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 |
|---|---|---|---|---|
| Ionm in operatng room 15 min CPT 95940 | $98.61 | $173.00 | $33.92 – $108.73 | 7 |
| Io radiation tx management CPT 77469 | not published | not published | $338.74 – $775.62 | 7 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $302.69 | $531.03 | $164.59 – $515.92 | 7 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | $242.82 | $426.00 | $106.02 – $254.88 | 6 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | $340.29 | $597.00 | $147.27 – $370.64 | 6 |
| Ip/obs consltj new/est hi 80 CPT 99255 | $409.83 | $719.00 | $198.12 – $446.12 | 6 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $153.33 | $269.00 | $75.59 – $165.48 | 6 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $12.31 | $21.60 | $2.88 – $21.60 | 6 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $115.89 | $203.31 | $87.49 – $203.31 | 6 |
| Iron CPT 83540 | $27.93 | $49.00 | $6.47 – $24.97 | 16 |
| Iron binding capacity CPT 83550 | $32.49 | $57.00 | $8.74 – $33.74 | 16 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $30.46 | $53.43 | $14.44 – $53.43 | 7 |
| Iron stain peripheral blood CPT 85536 | $16.53 | $29.00 | $6.88 – $26.56 | 16 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $1.14 | $2.00 | $0.29 – $2.00 | 6 |
| Irradiation of blood product each unit reference CPT 86945 | $71.82 | $126.00 | $20.38 – $79.23 | 8 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $75.81 | $133.00 | $26.59 – $119.91 | 12 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $201.97 – $689.66 | 7 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $26.41 – $193.61 | 12 |
| Island pedicle flap graft CPT 15740 | not published | not published | $879.12 – $3,618.08 | 7 |
| Ivc venogram s&i CPT 75825 | $2,040.03 | $3,579.00 | $54.58 – $131.82 | 7 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $123.12 | $216.00 | $30.40 – $143.68 | 12 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $84.93 | $149.00 | $21.09 – $68.58 | 7 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $84.93 | $149.00 | $21.82 – $93.16 | 12 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $271.89 | $477.00 | $66.48 – $425.36 | 12 |
| IV inj ra drug dx study CPT 78808 | $647.52 | $1,136.00 | $42.28 – $811.23 | 12 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $107.24 – $805.60 | 12 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $24.58 – $359.39 | 12 |
| Ivp w/wo kub w/wo tomography CPT 74400 | not published | not published | $24.70 – $359.39 | 12 |
| Jak2 targeted sequence analysis CPT 81279 | $453.15 | $795.00 | $185.20 – $714.87 | 12 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $556.18 – $1,889.55 | 7 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $630.33 – $2,273.48 | 7 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $245.72 – $874.76 | 7 |
| John cunningham antibody CPT 86711 | $22.80 | $40.00 | $16.89 – $65.20 | 16 |
| J-tube placement CPT 44015 | not published | not published | $138.76 – $498.49 | 7 |
| Kafo fem fx cast molded to p HCPCS L2128 | $4,404.39 | $7,727.00 | $1,606.26 – $1,606.26 | 2 |
| Keratomileusis CPT 65760 | not published | not published | $4,107.26 – $4,107.26 | 2 |
| Keratophakia CPT 65765 | not published | not published | $5,955.11 – $5,955.11 | 2 |
| Keratoprosthesis CPT 65770 | not published | not published | $1,483.99 – $5,097.45 | 7 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $29.42 – $31.67 | 3 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $15.47 – $59.71 | 16 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $27.93 | $49.00 | $8.17 – $31.54 | 16 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $3.03 | $5.31 | $0.81 – $2.20 | 6 |
| Kidney endoscopy CPT 50551 | not published | not published | $302.07 – $1,315.69 | 7 |
| Kidney endoscopy CPT 50553 | not published | not published | $322.94 – $1,407.04 | 7 |
| Kidney endoscopy CPT 50570 | not published | not published | $504.01 – $1,794.49 | 7 |
| Kidney endoscopy CPT 50575 | not published | not published | $730.89 – $2,610.60 | 7 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $350.59 – $1,506.30 | 7 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $578.99 – $2,064.60 | 7 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $355.14 – $1,531.76 | 7 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $405.16 – $1,733.74 | 7 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $577.39 – $2,059.28 | 7 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $622.01 – $2,219.48 | 7 |
