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 |
|---|---|---|---|---|
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $207.95 – $1,116.64 | 7 |
| Ligation common iliac vein CPT 37660 | not published | not published | $1,304.88 – $4,618.43 | 7 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $242.98 – $859.31 | 7 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $767.62 – $2,636.29 | 7 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $714.40 – $2,559.86 | 7 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $737.67 – $2,570.18 | 7 |
| Ligation major artery chest CPT 37616 | not published | not published | $1,117.60 – $3,880.20 | 7 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $394.57 – $1,368.53 | 7 |
| Ligation major artery neck CPT 37615 | not published | not published | $527.80 – $1,861.05 | 7 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $637.75 – $2,118.64 | 7 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $1,313.01 – $4,686.45 | 7 |
| Ligation of femoral vein CPT 37650 | not published | not published | $448.17 – $1,594.09 | 7 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $1,705.51 – $6,058.95 | 7 |
| Ligation of neck artery CPT 37606 | not published | not published | $726.96 – $2,442.75 | 7 |
| Ligation of salivary duct CPT 42665 | not published | not published | $231.31 – $1,249.69 | 7 |
| Ligation of shunt CPT 49428 | not published | not published | $432.69 – $1,520.55 | 7 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $919.83 – $3,071.44 | 7 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $254.11 – $1,261.61 | 7 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $369.98 – $1,314.90 | 7 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $566.83 – $2,017.88 | 7 |
| Limb exercise test CPT 95875 | not published | not published | $61.96 – $315.86 | 12 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $215.84 – $773.25 | 7 |
| Limited autopsy CPT 88036 | not published | not published | $132.60 – $135.64 | 3 |
| Limited autopsy CPT 88037 | not published | not published | $117.77 – $120.53 | 3 |
| Limited visual field xm CPT 92081 | not published | not published | $17.02 – $119.91 | 12 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $39.72 | $69.69 | $4.06 – $69.69 | 7 |
| Lipase CPT 83690 | $39.33 | $69.00 | $6.89 – $26.60 | 16 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $368.98 – $1,774.01 | 7 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $33.86 – $130.70 | 16 |
| Lipoprotein blood quant CPT 83704 | $64.41 | $113.00 | $34.19 – $131.97 | 16 |
| Lipoprotein direct measurement hdl CPT 83718 | $21.09 | $37.00 | $8.19 – $31.61 | 16 |
| Lipoprotein direct measurement ldl CPT 83721 | $23.94 | $42.00 | $10.50 – $40.53 | 16 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $34.19 – $131.97 | 12 |
| Lip surgery procedure CPT 40799 | not published | not published | $223.25 – $468.83 | 5 |
| Listeria monocytogenes CPT 86723 | not published | not published | $8.32 – $50.91 | 16 |
| Lithium therapeutic drug level CPT 80178 | $21.09 | $37.00 | $6.61 – $25.51 | 16 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $1,444.95 | $2,535.00 | $151.63 – $151.63 | 4 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $1,159.29 – $3,379.16 | 6 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $1,383.52 – $4,014.56 | 6 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $1,217.33 – $4,278.90 | 7 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $176.19 – $2,219.99 | 10 |
| Liver elastography 91200 CPT 91200 | not published | not published | $11.16 – $315.86 | 11 |
| Liver Function Test CPT 80076 | $64.98 | $114.00 | $8.17 – $31.54 | 16 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $1,447.75 – $5,114.55 | 7 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $105.78 – $204.11 | 3 |
| Liver imaging CPT 78201 | not published | not published | $21.29 – $1,086.69 | 12 |
| Liver imaging (3d) CPT 78205 | not published | not published | $77.98 – $147.64 | 3 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $24.97 – $1,086.69 | 12 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $24.22 – $811.23 | 12 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $27.56 – $811.23 | 12 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $77.41 – $243.97 | 7 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $494.59 – $2,413.46 | 7 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $3.37 | $5.92 | $1.41 – $2.75 | 6 |
| Loudness balance test CPT 92562 | not published | not published | $51.50 – $628.68 | 12 |
| Low back disk surgery CPT 63030 | not published | not published | $921.87 – $3,368.63 | 7 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $570.57 | $1,001.00 | $63.91 – $359.39 | 12 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $428.64 | $752.00 | $61.57 – $720.99 | 12 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $369.36 | $648.00 | $50.39 – $214.68 | 12 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,100.67 | $1,931.00 | $115.76 – $720.99 | 12 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,508.79 | $2,647.00 | $90.07 – $720.99 | 12 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,451.79 | $2,547.00 | $75.07 – $488.00 | 12 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $99.18 | $174.00 | $11.54 – $214.68 | 12 |
| Lower jaw bone graft CPT 21215 | not published | not published | $834.46 – $15,060.60 | 7 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $19.32 – $401.14 | 11 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $760.32 – $2,631.83 | 7 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $872.96 – $3,035.36 | 7 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $861.47 – $2,992.16 | 7 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $937.43 – $3,270.30 | 7 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $21.99 – $84.88 | 16 |
| Lumbar diskogram s&i CPT 72295 | $1,179.33 | $2,069.00 | $42.14 – $103.77 | 7 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $1,585.51 – $5,538.34 | 7 |
| Lung function test (mbc/mvv) CPT 94200 | $160.74 | $282.00 | $2.70 – $119.91 | 12 |
| Lung Function Test (Spirometry) CPT 94010 | $203.49 | $357.00 | $8.60 – $315.86 | 12 |
| Lung perfusion imaging CPT 78580 | $648.09 | $1,137.00 | $36.65 – $811.23 | 12 |
| Lung transplant double CPT 32853 | not published | not published | $4,456.14 – $15,975.68 | 7 |
| Lung transplant single CPT 32851 | not published | not published | $3,193.38 – $11,431.91 | 7 |
| Lung transplant with bypass CPT 32852 | not published | not published | $3,451.93 – $12,418.16 | 7 |
| Lung transplant with bypass CPT 32854 | not published | not published | $4,717.45 – $16,963.91 | 7 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,451.73 – $5,143.01 | 7 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $314.78 | $552.25 | $275.55 – $552.25 | 6 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $68.76 | $120.63 | $54.89 – $112.99 | 6 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $282.72 | $496.00 | $371.66 – $371.66 | 2 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $23.54 – $193.16 | 12 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $20.05 – $77.39 | 16 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $730.77 – $2,531.36 | 7 |
| Lymphatics/lymph node imaging CPT 78195 | $910.86 | $1,598.00 | $59.04 – $1,086.69 | 12 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $188.59 | 16 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $49.03 – $189.26 | 16 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $74.79 – $731.51 | 16 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $47.59 – $183.70 | 16 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $43.22 – $1,248.18 | 12 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $59.35 – $143.54 | 7 |
| Lymph vessel x-ray trunk CPT 75805 | $1,818.30 | $3,190.00 | $41.04 – $99.42 | 7 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $55.31 – $136.18 | 7 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $160.84 – $1,064.89 | 12 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $163.82 – $596.40 | 7 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $210.77 – $938.96 | 7 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $8.80 – $28.23 | 8 |
| Macroscopic exam arthropod CPT 87168 | $11.40 | $20.00 | $4.27 – $16.48 | 16 |
| Macroscopic exam parasite CPT 87169 | $11.40 | $20.00 | $4.31 – $16.64 | 16 |
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.