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 |
|---|---|---|---|---|
| Gba gene CPT 81251 | not published | not published | $47.25 – $182.39 | 12 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $22.38 | $39.27 | $5.12 – $31.44 | 6 |
| General health panel CPT 80050 | $91.77 | $161.00 | $55.18 – $61.92 | 3 |
| Genetic counseling 30 min CPT 96040 | not published | not published | $145.51 – $145.51 | 2 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $2,570.99 – $9,451.44 | 7 |
| Genioplasty augmentation CPT 21120 | not published | not published | $532.25 – $2,428.16 | 7 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $892.60 – $3,221.40 | 7 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $562.31 – $2,496.34 | 7 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $779.52 – $2,774.66 | 7 |
| Genome re-evaluation CPT 81427 | not published | not published | $2,454.53 – $9,023.33 | 7 |
| Genome sequence analysis CPT 81425 | not published | not published | $5,282.76 – $19,420.43 | 7 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,845.45 – $10,460.41 | 7 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $8.36 | $14.67 | $3.21 – $10.35 | 6 |
| Gentamicin peak therapeutic drug level CPT 80170 | $39.90 | $70.00 | $16.38 – $63.23 | 16 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,899.24 | $3,332.00 | $85.02 – $1,071.21 | 12 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $145.59 – $632.55 | 6 |
| Ghs abscess perianal iandd CPT 46050 | not published | not published | $105.92 – $1,840.61 | 12 |
| Ghs abscess postoperative iandd complex CPT 10180 | not published | not published | $184.09 – $911.85 | 7 |
| Ghs acetylcholinesterase, rbc CPT 82482 | not published | not published | $9.81 – $37.87 | 16 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $155.04 | $272.00 | $17.11 – $66.04 | 16 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $174.99 | $307.00 | $102.26 – $394.72 | 12 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $217.17 | $381.00 | $19.13 – $260.23 | 12 |
| Ghs antibodies (torch) igm CPT 86694 | $31.35 | $55.00 | $14.39 – $55.55 | 16 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $40.30 – $491.00 | 12 |
| Ghs bladder cath - complex-foley CPT 51703 | $266.19 | $467.00 | $78.79 – $359.91 | 12 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $4.82 – $18.61 | 16 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $986.67 | $1,731.00 | $57.07 – $1,398.10 | 12 |
| Ghs central line insert < age 5, failed CPT 36555 | not published | not published | $87.84 – $687.71 | 7 |
| Ghs change cysto/gastrost CPT 43762 | not published | not published | $37.54 – $823.39 | 11 |
| Ghs chemo >8 hrs CPT 96416 | $672.03 | $1,179.00 | $135.00 – $669.63 | 12 |
| Ghs chemo infusion >8 hrs CPT 96425 | $566.01 | $993.00 | $177.88 – $669.63 | 12 |
| Ghs chemo IV push, ea addtl CPT 96411 | $287.85 | $505.00 | $57.78 – $196.32 | 12 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $40.47 | $71.00 | $35.09 – $135.45 | 16 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | not published | not published | $230.61 – $1,008.56 | 12 |
| Ghs closed reduction ankle dislocation CPT 27840 | not published | not published | $230.61 – $1,347.94 | 12 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | not published | not published | $456.31 – $1,680.60 | 7 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $230.61 – $1,487.25 | 12 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | not published | not published | $518.70 – $1,918.50 | 7 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $823.36 – $2,860.99 | 7 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | $230.61 – $1,202.48 | 12 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | not published | not published | $469.77 – $1,716.75 | 7 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | not published | not published | $519.74 – $1,957.39 | 7 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | not published | not published | $230.61 – $1,874.06 | 12 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | not published | not published | $230.61 – $1,191.04 | 12 |
| Ghs community re-entry 15 minutes CPT 97537 | $78.09 | $137.00 | $30.80 – $64.68 | 12 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | not published | not published | $38.10 – $805.60 | 12 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | not published | not published | $30.77 – $260.23 | 12 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | not published | not published | $42.92 – $805.60 | 12 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | not published | not published | $53.34 – $260.23 | 12 |
