23 | 7 |
| Fit spectacles bifocal CPT 92341 | not published | not published | $24.32 – $132.23 | 6 |
| Fit spectacles monofocal CPT 92340 | not published | not published | $19.04 – $114.62 | 6 |
| Fit spectacles multifocal CPT 92342 | not published | not published | $27.62 – $141.86 | 6 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $48.27 – $406.14 | 12 |
| Fixation of ankle joint CPT 27860 | not published | not published | $172.74 – $614.85 | 7 |
| Fixation of knee joint CPT 27570 | not published | not published | $161.93 – $540.08 | 7 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $1,006.11 – $3,469.65 | 7 |
| Fix g/colon tube w/device CPT 49460 | $1,703.73 | $2,989.00 | $51.67 – $2,668.73 | 12 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $704.82 – $2,375.10 | 7 |
| Flecainide (tambocor)-sendout CPT 80181 | $45.03 | $79.00 | $18.64 – $71.95 | 12 |
| Fl exam g/colon tube w contrast CPT 49465 | $824.22 | $1,446.00 | $31.35 – $557.44 | 12 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $58.84 – $1,840.61 | 12 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $748.85 – $2,564.10 | 7 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $816.34 – $2,806.88 | 7 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $96.74 – $565.54 | 7 |
| Flow cytometry interp 16 or more CPT 88189 | not published | not published | $49.79 – $251.70 | 8 |
| Flow cytometry marker each additional CPT 88185 | $80.37 | $141.00 | $23.29 – $125.85 | 8 |
| Flow cytometry one marker technical component CPT 88184 | $88.35 | $155.00 | $23.29 – $726.22 | 13 |
| #flow interp 9 - 15 markers CPT 88188 | not published | not published | $49.79 – $206.94 | 8 |
| Flt3 gene CPT 81245 | not published | not published | $165.51 – $638.87 | 15 |
| Flt3 gene analysis CPT 81246 | not published | not published | $83.00 – $320.38 | 15 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $16.93 | $29.70 | $3.23 – $15.40 | 6 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $516.37 | $905.91 | $266.89 – $905.91 | 6 |
| Fluidotherapy charges pt CPT 97022 | $41.04 | $72.00 | $14.89 – $48.46 | 12 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $91.79 – $1,420.44 | 12 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $36.65 – $1,071.21 | 12 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $45.21 – $628.68 | 12 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $57.55 – $628.68 | 11 |
| Fluorescent antibody titer dna CPT 86256 | $79.23 | $139.00 | $12.05 – $46.51 | 16 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $172.71 | $303.00 | $30.36 – $73.26 | 7 |
| Fluoroguide needle placement CPT 77002 | $111.72 | $196.00 | $28.35 – $67.88 | 7 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $18.91 – $72.99 | 16 |
| Fluoroscopy up to 1 hour CPT 76000 | $140.22 | $246.00 | $15.48 – $488.00 | 12 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $12.17 | $21.36 | $3.91 – $12.38 | 6 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $56.95 | $99.92 | $13.82 – $99.92 | 6 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | $4,560.00 | $8,000.00 | $3,668.97 – $6,534.00 | 3 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $126.15 – $488.00 | 12 |
| Fmri brain by tech CPT 70554 | $1,104.66 | $1,938.00 | $106.91 – $488.00 | 12 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,393.08 | $2,444.00 | $112.66 – $1,707.68 | 11 |
| Fna bx w/ct gdn ea addl CPT 10010 | $696.54 | $1,222.00 | $73.74 – $1,028.70 | 6 |
| Fna bx w/mr gdn 1st les CPT 10011 | $1,036.26 | $1,818.00 | $676.40 – $1,420.44 | 7 |
| Fna bx w/mr gdn ea addl CPT 10012 | $551.76 | $968.00 | $622.88 – $622.88 | 2 |
| Foam stability fetal lung CPT 83662 | not published | not published | $18.91 – $72.99 | 16 |
| Folic acid CPT 82746 | $41.61 | $73.00 | $14.70 – $56.74 | 16 |
| Follow-up angiography CPT 75898 | $1,818.30 | $3,190.00 | $90.22 – $209.81 | 7 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $588.80 – $2,747.36 | 7 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $21.14 | $37.09 | $9.18 – $11.96 | 3 |
| Fondaparinux sodium HCPCS J1652 | $4.48 | $7.85 | $1.43 – $4.50 | 6 |
| Fo nontorsion joint cf HCPCS L3935 | $552.33 | $969.00 | $201.42 – $201.42 | 2 |
| Foot arch support remov prem HCPCS L3030 | $209.76 | $368.00 | $76.44 – $76.44 | 2 |
| Foot longitudinal arch suppo HCPCS L3010 | $478.80 | $840.00 | $174.54 – $174.54 | 2 |
| Foot X-ray CPT 73630 | $103.74 | $182.00 | $8.60 – $177.77 | 12 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $1,039.69 – $4,044.19 | 7 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $737.20 – $753.85 | 3 |
| Forensic cytopathology CPT 88125 | not published | not published | $14.45 – $107.88 | 13 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | not published | not published | $58.83 – $491.00 | 12 |
| Formoterol fumarate, inh HCPCS J7606 | $15.89 | $27.87 | $4.87 – $27.87 | 6 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $0.83 | $1.46 | $0.17 – $1.46 | 6 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $28.18 | $49.43 | $13.81 – $13.81 | 2 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $28.50 – $110.01 | 16 |
| Fracture assessment via dxa CPT 77086 | $197.79 | $347.00 | $8.60 – $177.77 | 11 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $44.89 – $173.28 | 12 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $1,553.39 – $2,690.48 | 3 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $2,331.53 – $8,257.01 | 7 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $1,092.09 – $3,857.40 | 7 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $8,207.78 – $8,207.78 | 2 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $2,350.87 – $8,247.11 | 7 |
| Free omental flap microvasc CPT 49906 | not published | not published | $7,236.98 – $7,236.98 | 2 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $1,586.30 – $5,588.36 | 7 |
| Free skin flap microvasc CPT 15757 | not published | not published | $2,340.28 – $8,209.91 | 7 |
| Frenectomy 41115 CPT 41115 | not published | not published | $154.74 – $922.28 | 7 |
| Frenotomy 40806 CPT 40806 | not published | not published | $31.08 – $1,028.10 | 12 |
| Frenulotomy of penis CPT 54164 | not published | not published | $205.79 – $703.84 | 7 |
| Fresh frozen plasma thawing ea un CPT 86927 | $92.91 | $163.00 | $20.38 – $345.95 | 8 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $37.73 – $135.17 | 8 |
| Frozen blood prep CPT 86930 | not published | not published | $66.34 – $345.95 | 8 |
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.