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 |
|---|---|---|---|---|
| Magnesium CPT 83735 | $27.93 | $49.00 | $6.70 – $25.86 | 16 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $9.49 | $16.65 | $0.33 – $1.30 | 6 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $80.98 – $488.00 | 12 |
| Malaria antibody CPT 86750 | not published | not published | $13.19 – $50.91 | 16 |
| Male sling procedure CPT 53440 | not published | not published | $786.15 – $2,754.53 | 7 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $2,989.14 – $10,680.00 | 7 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $386.60 – $1,235.96 | 7 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $465.88 – $1,533.64 | 7 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $57.00 | $100.00 | $41.40 – $260.23 | 12 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $57.00 | $100.00 | $26.29 – $260.23 | 12 |
| Manipulation of hip joint CPT 27275 | not published | not published | $193.61 – $655.95 | 7 |
| Manipulation of spine CPT 22505 | not published | not published | $132.95 – $464.44 | 7 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $82.41 – $484.28 | 12 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $5.52 | $9.68 | $4.48 – $9.68 | 6 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $5.07 – $19.57 | 16 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $167.29 – $289.06 | 7 |
| Mapping io sentinel lymph node CPT 38900 | $316.35 | $555.00 | $136.16 – $483.94 | 7 |
| Map tachycard site(s) CPT 93609 | $7,643.13 | $13,409.00 | $268.99 – $16,158.00 | 8 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,141.32 – $3,990.90 | 7 |
| Mastectomy partial CPT 19301 | $1,279.08 | $2,244.00 | $667.57 – $1,388.26 | 7 |
| Mast mod rad CPT 19307 | $2,282.28 | $4,004.00 | $1,191.03 – $2,550.81 | 7 |
| Mastoidectomy CPT 69501 | not published | not published | $749.16 – $2,576.25 | 7 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $993.92 – $3,422.59 | 7 |
| Mastoids complete CPT 70130 | not published | not published | $17.20 – $214.68 | 12 |
| Mastoid surgery revision CPT 69603 | not published | not published | $1,353.80 – $4,535.18 | 7 |
| Mastopexy CPT 19316 | $1,569.21 | $2,753.00 | $818.20 – $1,663.79 | 7 |
| Mast radical CPT 19305 | $2,224.14 | $3,902.00 | $1,160.86 – $2,407.08 | 7 |
| Mast rad urban type CPT 19306 | $2,362.65 | $4,145.00 | $1,233.29 – $2,561.60 | 7 |
| Mast simple complete CPT 19303 | $1,851.36 | $3,248.00 | $966.47 – $2,148.30 | 7 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $35.09 – $135.45 | 16 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $27.29 – $105.34 | 16 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $42.84 – $165.36 | 16 |
| Maxillofacial fixation CPT 21100 | not published | not published | $379.56 – $2,430.38 | 7 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $17.10 | $30.00 | $14.46 – $55.82 | 16 |
| Mayo aathr protein s free CPT 85306 | $43.89 | $77.00 | $15.32 – $59.14 | 16 |
| Mayo activated protein c resistance assay CPT 85307 | $60.99 | $107.00 | $15.32 – $59.14 | 16 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $38.57 – $148.88 | 12 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $40.47 | $71.00 | $20.06 – $77.36 | 3 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $42.18 | $74.00 | $31.67 – $32.09 | 3 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $35.34 | $62.00 | $14.78 – $57.05 | 16 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $42.18 | $74.00 | $31.67 – $55.75 | 3 |
| Mayo alpha 1 antitrypsin CPT 82103 | $33.06 | $58.00 | $13.44 – $51.88 | 16 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $45.03 | $79.00 | $15.08 – $58.21 | 16 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $28.86 – $74.66 | 3 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | not published | $28.93 – $31.67 | 3 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $208.05 | $365.00 | $121.63 – $469.49 | 15 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $274.17 | $481.00 | $91.66 – $353.81 | 15 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $234.27 | $411.00 | $137.00 – $528.82 | 12 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,059.06 | $1,858.00 | $1,218.00 – $4,477.60 | 7 |
