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 |
|---|---|---|---|---|
| Frozen blood thaw CPT 86931 | not published | not published | $66.34 – $345.95 | 8 |
| Frozen cell preparation CPT 88241 | not published | not published | $10.00 – $46.67 | 16 |
| Fructosamine glycated protein CPT 82985 | $41.04 | $72.00 | $16.76 – $64.69 | 16 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $139.30 – $759.26 | 7 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $77.27 – $527.33 | 7 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $1,561.74 – $5,741.25 | 7 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $69.52 – $268.35 | 12 |
| Ftl cgen abnor four anal CPT 81511 | not published | not published | $153.50 – $592.51 | 12 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $55.54 – $214.38 | 12 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $54.30 – $209.60 | 12 |
| Full field erg w/i&r CPT 92273 | not published | not published | $38.69 – $628.68 | 11 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $11.54 – $488.00 | 12 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $890.68 – $3,634.65 | 7 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $639.55 – $2,784.64 | 7 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $70.15 – $487.84 | 7 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $836.52 – $3,365.51 | 7 |
| Functional brain mapping CPT 96020 | not published | not published | $167.07 – $333.76 | 7 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $22.17 – $260.23 | 12 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $2.67 | $4.69 | $0.68 – $4.69 | 6 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $3,210.22 – $11,429.74 | 7 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $1,376.28 – $4,852.91 | 7 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $1,382.34 – $4,903.43 | 7 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $1,393.12 – $4,915.13 | 7 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $1,313.55 – $4,634.10 | 7 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $1,473.27 – $5,204.51 | 7 |
| Fuse/graft added joint CPT 26863 | not published | not published | $230.15 – $810.90 | 7 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $1,522.08 – $5,382.98 | 7 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $2,999.66 – $10,678.99 | 7 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $1,663.34 – $5,867.63 | 7 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $1,301.92 – $4,610.48 | 7 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $1,098.81 – $3,857.81 | 7 |
| Fuse upper gi structures CPT 47721 | not published | not published | $1,354.34 – $4,778.21 | 7 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $811.13 – $2,661.68 | 7 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $904.46 – $2,988.23 | 7 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $1,047.87 – $3,669.86 | 7 |
| Fusion of big toe joint CPT 28750 | not published | not published | $608.55 – $2,914.28 | 7 |
| Fusion of big toe joint CPT 28755 | not published | not published | $356.66 – $1,875.83 | 7 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $1,283.92 – $4,582.35 | 7 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $103.19 – $368.44 | 7 |
| Fusion of finger joint CPT 26860 | not published | not published | $652.24 – $2,097.00 | 7 |
| Fusion of finger tendons CPT 26471 | not published | not published | $700.23 – $2,275.84 | 7 |
| Fusion of finger tendons CPT 26474 | not published | not published | $690.90 – $2,228.51 | 7 |
| Fusion of foot bones CPT 28730 | not published | not published | $762.25 – $2,659.61 | 7 |
| Fusion of foot bones CPT 28735 | not published | not published | $814.72 – $2,816.21 | 7 |
| Fusion of foot bones CPT 28740 | not published | not published | $650.66 – $3,066.15 | 7 |
| Fusion of hand joint CPT 26843 | not published | not published | $824.29 – $2,704.46 | 7 |
| Fusion of knee CPT 27580 | not published | not published | $1,519.78 – $5,212.54 | 7 |
| Fusion of knuckle CPT 26850 | not published | not published | $777.24 – $2,546.14 | 7 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $785.99 – $2,584.65 | 7 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $910.21 – $3,009.04 | 7 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $921.36 – $3,048.08 | 7 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $880.15 – $2,909.55 | 7 |
| Fusion of skull arteries CPT 61711 | not published | not published | $2,516.91 – $8,718.53 | 7 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $835.70 – $2,930.36 | 7 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $1,101.43 – $3,869.66 | 7 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $723.04 – $2,457.08 | 7 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $676.82 – $2,308.09 | 7 |
| Fusion of thumb CPT 26841 | not published | not published | $819.84 – $2,668.39 | 7 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $721.13 – $2,468.93 | 7 |
| Fusion of toes CPT 28280 | not published | not published | $368.20 – $1,893.94 | 7 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $1,408.92 – $4,930.31 | 7 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $1,225.33 – $4,304.81 | 7 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $1,196.64 – $4,218.41 | 7 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $274.83 – $1,060.84 | 12 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $137.00 – $528.82 | 12 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $274.83 – $1,060.84 | 12 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $185.20 – $714.87 | 12 |
| G6pc gene CPT 81250 | not published | not published | $58.49 – $225.77 | 12 |
| G6pd full gene sequence CPT 81249 | not published | not published | $600.00 – $2,316.00 | 12 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $174.81 – $674.77 | 12 |
| G6pd known familial variant CPT 81248 | not published | not published | $375.25 – $1,448.47 | 12 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $101.46 | $178.00 | $82.34 – $82.34 | 2 |
| Gabapentin non-blood CPT 80355 | not published | not published | $24.52 – $31.67 | 3 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $23.37 | $41.00 | $21.07 – $81.33 | 16 |
| Galactokinase - sendout CPT 82759 | not published | not published | $21.48 – $82.91 | 16 |
| Galactose transferase test CPT 82776 | not published | not published | $11.74 – $45.32 | 16 |
| Galectin-3 CPT 82777 | not published | not published | $24.29 – $170.81 | 16 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $665.89 – $2,324.78 | 7 |
| Gammaglobulin iga CPT 82784 | $23.37 | $41.00 | $9.30 – $35.90 | 16 |
| Gammaglobulin ige CPT 82785 | $38.76 | $68.00 | $16.46 – $63.54 | 16 |
| Gamma glutamyltransferase CPT 82977 | $23.94 | $42.00 | $7.20 – $27.79 | 16 |
| Gamunex-c/gammaked HCPCS J1561 | $119.38 | $209.44 | $47.86 – $209.44 | 7 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $35.09 – $135.45 | 16 |
| Gardner vag dna quant CPT 87512 | not published | not published | $41.76 – $161.19 | 16 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.71 – $25.90 | 16 |
| Gastric emptying imag study CPT 78265 | not published | not published | $48.45 – $811.23 | 11 |
| Gastric emptying imag study CPT 78266 | not published | not published | $52.18 – $1,086.69 | 11 |
| Gastric motility studies CPT 91020 | not published | not published | $77.14 – $1,071.21 | 12 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $29.77 – $811.23 | 12 |
| Gastrin test CPT 82938 | not published | not published | $17.69 – $68.28 | 16 |
| Gastroduodenostomy CPT 43810 | not published | not published | $1,016.12 – $3,582.23 | 7 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $34.28 – $811.23 | 12 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $52.25 – $1,071.21 | 12 |
| Gastrointestinal repair CPT 43360 | not published | not published | $2,207.23 – $7,873.88 | 7 |
| Gastrointestinal repair CPT 43361 | not published | not published | $2,679.14 – $9,466.61 | 7 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $1,346.37 – $4,735.28 | 7 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $1,309.35 – $4,611.34 | 7 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $1,951.48 – $6,865.54 | 7 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $621.01 – $2,133.98 | 12 |
| Gated heart multiple CPT 78473 | not published | not published | $72.90 – $811.23 | 12 |
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.