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 |
|---|---|---|---|---|
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | not published | not published | $334.36 – $1,747.31 | 7 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $213.75 | $375.00 | $101.85 – $101.85 | 2 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | not published | not published | $137.97 – $766.61 | 12 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $117.42 | $206.00 | $19.66 – $93.16 | 11 |
| Ghs IV thrombolytics - cerebral CPT 37195 | not published | not published | $318.87 – $1,472.89 | 7 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | not published | not published | $159.82 – $1,008.71 | 12 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | not published | not published | $159.35 – $912.60 | 12 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | not published | not published | $152.50 – $915.04 | 12 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | not published | not published | $177.75 – $985.13 | 12 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $541.50 | $950.00 | $209.44 – $936.91 | 12 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | not published | not published | $205.85 – $1,089.79 | 12 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | not published | not published | $225.52 – $1,291.99 | 12 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | not published | not published | $214.85 – $1,172.44 | 12 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | not published | not published | $223.67 – $1,344.38 | 12 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | not published | not published | $228.60 – $1,355.14 | 12 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | not published | not published | $283.19 – $1,465.28 | 12 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | not published | not published | $311.20 – $1,751.81 | 12 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $322.56 – $1,745.93 | 12 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $384.09 – $2,057.14 | 12 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $357.21 – $1,913.21 | 7 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $384.09 – $2,183.21 | 12 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $8.60 – $33.20 | 16 |
| Ghs mbp CPT 83873 | $44.46 | $78.00 | $17.20 – $66.39 | 16 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $323.19 | $567.00 | $25.43 – $242.38 | 6 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $435.48 | $764.00 | $85.56 – $277.06 | 6 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $368.22 | $646.00 | $77.88 – $255.80 | 6 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $107.16 | $188.00 | $12.02 – $33.97 | 6 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $167.01 | $293.00 | $62.23 – $210.41 | 6 |
| Ghs musc test done w/n test comp CPT 95886 | not published | not published | $47.77 – $154.70 | 7 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | not published | not published | $19.59 – $62.77 | 7 |
| Ghs musc tst done w/n tst non ext CPT 95887 | not published | not published | $38.97 – $127.16 | 7 |
| Ghs myocardial strain img spckl track CPT 93356 | $922.83 | $1,619.00 | $12.05 – $130.77 | 6 |
| Ghs nailbed repair/nail removal CPT 11760 | not published | not published | $115.56 – $1,235.81 | 12 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,026.00 | $1,800.00 | $26.04 – $1,797.37 | 12 |
| Ghs nerve blk intercostal, single level CPT 64420 | $974.70 | $1,710.00 | $61.12 – $1,398.10 | 12 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $66.86 – $1,797.37 | 12 |
| Ghs nerve block brachial plexus CPT 64415 | $1,129.17 | $1,981.00 | $72.87 – $1,797.37 | 12 |
| Ghs nerve block celiac plexus CPT 64530 | $1,049.94 | $1,842.00 | $99.65 – $1,797.37 | 12 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $81.22 – $1,797.37 | 12 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,342.92 | $2,356.00 | $89.75 – $1,797.37 | 12 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $75.31 – $1,398.10 | 12 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $57.83 – $1,398.10 | 12 |
| Ghs ng placement w fluoro guidance CPT 43752 | $466.83 | $819.00 | $41.07 – $805.60 | 12 |
| Ghs o2 saturation CPT 82810 | $22.23 | $39.00 | $9.77 – $37.71 | 16 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $13.15 – $315.86 | 12 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $3.80 – $119.91 | 12 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $44.36 – $93.16 | 5 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $34.41 – $1,248.18 | 12 |
| Ghs opcc repair cvp w subq port CPT 36576 | $2,229.84 | $3,912.00 | $185.23 – $1,221.49 | 7 |
| Ghs optokenetic CPT 92544 | not published | not published | $9.66 – $315.86 | 12 |
| Ghs oscillating trac CPT 92545 | not published | not published | $9.63 – $628.68 | 12 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | not published | not published | $24.30 – $103.60 | 12 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $24.32 – $149.94 | 12 |
| Ghs ot dds rom CPT 95851 | not published | not published | $8.23 – $71.99 | 12 |
| Ghs ot group caregiver training CPT 97552 | $34.77 | $61.00 | $11.55 – $44.46 | 9 |
| Ghs ot prosthetic training/15 min CPT 97761 | $103.74 | $182.00 | $39.19 – $82.30 | 12 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $70.68 | $124.00 | $58.35 – $122.54 | 12 |
| Ghs ot work hardening-additional hours CPT 97546 | $98.61 | $173.00 | $77.97 – $77.97 | 2 |
| Ghs pacing - transcutaneous CPT 92953 | $868.68 | $1,524.00 | $0.85 – $1,321.09 | 12 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $739.86 | $1,298.00 | $62.92 – $350.59 | 7 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $661.77 | $1,161.00 | $54.21 – $324.19 | 7 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $25.87 – $74.19 | 8 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $143.84 – $691.58 | 12 |
| Ghs phenylketonurid CPT 84030 | $30.21 | $53.00 | $5.50 – $21.23 | 16 |
| Ghs picc line insert < 5 CPT 36568 | $2,645.94 | $4,642.00 | $93.88 – $655.94 | 7 |
| Ghs plngl fx pm cl CPT 26725 | not published | not published | $230.61 – $1,221.94 | 12 |
| Ghs plt ct-manual CPT 85032 | $5.13 | $9.00 | $4.31 – $16.64 | 16 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $1,874.73 | $3,289.00 | $131.82 – $2,053.97 | 12 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $13.11 – $260.23 | 12 |
| Ghs ppd (tb intradermal) CPT 86580 | $20.63 | $36.20 | $7.60 – $49.43 | 13 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | not published | not published | $9.66 – $37.29 | 16 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $5.61 – $21.65 | 16 |
| Ghs protoporphyrins fract CPT 84202 | $40.47 | $71.00 | $14.35 – $55.39 | 16 |
| Ghs pr without cont pulse ox CPT 94625 | $266.76 | $468.00 | $19.27 – $219.53 | 11 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $12.25 – $47.29 | 16 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $196.65 | $345.00 | $194.98 – $194.98 | 2 |
| Ghs quinidine CPT 80194 | not published | not published | $14.60 – $56.36 | 16 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $95.52 – $669.63 | 12 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $123.92 – $690.04 | 12 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $132.99 – $805.60 | 12 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $639.46 – $2,086.80 | 7 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $522.78 – $1,769.18 | 7 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $8.32 – $61.34 | 16 |
| Ghs reticulocyte count CPT 85044 | $11.40 | $20.00 | $4.31 – $16.64 | 16 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $13.91 – $53.69 | 16 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $4.27 – $16.48 | 16 |
| Ghs semen analysis fert CPT 89320 | $25.65 | $45.00 | $12.31 – $47.52 | 16 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.84 – $37.98 | 16 |
| Ghs sensitivity (per antimicro) CPT 87184 | $18.24 | $32.00 | $7.48 – $28.87 | 16 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $94.79 – $806.59 | 12 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $127.63 – $806.59 | 12 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $116.31 – $806.59 | 12 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $153.12 – $806.59 | 12 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $74.97 – $499.13 | 12 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $74.03 – $460.95 | 12 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $94.10 – $603.04 | 12 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $144.53 – $819.30 | 12 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $172.63 – $615.41 | 12 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $42.05 – $315.86 | 12 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $28.94 – $628.68 | 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.