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 |
|---|---|---|---|---|
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $157.32 | $276.00 | $83.34 – $83.34 | 2 |
| Immt breast prosthesis 19340 CPT 19340 | $1,505.37 | $2,641.00 | $784.70 – $2,187.80 | 7 |
| Immune complex assay CPT 86332 | $27.93 | $49.00 | $24.37 – $94.07 | 16 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $138.93 | $243.73 | $46.82 – $243.73 | 7 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $192.40 | $337.54 | $39.82 – $325.52 | 7 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $91.34 – $91.34 | 2 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $49.59 | $87.00 | $20.81 – $80.33 | 16 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $49.59 | $87.00 | $20.81 – $80.33 | 16 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $22.77 – $98.70 | 16 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $12.54 | $22.00 | $11.98 – $46.24 | 16 |
| Immunodiffusion nes CPT 86329 | not published | not published | $14.05 – $54.23 | 16 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $31.01 – $115.49 | 11 |
| Immunofixation electrophoresis serum CPT 86334 | $69.54 | $122.00 | $22.34 – $86.23 | 16 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $277.02 | $486.00 | $30.68 – $59.65 | 7 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $554.04 | $972.00 | $38.06 – $345.95 | 13 |
| Immunoglobulin assay CPT 86023 | $14.25 | $25.00 | $12.46 – $48.10 | 16 |
| Immunotherapy 2/> injections CPT 95125 | not published | not published | $42.82 – $42.82 | 2 |
| Impedence cardiogram CPT 93701 | not published | not published | $28.67 – $260.23 | 12 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $383.44 – $1,385.55 | 6 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $1,526.85 – $5,541.56 | 7 |
| Implant brain electrodes CPT 61531 | not published | not published | $1,207.11 – $4,124.18 | 7 |
| Implant brain electrodes CPT 61533 | not published | not published | $1,489.11 – $5,134.88 | 7 |
| Implant brain electrodes CPT 61760 | not published | not published | $1,537.33 – $5,315.74 | 7 |
| Implant cochlear device CPT 69930 | not published | not published | $1,272.16 – $4,380.11 | 7 |
| Implant eye drug system CPT 67027 | not published | not published | $893.77 – $3,098.63 | 7 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $57.13 – $805.60 | 12 |
| Implant nerve end CPT 64787 | not published | not published | $237.22 – $866.66 | 7 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $266.94 – $944.14 | 7 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $471.08 – $1,663.54 | 7 |
| Implant neuroelectrode CPT 61863 | not published | not published | $1,473.61 – $5,063.10 | 7 |
| Implant neuroelectrode CPT 61867 | not published | not published | $2,207.57 – $7,656.98 | 7 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $841.73 – $2,866.31 | 7 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $440.54 – $7,350.90 | 7 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $340.14 – $6,811.84 | 7 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $314.70 – $2,724.90 | 7 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $969.72 – $3,318.26 | 7 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $1,520.74 – $5,255.78 | 7 |
| Implant neurostim arrays CPT 61886 | not published | not published | $884.63 – $2,930.70 | 7 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | not published | not published | $562.51 – $1,191.39 | 3 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $1,261.09 – $4,564.99 | 7 |
| Implant spinal canal cath CPT 62351 | not published | not published | $911.77 – $3,019.09 | 7 |
| Implant spine infusion pump CPT 62361 | not published | not published | $436.14 – $1,459.84 | 7 |
| Implant spine infusion pump CPT 62362 | not published | not published | $394.90 – $1,356.00 | 7 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $1,308.02 – $4,761.08 | 6 |
| Implant ureter in bowel CPT 50800 | not published | not published | $961.16 – $3,379.16 | 7 |
| Implant ureth bulk agent HCPCS L8606 | $664.93 | $1,166.55 | $206.14 – $206.14 | 2 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $435.46 – $6,942.56 | 7 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $216.56 – $773.59 | 7 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $411.03 – $1,417.28 | 7 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $650.38 – $2,309.63 | 6 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $704.06 – $2,537.14 | 6 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $520.29 – $3,800.14 | 7 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $4,335.00 – $4,335.00 | 2 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $82.39 – $291.19 | 7 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $470.16 – $8,665.28 | 6 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $2,456.87 – $8,897.10 | 6 |
| Imp neurosti pls gn any type HCPCS L8679 | $9,423.81 | $16,533.00 | $8,600.98 – $8,600.98 | 2 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $1,347.04 – $6,110.85 | 7 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $1,386.59 – $6,389.96 | 7 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $11,162.78 – $11,162.78 | 2 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $1,228.76 – $5,590.35 | 7 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $1,272.36 – $5,870.70 | 7 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $1,347.04 – $6,110.85 | 7 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $223.25 – $2,567.59 | 12 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $1,827.53 – $8,211.83 | 7 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $1,174.37 – $5,439.68 | 7 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $1,085.91 – $5,185.13 | 7 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $1,255.92 – $5,935.73 | 7 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $742.20 – $3,317.51 | 7 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $3,183.45 | $5,585.00 | $306.41 – $306.41 | 2 |
| In-111 pentetreotide HCPCS A9572 | $5,208.66 | $9,138.00 | $8,854.56 – $8,854.56 | 2 |
| Inactivated je vacc im CPT 90738 | not published | not published | $504.42 – $504.42 | 2 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $462.32 – $1,581.68 | 7 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $618.68 – $2,090.85 | 7 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $542.17 – $1,831.91 | 7 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $1,790.02 – $6,192.86 | 7 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $1,526.21 – $5,242.24 | 7 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $1,526.97 – $5,229.53 | 7 |
| Incis addl spine segment CPT 22216 | not published | not published | $354.28 – $1,261.28 | 7 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $1,269.39 – $4,478.40 | 7 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $435.82 – $1,516.99 | 7 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $116.97 – $1,955.35 | 12 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $372.11 – $1,239.08 | 7 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $482.11 – $1,494.04 | 7 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $523.67 – $1,805.85 | 7 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $644.93 – $2,226.98 | 7 |
| Incise inner ear CPT 69801 | not published | not published | $129.38 – $767.48 | 7 |
| Incise inner ear nerve CPT 69915 | not published | not published | $1,570.40 – $5,447.59 | 7 |
| Incise inner ear nerve CPT 69950 | not published | not published | $1,819.81 – $6,322.46 | 7 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $262.30 – $1,128.23 | 12 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $507.17 – $1,730.78 | 7 |
| Incise inner eye adhesions CPT 65870 | not published | not published | $629.70 – $2,159.03 | 7 |
| Incise inner eye adhesions CPT 65875 | not published | not published | $672.26 – $2,300.66 | 7 |
| Incise inner eye adhesions CPT 65880 | not published | not published | $705.87 – $2,420.93 | 7 |
| Incise inner eye strands CPT 67030 | not published | not published | $592.17 – $1,978.46 | 7 |
| Incise nerve back of head CPT 64744 | not published | not published | $509.38 – $1,695.34 | 7 |
| Incise perq finger tendon 26060 CPT 26060 | not published | not published | $274.02 – $932.74 | 7 |
| Incise skull/brain surgery CPT 61720 | not published | not published | $1,244.49 – $4,278.00 | 7 |
| Incise skull/brain surgery CPT 61735 | not published | not published | $1,556.95 – $5,357.44 | 7 |
| Incise skull for treatment CPT 61770 | not published | not published | $1,576.05 – $5,451.23 | 7 |
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.