| Kidney function study CPT 78725 | not published | not published | $18.22 – $811.23 | 12 |
| Kidney imaging (3d) CPT 78710 | not published | not published | $69.30 – $123.15 | 3 |
| Kidney imaging morphology CPT 78700 | not published | not published | $22.02 – $811.23 | 12 |
| Kidney imag w/bld flow multi CPT 78709 | $2,231.55 | $3,915.00 | $69.36 – $1,086.69 | 12 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $966.72 | $1,696.00 | $46.99 – $1,086.69 | 12 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $410.97 | $721.00 | $37.36 – $214.68 | 12 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $124.87 – $482.00 | 15 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $648.54 – $2,220.94 | 7 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $540.09 – $1,837.95 | 7 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $431.69 – $2,062.39 | 7 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $567.30 – $1,936.69 | 7 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $652.32 – $2,227.16 | 7 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $961.55 – $3,320.21 | 7 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $567.16 – $1,896.86 | 7 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $562.82 – $1,923.68 | 7 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $520.53 – $1,776.34 | 7 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $681.14 – $2,337.94 | 7 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $690.03 – $2,366.21 | 7 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $588.13 – $2,009.85 | 7 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $717.67 – $2,476.24 | 7 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $874.58 – $3,005.29 | 7 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $647.44 – $2,213.06 | 7 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $665.17 – $2,272.80 | 7 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $785.04 – $2,683.58 | 7 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $1,007.95 – $3,505.13 | 7 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $1,265.44 – $4,363.69 | 7 |
| Knee MRI (with and without contrast) CPT 73723 | $1,047.66 | $1,838.00 | $108.63 – $720.99 | 12 |
| Knee MRI (with contrast) CPT 73722 | $987.24 | $1,732.00 | $82.08 – $1,595.01 | 12 |
| Knee MRI (without contrast) CPT 73721 | $926.82 | $1,626.00 | $68.68 – $488.00 | 12 |
| Knee X-ray CPT 73564 | $183.54 | $322.00 | $11.89 – $214.68 | 12 |
| Ko elastic w/joints pre ots HCPCS L1812 | $174.42 | $306.00 | $103.13 – $103.13 | 2 |
| Ko w/0 joint rigid molded to HCPCS L1834 | $1,993.86 | $3,498.00 | $727.16 – $727.16 | 2 |
| Kras gene addl variants CPT 81276 | $395.58 | $694.00 | $193.25 – $745.95 | 15 |
| Kras gene variants exon 2 CPT 81275 | $417.24 | $732.00 | $193.25 – $745.95 | 15 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $2,187.41 – $7,706.74 | 7 |
| Kyphectomy 3 or more CPT 22819 | not published | not published | $2,518.39 – $8,866.61 | 7 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | not published | not published | $19.53 – $97.69 | 7 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | not published | not published | $15.73 – $85.20 | 7 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $14.24 | $24.99 | $0.25 – $16.75 | 6 |
| Labioplasty 56800 CPT 56800 | not published | not published | $264.66 – $897.08 | 7 |
| Lab pathology consultation CPT 80500 | not published | not published | $23.29 – $111.71 | 4 |
| Lab pathology consultation CPT 80502 | not published | not published | $15.07 – $401.16 | 4 |
| Lactate dehydrogenase (ldh) CPT 83615 | $15.39 | $27.00 | $6.04 – $23.31 | 16 |
| Lactic acid CPT 83605 | $36.48 | $64.00 | $11.57 – $44.66 | 16 |
| Lactoferrin fecal qualitative CPT 83630 | $42.18 | $74.00 | $19.70 – $76.04 | 16 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $19.63 – $75.77 | 16 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | $250.51 – $898.54 | 6 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $1,277.55 – $4,405.65 | 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.