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 |
|---|---|---|---|---|
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $67.46 – $595.94 | 12 |
| Inj dx for sinogram CPT 20501 | $670.89 | $1,177.00 | $37.76 – $500.63 | 7 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $86.58 – $1,398.10 | 11 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $934.80 | $1,640.00 | $70.30 – $796.80 | 7 |
| Injection, cangrelor HCPCS C9460 | $29.84 | $52.35 | $28.36 – $28.36 | 2 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $58.19 – $595.94 | 12 |
| Injection, daratumumab 10 mg HCPCS J9145 | $109.86 | $192.73 | $86.98 – $192.73 | 6 |
| Injection, doxercalciferol HCPCS J1270 | $1.88 | $3.30 | $0.51 – $3.30 | 6 |
| Injection during cath supravalvular aortography CPT 93567 | $307.23 | $539.00 | $36.63 – $400.16 | 7 |
| Injection epidural blood patch or clot CPT 62273 | $892.05 | $1,565.00 | $118.55 – $1,398.10 | 12 |
| Injection eye drug CPT 67028 | not published | not published | $96.43 – $669.63 | 12 |
| Injection for arthrography wrist (both sides) CPT 25246 | $661.20 | $1,160.00 | $75.89 – $674.10 | 7 |
| Injection for bladder x-ray CPT 51600 | $1,067.61 | $1,873.00 | $44.98 – $753.64 | 7 |
| Injection for hip x-ray CPT 27095 | not published | not published | $83.97 – $1,064.55 | 7 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $803.13 | $1,409.00 | $51.72 – $557.96 | 7 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $134.92 – $494.03 | 7 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $54.24 – $229.91 | 7 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $53.35 – $426.56 | 7 |
| Injection for ureter x-ray CPT 50690 | $547.77 | $961.00 | $72.91 – $395.55 | 7 |
| Injection, fulvestrant HCPCS J9395 | $39.39 | $69.10 | $11.70 – $69.10 | 6 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $19.45 | $34.13 | $16.83 – $34.13 | 6 |
| Injection into brain canal CPT 61026 | not published | not published | $110.07 – $1,398.10 | 12 |
| Injection into brain canal CPT 61055 | $1,457.49 | $2,557.00 | $119.72 – $595.94 | 12 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $194.38 – $1,840.61 | 12 |
| Injection into spinal artery CPT 62294 | not published | not published | $855.89 – $3,201.86 | 12 |
| Injection into vocal cord CPT 31513 | not published | not published | $136.35 – $783.95 | 12 |
| Injection intraop add-on CPT 48400 | not published | not published | $104.44 – $376.01 | 7 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $46.53 – $719.74 | 7 |
| Injection of sinus tract CPT 20500 | not published | not published | $94.53 – $415.20 | 7 |
| Injection,onabotulinumtoxina HCPCS J0585 | $10.76 | $18.87 | $6.83 – $18.87 | 7 |
| Injection px peyronie ds CPT 54200 | not published | not published | $92.70 – $491.00 | 12 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $897.75 | $1,575.00 | $33.07 – $811.23 | 12 |
| Injection, renflexis HCPCS Q5104 | $135.08 | $236.99 | $45.58 – $236.99 | 6 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $780.33 | $1,369.00 | $66.30 – $1,398.10 | 12 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $596.22 | $1,046.00 | $43.70 – $1,398.10 | 12 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,337.22 | $2,346.00 | $117.30 – $1,797.37 | 12 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $739.86 | $1,298.00 | $61.85 – $348.00 | 7 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $2,010.96 | $3,528.00 | $110.75 – $1,797.37 | 12 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $661.77 | $1,161.00 | $53.14 – $324.19 | 7 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,340.07 | $2,351.00 | $95.27 – $1,797.37 | 12 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,946.55 | $3,415.00 | $112.86 – $1,398.10 | 11 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,946.55 | $3,415.00 | $104.29 – $1,398.10 | 11 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $542.64 | $952.00 | $40.26 – $595.94 | 12 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $384.18 | $674.00 | $38.44 – $595.94 | 12 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $43.70 – $595.94 | 12 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $117.42 | $206.00 | $16.34 – $93.16 | 12 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $117.42 | $206.00 | $32.21 – $32.21 | 2 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $120.27 | $211.00 | $39.07 – $425.36 | 12 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $79.23 | $139.00 | $15.38 – $143.68 | 12 |
