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 |
|---|---|---|---|---|
| H pylori ag ia CPT 87339 | not published | not published | $16.00 – $61.76 | 16 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $67.36 – $260.01 | 16 |
| H pylori (c-13) breath CPT 83013 | not published | not published | $67.36 – $260.01 | 16 |
| H pylori drug admin CPT 83014 | not published | not published | $7.86 – $30.34 | 16 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $713.00 – $2,621.13 | 7 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | not published | not published | $460.88 – $1,694.27 | 7 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $584.90 – $2,257.71 | 13 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $584.90 – $2,257.71 | 12 |
| Hsv dna dir probe CPT 87528 | not published | not published | $20.05 – $77.39 | 16 |
| Htt gene charac alleles CPT 81274 | not published | not published | $274.83 – $1,060.84 | 12 |
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $137.00 – $528.82 | 12 |
| Human epididymis protein 4 (he4) CPT 86305 | $51.87 | $91.00 | $20.81 – $80.33 | 16 |
| Human ig IV CPT 90283 | not published | not published | $164.37 – $164.37 | 2 |
| Human ig sc CPT 90284 | not published | not published | $34.57 – $34.57 | 2 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $0.77 | $1.35 | $0.50 – $1.35 | 6 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $19.80 | $34.74 | $6.37 – $34.74 | 6 |
| Hydration IV infusion each additional hour CPT 96361 | $78.09 | $137.00 | $13.11 – $93.16 | 12 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $275.31 | $483.00 | $34.65 – $425.36 | 12 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $37.57 | $65.92 | $24.74 – $60.27 | 6 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $60.99 | $107.01 | $18.41 – $107.01 | 6 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $21.09 | $37.00 | $17.90 – $69.09 | 16 |
| Hymenotomy CPT 56442 | not published | not published | $49.31 – $170.03 | 7 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $1,028.51 – $3,551.89 | 7 |
| Hyperbaric oxygen therapy CPT 99183 | not published | not published | $109.35 – $441.09 | 7 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $8.32 – $39.29 | 16 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $101.69 – $1,400.70 | 12 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $76.34 – $530.92 | 12 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $82.69 – $1,167.85 | 12 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $74.20 – $1,167.85 | 12 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $104.19 – $1,167.85 | 12 |
| Hypnotherapy CPT 90880 | not published | not published | $88.93 – $363.28 | 12 |
| Hypothermia ill neonate CPT 99184 | not published | not published | $226.18 – $493.34 | 6 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $1,115.96 – $3,834.41 | 7 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $1,027.56 – $3,576.15 | 7 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $1,096.39 – $3,826.76 | 7 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $949.63 – $3,310.05 | 7 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $270.72 – $966.71 | 7 |
| Hysterosalpingography s&i CPT 74740 | $238.83 | $419.00 | $19.41 – $488.00 | 12 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $251.90 – $7,115.36 | 7 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $237.01 – $5,061.75 | 7 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $155.60 – $1,171.95 | 7 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $290.71 – $1,037.03 | 7 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $227.09 – $1,427.59 | 7 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $365.97 – $1,303.28 | 7 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $319.94 – $1,139.78 | 7 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $851.61 – $2,945.51 | 7 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $220.09 – $220.09 | 2 |
| I-123 iobenguane diag HCPCS A9582 | $4,648.35 | $8,155.00 | $3,745.67 – $3,745.67 | 2 |
| I-123 ioflupane diag HCPCS A9584 | $3,425.70 | $6,010.00 | $3,657.58 – $3,657.58 | 2 |
| I131 iodide cap, rx HCPCS A9517 | $66.12 | $116.00 | $39.15 – $39.15 | 2 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $13.42 – $51.80 | 16 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $35.09 – $135.45 | 16 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $45.03 | $79.00 | $18.09 – $69.83 | 16 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $45.28 – $174.78 | 12 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $161.06 | $282.57 | $34.86 – $282.57 | 7 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,570.99 – $9,451.44 | 7 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $48.89 – $628.68 | 12 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $13.32 – $79.23 | 12 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $0.85 – $119.91 | 12 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $5.13 – $49.43 | 12 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $965.33 – $3,310.05 | 7 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $402.75 – $1,634.63 | 7 |
| Idarubicin hcl injection HCPCS J9211 | $92.93 | $163.03 | $30.40 – $163.03 | 7 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $101.28 – $1,031.44 | 7 |
| Identify sperm tissue CPT 89264 | not published | not published | $51.37 – $107.88 | 8 |
| Idet 1 or more levels CPT 22527 | not published | not published | $158.89 – $6,824.66 | 6 |
| Idet single level CPT 22526 | not published | not published | $344.55 – $8,148.34 | 6 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $732.46 – $2,141.33 | 7 |
| Idh1 common variants CPT 81120 | not published | not published | $193.25 – $745.95 | 12 |
| Idh2 common variants CPT 81121 | not published | not published | $295.79 – $1,141.75 | 12 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $456.29 – $1,567.20 | 7 |
| I&d lacrimal gland CPT 68400 | not published | not published | $139.03 – $1,955.35 | 12 |
| I&d lacrimal sac CPT 68420 | not published | not published | $175.71 – $1,200.94 | 7 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $223.07 – $1,286.14 | 7 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $332.78 – $1,143.49 | 7 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $189.39 – $636.53 | 7 |
| Ifnl3 gene CPT 81283 | not published | not published | $73.37 – $283.21 | 12 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $65.47 | $114.86 | $34.16 – $52.39 | 7 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $207.31 – $800.22 | 12 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $62.43 – $264.60 | 15 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $197.99 – $764.24 | 15 |
| Igh@ var region somatic mutation analy CPT 81263 | not published | not published | $294.52 – $1,136.85 | 15 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $172.73 – $666.74 | 15 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $190.38 | $334.00 | $29.56 – $62.05 | 7 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $207.48 | $364.00 | $40.60 – $726.22 | 12 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $182.97 | $321.00 | $36.92 – $345.95 | 13 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $21.25 – $21.25 | 2 |
| Ikbkap gene CPT 81260 | $45.60 | $80.00 | $39.31 – $151.74 | 12 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $1,048.89 – $3,698.93 | 7 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $2,687.11 – $9,419.55 | 7 |
| Iliac/fem angio cath insert HCPCS G0278 | $2,888.76 | $5,068.00 | $13.27 – $31.74 | 6 |
| Iliac revasc add-on 37222 CPT 37222 | $8,251.89 | $14,477.00 | $179.03 – $2,686.24 | 7 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $891.05 – $3,139.54 | 7 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $18.68 – $119.91 | 12 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $17.76 – $79.23 | 12 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $43.65 – $119.91 | 11 |
| Immntx 1 sting insect CPT 95130 | not published | not published | $60.87 – $60.87 | 2 |
| Immntx 4 sting insects CPT 95133 | not published | not published | $113.53 – $113.53 | 2 |
| Immntx 5 sting insects CPT 95134 | not published | not published | $135.13 – $135.13 | 2 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $86.57 | $151.88 | $103.65 – $103.65 | 2 |
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.