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 |
|---|---|---|---|---|
| Mayo factor x CPT 85260 | $43.32 | $76.00 | $17.90 – $69.09 | 16 |
| Mayo factor xi CPT 85270 | $43.32 | $76.00 | $17.90 – $69.09 | 16 |
| Mayo fat/lipids feces quantitative CPT 82710 | $49.59 | $87.00 | $16.80 – $64.85 | 16 |
| Mayo fbl culture fungi blood CPT 87103 | $27.93 | $49.00 | $12.89 – $78.98 | 16 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $12.33 – $310.58 | 16 |
| Mayo ffspg allergen clam igg CPT 86001 | not published | not published | $4.64 – $30.19 | 16 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $12.15 – $55.82 | 16 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $49.59 | $87.00 | $18.96 – $83.65 | 15 |
| Mayo hemosiderin qualitative urine CPT 83070 | $5.70 | $10.00 | $4.75 – $18.34 | 16 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $147.06 | $258.00 | $35.09 – $135.45 | 16 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $40.47 | $71.00 | $35.09 – $135.45 | 16 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $23.37 | $41.00 | $13.79 – $53.23 | 16 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $62.13 | $109.00 | $25.81 – $99.63 | 16 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $10.26 | $18.00 | $8.89 – $34.32 | 16 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $15.96 | $28.00 | $13.52 – $52.19 | 16 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $64.98 | $114.00 | $27.17 – $104.88 | 16 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $96.33 | $169.00 | $17.27 – $66.66 | 16 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $91.20 | $160.00 | $14.99 – $57.86 | 16 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $49.59 | $87.00 | $20.81 – $80.33 | 16 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $49.59 | $87.00 | $20.81 – $80.33 | 16 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $35.09 – $73.69 | 5 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $25.08 | $44.00 | $16.07 – $62.03 | 16 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $95.19 | $167.00 | $11.98 – $46.24 | 16 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $98.61 | $173.00 | $35.09 – $135.45 | 16 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $40.47 | $71.00 | $35.09 – $135.45 | 12 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $49.02 | $86.00 | $35.09 – $135.45 | 16 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | not published | not published | $35.09 – $73.69 | 5 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $84.93 | $149.00 | $42.84 – $165.36 | 16 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | not published | not published | $72.19 – $278.65 | 12 |
| Mayo infliximab therapeutic drug level CPT 80230 | $129.96 | $228.00 | $38.57 – $148.88 | 12 |
| Mayo inhab inhibin a CPT 86336 | $53.58 | $94.00 | $15.59 – $60.18 | 16 |
| Mayo insft insulin free CPT 83527 | not published | not published | $12.95 – $49.99 | 16 |
| Mayo insulin antibodies CPT 86337 | $51.30 | $90.00 | $21.41 – $82.64 | 16 |
| Mayo iodine CPT 83789 | $94.05 | $165.00 | $24.11 – $93.06 | 16 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $67.83 | $119.00 | $27.11 – $104.64 | 12 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $88.92 | $156.00 | $27.11 – $104.64 | 12 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $33.63 | $59.00 | $13.25 – $51.15 | 15 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | not published | not published | $12.79 – $49.37 | 16 |
| Mayo legionella antibody CPT 86713 | not published | not published | $15.30 – $59.06 | 16 |
| Mayo leptospira antibody igm CPT 86720 | not published | not published | $8.32 – $62.53 | 16 |
| Mayo lipoprotein electrophoresis CPT 83700 | not published | not published | $11.26 – $43.46 | 16 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $37.62 | $66.00 | $15.49 – $59.79 | 16 |
| Mayo manganese CPT 83785 | $49.02 | $86.00 | $26.65 – $102.87 | 16 |
| Mayo metanephrines plasma CPT 83835 | $41.04 | $72.00 | $16.94 – $65.39 | 16 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $57.57 | $101.00 | $30.32 – $31.67 | 3 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | not published | not published | $12.05 – $46.51 | 12 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | not published | not published | $18.40 – $81.14 | 10 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $38.19 | $67.00 | $14.55 – $56.16 | 16 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $21.66 | $38.00 | $18.64 – $71.95 | 16 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $439.47 | $771.00 | $137.00 – $528.82 | 12 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $185.20 – $714.87 | 12 |
