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 |
|---|---|---|---|---|
| Harvest auto stem cells CPT 38206 | not published | not published | $87.13 – $314.81 | 7 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $127.54 – $939.26 | 7 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $436.60 – $1,501.73 | 7 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $329.09 – $1,202.40 | 7 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $49.12 – $882.61 | 11 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $304.55 – $1,108.61 | 7 |
| Hast w/i&r phys/qhp CPT 94452 | $131.67 | $231.00 | $14.89 – $260.23 | 12 |
| Hast w/oxygen titrate CPT 94453 | $131.67 | $231.00 | $19.44 – $260.23 | 12 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $600.00 – $2,316.00 | 12 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $202.40 – $781.26 | 12 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $375.25 – $1,448.47 | 12 |
| Hbb full gene sequence CPT 81364 | not published | not published | $324.58 – $1,252.88 | 12 |
| Hbb gene com variants CPT 81361 | not published | not published | $174.81 – $674.77 | 12 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $202.40 – $781.26 | 12 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $375.25 – $1,448.47 | 12 |
| Hb glycosylated a1c home dev CPT 83037 | $11.40 | $20.00 | $9.71 – $37.48 | 16 |
| Hbot, full body chamber, 30m HCPCS G0277 | $337.44 | $592.00 | $194.23 – $441.83 | 6 |
| Hc ea ha check monaural CPT 92594 | not published | not published | $67.94 – $67.94 | 2 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $173.85 | $305.00 | $58.99 – $359.39 | 12 |
| Hcg free betachain test CPT 84704 | $17.67 | $31.00 | $15.29 – $59.02 | 16 |
| Hcg qualitative CPT 84703 | $38.76 | $68.00 | $7.52 – $29.03 | 16 |
| Hcg quantitative CPT 84702 | $61.56 | $108.00 | $15.05 – $58.09 | 16 |
| Hc hearing aid chck binaurl CPT 92593 | not published | not published | $118.23 – $118.23 | 2 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | $71.49 – $71.49 | 2 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $229.40 – $229.40 | 2 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | $180.32 – $180.32 | 2 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $139.89 – $641.33 | 7 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $370.34 – $2,414.14 | 12 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $196.92 – $1,447.76 | 7 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $332.19 – $2,262.38 | 12 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $52.10 – $283.50 | 7 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $182.61 – $1,384.46 | 7 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $48.80 – $1,086.69 | 12 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $386.30 – $848.52 | 7 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $24.58 – $811.23 | 12 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $45.73 – $1,086.69 | 12 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $77.89 – $187.17 | 7 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | not published | not published | $129.85 – $475.73 | 6 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $1,767.00 | $3,100.00 | $110.08 – $1,400.70 | 11 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $2,005.26 | $3,518.00 | $214.29 – $1,400.70 | 11 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $2,241.24 | $3,932.00 | $302.63 – $1,400.70 | 11 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $59.26 – $530.92 | 11 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $78.98 – $530.92 | 11 |
| Head CT scan (with and without contrast) CPT 70470 | $837.90 | $1,470.00 | $64.27 – $359.39 | 12 |
| Head CT scan (with contrast) CPT 70460 | $768.36 | $1,348.00 | $57.14 – $359.39 | 12 |
| Head CT scan (without contrast) CPT 70450 | $698.25 | $1,225.00 | $42.89 – $214.68 | 12 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $679.57 – $2,623.14 | 12 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $1,706.25 – $6,272.50 | 7 |
| Heart first pass add-on CPT 78496 | not published | not published | $24.95 – $50.45 | 7 |
| Heart first pass multiple CPT 78483 | not published | not published | $73.26 – $1,086.69 | 12 |
