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 |
|---|---|---|---|---|
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $495.69 – $1,714.80 | 7 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $575.55 – $2,004.45 | 7 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $425.07 – $1,464.08 | 7 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $432.38 – $1,448.89 | 7 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $593.27 – $1,992.75 | 7 |
| Induced abortion d&c CPT 59840 | not published | not published | $224.31 – $828.00 | 7 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $372.44 – $1,418.29 | 7 |
| Induction of vomiting CPT 99175 | not published | not published | $31.88 – $80.28 | 7 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $70.20 – $147.42 | 5 |
| Infect ag drug suscept pheno predict CPT 87900 | $176.13 | $309.00 | $130.35 – $503.15 | 16 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $15.00 – $57.90 | 16 |
| Infect ag eia influenza a or b ea CPT 87400 | $15.96 | $28.00 | $14.13 – $54.54 | 16 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $257.45 – $993.76 | 16 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $257.45 – $993.76 | 16 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $393.30 | $690.00 | $128.73 – $496.90 | 16 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $299.82 | $526.00 | $257.45 – $993.76 | 16 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $37.62 | $66.00 | $32.77 – $126.49 | 15 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $17.15 – $136.22 | 16 |
| Infect ag ia optc obs influenza CPT 87804 | not published | not published | $14.00 – $63.88 | 16 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $11.98 – $46.24 | 16 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $18.36 – $70.87 | 16 |
| Infect ag if influenza a CPT 87276 | not published | not published | $16.07 – $62.03 | 16 |
| Infect ag if influenza b CPT 87275 | not published | not published | $12.25 – $47.29 | 16 |
| Infect ag if legionella pneumophila CPT 87278 | $24.51 | $43.00 | $15.60 – $60.22 | 16 |
| Infect ag if nos ea CPT 87299 | not published | not published | $16.10 – $62.15 | 16 |
| Infect ag if pneumocystis carinii CPT 87281 | not published | not published | $11.98 – $46.24 | 16 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $13.42 – $51.80 | 16 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $50.00 – $206.39 | 16 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $35.09 – $135.45 | 16 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $42.84 – $165.36 | 16 |
| Infect ag na hpv high-risk types CPT 87624 | $57.00 | $100.00 | $35.09 – $135.45 | 15 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $113.43 | $199.00 | $95.80 – $369.79 | 16 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $51.31 – $198.06 | 16 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | not published | not published | $51.31 – $107.75 | 7 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $482.79 | $847.00 | $416.78 – $1,608.77 | 16 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $660.63 | $1,159.00 | $488.66 – $1,886.23 | 16 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $30.21 | $53.00 | $26.07 – $100.63 | 16 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $41.38 – $159.73 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $37.05 | $65.00 | $11.98 – $46.24 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $13.42 – $51.80 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $15.96 | $28.00 | $13.82 – $53.35 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $13.11 | $23.00 | $11.98 – $46.24 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $28.50 | $50.00 | $14.38 – $55.51 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $25.65 | $45.00 | $10.33 – $39.87 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $25.65 | $45.00 | $10.33 – $39.87 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $54.15 | $95.00 | $24.08 – $92.95 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $159.60 | $280.00 | $11.98 – $46.24 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $29.07 | $51.00 | $11.98 – $46.24 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | not published | not published | $11.98 – $46.24 | 16 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $176.13 | $309.00 | $35.09 – $135.45 | 16 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $106.02 | $186.00 | $35.09 – $135.45 | 16 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $80.37 | $141.00 | $37.27 – $143.86 | 16 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $742.14 | $1,302.00 | $416.78 – $1,608.77 | 13 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $78.09 | $137.00 | $35.09 – $135.45 | 16 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $74.67 | $131.00 | $35.09 – $135.45 | 16 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $47.88 | $84.00 | $41.68 – $160.88 | 16 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $106.02 | $186.00 | $35.09 – $135.45 | 16 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $74.67 | $131.00 | $51.31 – $198.06 | 13 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $162.45 | $285.00 | $142.63 – $550.55 | 12 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $267.90 | $470.00 | $142.63 – $550.55 | 12 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | not published | not published | $35.09 – $135.45 | 16 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $40.47 | $71.00 | $35.09 – $135.45 | 15 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $76.77 – $161.22 | 5 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | not published | not published | $416.78 – $1,608.77 | 15 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $164.73 | $289.00 | $128.29 – $495.20 | 15 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $432.63 | $759.00 | $262.99 – $1,015.14 | 15 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $87.78 | $154.00 | $42.84 – $165.36 | 16 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $121.41 | $213.00 | $42.84 – $165.36 | 16 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $102.03 | $179.00 | $42.84 – $165.36 | 16 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $200.64 | $352.00 | $85.10 – $328.49 | 16 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $159.03 | $279.00 | $142.63 – $550.55 | 16 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $85.05 | $149.21 | $45.70 – $149.21 | 7 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $89.49 | $157.00 | $33.93 – $157.00 | 6 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $169.36 | $297.13 | $16.52 – $297.13 | 6 |
| Influenza dna amp prob addl CPT 87503 | $26.79 | $47.00 | $29.22 – $112.79 | 16 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $51.30 – $51.30 | 2 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $28.51 – $28.51 | 2 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $3,126.68 – $10,891.35 | 7 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $3,099.47 – $10,845.83 | 7 |
| Infuse radioactive materials CPT 77750 | not published | not published | $252.82 – $530.92 | 12 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $72.53 – $282.60 | 7 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $78.78 – $1,071.21 | 12 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | not published | not published | $56.07 – $410.61 | 7 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | $982.11 | $1,723.00 | $358.11 – $769.55 | 7 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $141.69 – $285.64 | 7 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $193.62 – $367.59 | 7 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $85.11 – $198.56 | 7 |
| Initial observation care CPT 99218 | not published | not published | $181.42 – $204.08 | 3 |
| Initial observation care CPT 99219 | not published | not published | $246.99 – $279.42 | 3 |
| Initial observation care CPT 99220 | not published | not published | $338.70 – $382.02 | 3 |
| Initiation & management bipap/cpap initial day CPT 94660 | $489.06 | $858.00 | $39.06 – $410.61 | 12 |
| Init nb em per day non-fac CPT 99461 | not published | not published | $64.50 – $199.56 | 7 |
| Init pm e/m new pat 65+ yrs CPT 99387 | not published | not published | $129.66 – $364.99 | 6 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $10.47 | $18.37 | $5.14 – $18.37 | 7 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $27.86 | $48.87 | $23.24 – $48.87 | 6 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $22.62 | $39.69 | $19.84 – $39.69 | 3 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $2.50 | $4.38 | $1.12 – $4.38 | 4 |
| Inj, clevidipine butyrate HCPCS C9248 | $295.21 | $517.91 | $2.95 – $4.85 | 3 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $823.65 | $1,445.00 | $41.59 – $573.08 | 6 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $149.63 – $1,223.70 | 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.