| Mayo muramidase CPT 85549 | $37.62 | $66.00 | $18.75 – $72.38 | 16 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | not published | not published | $18.40 – $81.14 | 10 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $56.43 | $99.00 | $18.05 – $69.67 | 15 |
| Mayo myoglobin CPT 83874 | $47.31 | $83.00 | $12.92 – $49.87 | 16 |
| Mayo nickel CPT 83885 | $29.07 | $51.00 | $24.51 – $94.61 | 16 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $64.98 | $114.00 | $31.67 – $47.74 | 3 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $107.73 | $189.00 | $31.67 – $40.69 | 3 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $132.24 | $232.00 | $31.67 – $36.29 | 3 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $108.30 | $190.00 | $21.21 – $81.87 | 16 |
| Mayo organic acids qualitative each specimen CPT 83919 | not published | not published | $16.45 – $63.50 | 16 |
| Mayo oxalate 24 hour urine CPT 83945 | $39.90 | $70.00 | $14.45 – $55.78 | 16 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $11.53 – $44.51 | 16 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $29.64 | $52.00 | $15.03 – $58.02 | 16 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $37.05 | $65.00 | $12.05 – $46.51 | 16 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $141.93 | $249.00 | $35.09 – $135.45 | 16 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $37.05 | $65.00 | $17.98 – $69.40 | 16 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $27.93 | $49.00 | $13.76 – $53.11 | 16 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $48.45 | $85.00 | $8.44 – $32.58 | 16 |
| Mayo pregnenolone CPT 84140 | $42.75 | $75.00 | $20.67 – $79.79 | 16 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $33.63 | $59.00 | $16.59 – $64.04 | 16 |
| Mayo proinsulin CPT 84206 | $48.45 | $85.00 | $25.47 – $103.02 | 16 |
| Mayo psaft prostate specific antigen free CPT 84154 | $44.46 | $78.00 | $18.39 – $70.99 | 16 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $573.42 | $1,006.00 | $18.40 – $71.02 | 16 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | not published | not published | $13.36 – $51.57 | 16 |
| Mayo receptor assay transferrin soluble CPT 84238 | $42.75 | $75.00 | $36.57 – $141.16 | 16 |
| Mayo renin CPT 84244 | $53.01 | $93.00 | $21.99 – $84.88 | 16 |
| Mayo repu protein electrophoresis urine CPT 84166 | $43.32 | $76.00 | $17.83 – $68.82 | 16 |
| Mayo selenium CPT 84255 | $61.56 | $108.00 | $25.53 – $98.55 | 16 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $18.24 | $32.00 | $15.50 – $59.83 | 16 |
| Mayo serotonin CPT 84260 | $74.67 | $131.00 | $30.98 – $119.58 | 16 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $46.74 | $82.00 | $19.35 – $74.69 | 16 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $44.46 | $78.00 | $13.73 – $53.00 | 16 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $17.67 | $31.00 | $4.27 – $16.48 | 16 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $208.92 – $806.43 | 15 |
| Mayo tgrp testosterone free CPT 84402 | $50.73 | $89.00 | $25.47 – $98.31 | 16 |
| Mayo tgrp testosterone total CPT 84403 | $84.36 | $148.00 | $25.81 – $99.63 | 16 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $22.17 – $85.58 | 12 |
| Mayo thyroglobulin CPT 84432 | $38.76 | $68.00 | $16.06 – $61.99 | 16 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $12.54 | $22.00 | $8.32 – $39.29 | 16 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $29.64 | $52.00 | $8.32 – $47.83 | 16 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $165.30 | $290.00 | $29.42 – $31.67 | 3 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $59.28 | $104.00 | $51.28 – $197.94 | 13 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $21.09 | $37.00 | $14.16 – $54.66 | 16 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $41.61 | $73.00 | $13.54 – $52.26 | 15 |
| Mayo vasoactive intestinal peptide CPT 84586 | $67.83 | $119.00 | $18.24 – $136.37 | 16 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $110.01 | $193.00 | $20.24 – $78.13 | 16 |
| Mayo vitamin b3 (niacin) CPT 84591 | $48.45 | $85.00 | $16.60 – $65.85 | 16 |
| Mayo vitamin k CPT 84597 | $27.36 | $48.00 | $13.72 – $52.96 | 16 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $35.34 | $62.00 | $13.25 – $51.15 | 15 |
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.