| Mayo androstenedione CPT 82157 | $69.54 | $122.00 | $29.28 – $113.02 | 16 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $35.91 | $63.00 | $14.60 – $56.36 | 16 |
| Mayo antithrombin iii antigen CPT 85301 | $25.65 | $45.00 | $10.81 – $41.73 | 16 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $22.80 | $40.00 | $8.32 – $58.09 | 16 |
| Mayo avwpr vw factor activity CPT 85397 | $306.09 | $537.00 | $30.86 – $119.12 | 16 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $35.09 – $135.45 | 12 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $42.18 | $74.00 | $21.27 – $31.67 | 3 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $14.82 | $26.00 | $8.32 – $39.29 | 16 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $420.66 | $738.00 | $144.84 – $559.08 | 15 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $214.62 – $828.43 | 15 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $32.49 | $57.00 | $8.32 – $49.79 | 16 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $31.67 – $31.88 | 3 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $18.81 | $33.00 | $8.32 – $50.91 | 16 |
| Mayo brcmg brucella antibody igm CPT 86622 | $57.00 | $100.00 | $8.32 – $34.47 | 16 |
| Mayo c1 esterase inhibitor CPT 83883 | $88.35 | $155.00 | $13.60 – $52.50 | 16 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $43.32 | $76.00 | $31.67 – $33.34 | 3 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $78.66 | $138.00 | $16.87 – $65.12 | 16 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $53.58 | $94.00 | $26.78 – $103.37 | 16 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $122.22 – $471.77 | 15 |
| Mayo ceruloplasmin CPT 82390 | $26.79 | $47.00 | $10.74 – $41.46 | 16 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $51.30 | $90.00 | $14.12 – $54.50 | 16 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $98.61 | $173.00 | $8.32 – $49.72 | 16 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $14.82 | $26.00 | $8.32 – $45.63 | 16 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $14.82 | $26.00 | $8.32 – $48.94 | 16 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $242.25 | $425.00 | $71.24 – $449.65 | 16 |
| Mayo chromium CPT 82495 | $38.76 | $68.00 | $10.41 – $78.28 | 16 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $51.87 | $91.00 | $28.13 – $31.67 | 3 |
| Mayo coccidioides antibody CPT 86635 | $13.68 | $24.00 | $8.32 – $44.27 | 16 |
| Mayo cocou cortisone urine CPT 82542 | $196.65 | $345.00 | $24.09 – $92.99 | 16 |
| Mayo cortisol free CPT 82530 | $33.63 | $59.00 | $16.71 – $64.50 | 16 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $61.56 | $108.00 | $42.13 – $162.62 | 12 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $38.76 | $68.00 | $8.32 – $46.78 | 16 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | not published | not published | $36.77 – $132.32 | 3 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $91.49 – $91.49 | 2 |
| Mayo cyanide CPT 82600 | $22.80 | $40.00 | $19.40 – $74.88 | 16 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $61.40 – $345.95 | 13 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $31.35 | $55.00 | $13.25 – $51.15 | 16 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $60.99 | $107.00 | $25.27 – $97.54 | 16 |
| Mayo dihydrotestosterone CPT 82642 | $99.75 | $175.00 | $29.28 – $113.02 | 12 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $9.64 – $37.21 | 16 |
| Mayo efpo chloride stool CPT 82438 | $10.26 | $18.00 | $5.00 – $19.30 | 16 |
| Mayo estriol CPT 82677 | $57.57 | $101.00 | $24.18 – $93.33 | 16 |
| Mayo estrone CPT 82679 | $49.59 | $87.00 | $24.95 – $96.31 | 16 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $39.33 | $69.00 | $16.34 – $63.07 | 16 |
| Mayo everolimus therapeutic drug level CPT 80169 | $57.57 | $101.00 | $13.73 – $53.00 | 15 |
| Mayo factor ii CPT 85210 | $21.09 | $37.00 | $8.32 – $50.10 | 16 |
| Mayo factor v CPT 85220 | $42.75 | $75.00 | $17.65 – $68.13 | 16 |
| Mayo factor vii CPT 85230 | $43.32 | $76.00 | $17.90 – $69.09 | 16 |
| Mayo factor viii vw factor antigen CPT 85246 | $48.45 | $85.00 | $22.94 – $88.55 | 16 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $47.31 | $83.00 | $22.94 – $88.55 | 16 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $47.88 | $84.00 | $22.94 – $88.55 | 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.