| Injection treatment of eye CPT 66020 | not published | not published | $139.10 – $706.24 | 7 |
| Injection treatment of eye CPT 66030 | not published | not published | $118.20 – $631.95 | 7 |
| Injection treatment of nerve CPT 64605 | not published | not published | $415.42 – $2,236.88 | 7 |
| Injection treatment of nerve CPT 64610 | not published | not published | $475.58 – $2,729.63 | 7 |
| Injection treatment of nerve CPT 64681 | not published | not published | $230.52 – $2,022.64 | 12 |
| Injection treatment of nose CPT 30200 | not published | not published | $62.91 – $1,028.10 | 12 |
| Inject sacroiliac joint CPT 27096 | $984.39 | $1,727.00 | $87.23 – $591.26 | 7 |
| Inject/treat eye socket CPT 67500 | not published | not published | $67.70 – $603.50 | 12 |
| Inject/treat eye socket CPT 67505 | not published | not published | $75.79 – $603.50 | 12 |
| Inject/treat eye socket CPT 67515 | not published | not published | $49.40 – $603.50 | 12 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $103.37 – $1,398.10 | 11 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $82.72 – $1,797.37 | 11 |
| Inj for ext venography CPT 36005 | $1,852.50 | $3,250.00 | $47.38 – $1,079.51 | 7 |
| Inj for mammo ductogram CPT 19030 | $335.16 | $588.00 | $78.52 – $362.44 | 7 |
| Inj., guselkumab, 1 mg HCPCS J1628 | $91.93 | $161.29 | $127.78 – $127.78 | 2 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $446.88 | $784.00 | $45.73 – $436.22 | 7 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $307.23 | $539.00 | $51.74 – $186.47 | 7 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $53.85 – $193.20 | 7 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $1,927.17 | $3,381.00 | $26.19 – $144.73 | 7 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | not published | not published | $25.82 – $475.46 | 7 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $149.88 – $1,797.37 | 12 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $31.19 – $401.14 | 12 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $47.58 – $401.14 | 12 |
| Inj ivig privigen 500 mg HCPCS J1459 | $145.50 | $255.27 | $44.74 – $255.27 | 7 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | $7.53 | $13.21 | $3.30 – $13.21 | 6 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $81.19 | $142.44 | $47.34 – $142.44 | 6 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $1,287.63 | $2,259.00 | $68.54 – $1,347.53 | 11 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $149.81 – $6,095.63 | 6 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $117.55 – $5,493.41 | 6 |
| Inj ogivri 10 mg HCPCS Q5114 | $159.71 | $280.20 | $56.06 – $274.26 | 6 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $132.92 | $233.19 | $42.07 – $233.19 | 4 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $39.53 – $143.63 | 7 |
| Inj proc ankle arthr CPT 27648 | not published | not published | $52.86 – $731.51 | 7 |
| Inj proc elbow arthro CPT 24220 | $383.04 | $672.00 | $69.00 – $655.16 | 7 |
| Inj proc for lymphang CPT 38790 | $497.04 | $872.00 | $84.46 – $295.88 | 7 |
| Inj proc lumbr disk ea lvl CPT 62290 | $1,800.06 | $3,158.00 | $163.70 – $1,291.58 | 7 |
| Inj proc myelogram lumbar CPT 62284 | $1,719.69 | $3,017.00 | $86.27 – $722.29 | 7 |
| Inj proc sialogram CPT 42550 | not published | not published | $63.66 – $563.10 | 7 |
| Inj retro urethrocysto CPT 51610 | $969.57 | $1,701.00 | $67.03 – $438.45 | 7 |
| Inj scleros sol mult veins CPT 36471 | $719.34 | $1,262.00 | $74.97 – $806.59 | 12 |
| Inj scleros sol sgl vein CPT 36470 | $688.56 | $1,208.00 | $37.66 – $806.59 | 12 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $384.09 – $806.59 | 5 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | $56.73 | $99.52 | $39.51 – $99.46 | 6 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $271.75 | $476.75 | $426.40 – $476.75 | 5 |
| Inj testosterone cypionate HCPCS J1071 | $171.00 | $300.00 | $0.04 – $300.00 | 6 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | $37.11 | $65.10 | $23.98 – $65.10 | 6 |
| Inj w/fluor eval cv device CPT 36598 | $621.30 | $1,090.00 | $36.66 – $440.14 | 12 |
| Inner skull vessel surgery CPT 61702 | not published | not published | $3,855.73 – $13,495.54 | 7 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | $4,187.38 | $7,346.28 | $1,400.00 – $7,346.28 | 7 |
| Inpatient consultation CPT 99251 | not published | not published | $101.30 – $101.30 | 2 |
| Inpt/ed teleconsult30 HCPCS G0425 | $251.37 | $441.00 | $96.99 – $132.58 | 6 |
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.