| Ghs cricothyroidotomy CPT 31605 | not published | not published | $223.25 – $1,185.11 | 12 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $40.40 – $805.60 | 12 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $46.79 – $260.23 | 12 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $37.62 | $66.00 | $8.32 – $58.71 | 16 |
| Ghs dislocation elbow closed treatment CPT 24600 | not published | not published | $230.61 – $1,327.13 | 12 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $105.81 – $1,892.79 | 12 |
| Ghs ed rmvl or bivalving cast CPT 29700 | not published | not published | $33.90 – $536.17 | 12 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $986.67 | $1,731.00 | $106.50 – $1,398.10 | 11 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | not published | not published | $150.41 – $855.48 | 7 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $31.67 – $315.86 | 11 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $15.93 – $315.86 | 12 |
| Ghs elect vertical elct CPT 92547 | not published | not published | $11.42 – $27.78 | 7 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $74.02 – $806.59 | 12 |
| Ghs excision ingrown nail CPT 11765 | not published | not published | $99.52 – $806.59 | 12 |
| Ghs eye exam CPT 92002 | not published | not published | $48.75 – $278.31 | 12 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | not published | not published | $125.34 – $947.18 | 12 |
| Ghs fat & muscle CPT 89160 | not published | not published | $4.85 – $18.72 | 16 |
| Ghs fb removal foot - deep - left CPT 28192 | not published | not published | $331.83 – $1,726.13 | 7 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $256.08 – $1,718.51 | 7 |
| Ghs fb removal - incisional CPT 10121 | not published | not published | $192.00 – $980.78 | 7 |
| Ghs fb removal - non-incisional CPT 20520 | not published | not published | $155.76 – $763.80 | 7 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $6.98 – $26.94 | 16 |
| Ghs fish cytogen CPT 88271 | not published | not published | $20.71 – $82.68 | 16 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | not published | not published | $51.19 – $197.59 | 16 |
| Ghs flow volume loop CPT 94375 | $308.37 | $541.00 | $15.25 – $628.68 | 12 |
| Ghs gastric intub aspiration lavage CPT 43753 | not published | not published | $21.69 – $628.68 | 12 |
| Ghs hcv amplificaiton CPT 87521 | not published | not published | $35.09 – $135.45 | 16 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $9.18 – $88.66 | 16 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $15.49 – $59.79 | 16 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $9.47 – $36.55 | 16 |
| Ghs histoplasma antigen CPT 87385 | $58.14 | $102.00 | $13.25 – $51.15 | 16 |
| Ghs HIV antibody CPT 86703 | $33.06 | $58.00 | $13.71 – $52.92 | 16 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $92.09 – $409.70 | 16 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | not published | not published | $223.30 – $777.79 | 7 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | not published | not published | $441.56 – $1,961.44 | 7 |
| Ghs i and d pilonidal cyst complex CPT 10081 | not published | not published | $176.78 – $1,420.44 | 12 |
| Ghs i and d pilonidal cyst simple CPT 10080 | not published | not published | $110.75 – $1,420.44 | 12 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $25.36 – $115.49 | 16 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | not published | not published | $114.83 – $696.04 | 12 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $139.78 – $763.50 | 12 |
| Ghs inf midline insertion CPT 36140 | $2,533.65 | $4,445.00 | $87.18 – $1,736.85 | 7 |
| Ghs inhibitor screen CPT 85335 | $17.10 | $30.00 | $12.87 – $49.68 | 16 |
| Ghs init tx 1st degree burn CPT 16000 | not published | not published | $46.68 – $401.14 | 12 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $1,305.30 | $2,290.00 | $186.51 – $1,797.37 | 12 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $1,791.51 | $3,143.00 | $125.29 – $1,797.37 | 12 |
| Ghs inj tendon origin/insertion CPT 20551 | not published | not published | $40.13 – $595.94 | 12 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | not published | not published | $63.94 – $461.74 | 7 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,435.26 | $2,518.00 | $137.56 – $1,797.37 | 12 |
| Ghs insertion of needle - bone CPT 36680 | $540.93 | $949.00 | $59.94 – $805.60 | 12 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | not published | not published | $249.22 – $1,388.18 | 12 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | not published | not published | $288.44 – $1,542.79 | 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.