| Heart image spect CPT 78494 | not published | not published | $59.13 – $811.23 | 12 |
| Heart infarct image CPT 78466 | not published | not published | $34.18 – $811.23 | 12 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $39.83 – $1,086.69 | 12 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $1,520.72 – $5,452.58 | 7 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $127.32 – $459.79 | 7 |
| Heavy metal qual any number CPT 83015 | not published | not published | $20.94 – $80.83 | 16 |
| Heinz bodies direct CPT 85441 | not published | not published | $4.20 – $16.21 | 16 |
| Heinz bodies induced CPT 85445 | not published | not published | $6.82 – $26.33 | 16 |
| Helicobacter pylori antibody igm CPT 86677 | $22.80 | $40.00 | $8.32 – $65.04 | 16 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $8.19 – $31.61 | 16 |
| Hematocrit CPT 85014 | $6.84 | $12.00 | $2.37 – $9.15 | 16 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $117.34 – $452.49 | 12 |
| Hemicrt intrclry algrft prtl CPT 20933 | not published | not published | $695.64 – $2,358.00 | 6 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $703.38 – $2,399.21 | 7 |
| Hemodialysis access study CPT 90940 | not published | not published | $190.94 – $190.94 | 2 |
| Hemodialysis one evaluation CPT 90935 | $801.99 | $1,407.00 | $75.20 – $1,412.63 | 12 |
| Hemodialysis repeated eval CPT 90937 | not published | not published | $108.10 – $347.77 | 7 |
| Hemoglobin CPT 85018 | $9.69 | $17.00 | $2.37 – $9.15 | 16 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $3.38 – $15.48 | 16 |
| Hemoglobin fetal qualitative CPT 83033 | $11.40 | $20.00 | $8.00 – $30.88 | 16 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $10.74 – $41.46 | 16 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $7.98 | $14.00 | $4.19 – $31.65 | 16 |
| Hemoglobin-oxygen affinity CPT 82820 | not published | not published | $13.34 – $51.49 | 16 |
| Hemoglobin plasma CPT 83051 | $9.12 | $16.00 | $4.98 – $28.22 | 16 |
| Hemoglobin thermolabile CPT 83065 | not published | not published | $9.00 – $34.74 | 16 |
| Hemoglobin urine CPT 83069 | not published | not published | $3.95 – $15.25 | 16 |
| Hemolysin acid CPT 85475 | not published | not published | $8.87 – $34.24 | 16 |
| Hemolysins/agglutinins auto CPT 86940 | not published | not published | $8.77 – $33.85 | 16 |
| Hemolysins and agglutinins incubated CPT 86941 | not published | not published | $12.11 – $46.74 | 16 |
| Hemoperfusion CPT 90997 | not published | not published | $93.15 – $299.40 | 7 |
| Hemophilus influenza antibdy CPT 86684 | not published | not published | $15.84 – $61.14 | 16 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $461.35 – $1,578.34 | 6 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $202.55 – $1,840.61 | 12 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $400.75 – $1,372.05 | 7 |
| Heparin assay CPT 85520 | $74.67 | $131.00 | $13.09 – $50.53 | 16 |
| Heparin bolus from bag HCPCS J1644 | $16.54 | $29.02 | $0.34 – $0.38 | 6 |
| Heparin neutralization CPT 85525 | not published | not published | $11.84 – $45.70 | 16 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $0.50 | $0.88 | $0.03 – $0.09 | 6 |
| Heparin-protamine tolerance CPT 85530 | not published | not published | $13.09 – $50.53 | 16 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | not published | $2,331.16 – $8,225.06 | 7 |
| Hepatitis a antibody igm CPT 86709 | $27.36 | $48.00 | $11.26 – $43.46 | 16 |
| Hepatitis b core antibody igm CPT 86705 | $34.77 | $61.00 | $11.77 – $45.43 | 16 |
| Hepatitis b core antibody total CPT 86704 | $29.07 | $51.00 | $12.05 – $46.51 | 16 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $252.94 | $443.76 | $143.22 – $1,400.00 | 12 |
| Hepatitis b surface ag quan CPT 87467 | not published | not published | $15.80 – $53.17 | 11 |
| Hepatitis b surface antibody CPT 86706 | $45.03 | $79.00 | $10.74 – $41.46 | 16 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $197.05 – $1,400.00 | 5 |
| Hepatitis c antibody CPT 86803 | $16.53 | $29.00 | $14.27 – $55.08 | 16 |
| Hepatitis c rna dir probe CPT 87520 | not published | not published | $28.69 – $120.51 | 16 |
| Hepatitis d quantification CPT 87523 | $99.18 | $174.00 | $42.84 – $188.92 | 10 |
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.