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 |
|---|---|---|---|---|
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $838.36 – $2,960.66 | 7 |
| Mcoln1 gene CPT 81290 | not published | not published | $39.31 – $151.74 | 12 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $532.91 – $1,785.19 | 7 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $569.67 – $1,919.48 | 7 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $602.87 – $2,036.51 | 7 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $74.36 – $74.36 | 2 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $962.48 – $5,460.08 | 6 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $19.58 – $1,071.21 | 12 |
| Measure kidney pressure CPT 50396 | not published | not published | $120.58 – $1,347.53 | 12 |
| Measurement post void urine by ultrasound CPT 51798 | $72.96 | $128.00 | $11.90 – $119.91 | 12 |
| Measure ureter pressure CPT 50686 | not published | not published | $92.18 – $512.74 | 12 |
| #mec-opiates CPT 80356 | not published | not published | $31.67 – $36.29 | 3 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $150.00 – $579.00 | 12 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $527.87 – $2,037.58 | 12 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $120.00 – $463.20 | 12 |
| Medial canthopexy CPT 21280 | not published | not published | $625.68 – $2,103.83 | 7 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $394.77 – $1,410.15 | 6 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $303.65 – $1,078.39 | 6 |
| Medical services after hrs CPT 99050 | not published | not published | $58.51 – $58.51 | 2 |
| Med physic dos eval rad exps CPT 76145 | $786.03 | $1,379.00 | $510.10 – $2,079.01 | 11 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $0.58 | $1.01 | $0.84 – $0.84 | 2 |
| Med serv 10pm-8am 24 hr fac CPT 99053 | not published | not published | $58.51 – $58.51 | 2 |
| Med serv eve/wkend/holiday CPT 99051 | not published | not published | $58.51 – $58.51 | 2 |
| Meg evoked each addl CPT 95967 | not published | not published | $180.17 – $626.08 | 7 |
| Meg evoked single CPT 95966 | not published | not published | $207.98 – $2,053.97 | 12 |
| Meg spontaneous CPT 95965 | not published | not published | $435.28 – $2,053.97 | 12 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $1,410.75 | $2,475.00 | $473.65 – $2,228.00 | 7 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $1,710.19 – $5,959.16 | 7 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $5.60 | $9.82 | $2.51 – $9.33 | 6 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $57.54 | $100.94 | $42.24 – $100.94 | 6 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $5.02 | $8.80 | $0.50 – $8.07 | 6 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $256.48 – $918.68 | 7 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $9.52 | $16.71 | $2.13 – $16.71 | 6 |
| Metabolic Blood Panel (Basic) CPT 80048 | $66.69 | $117.00 | $8.46 – $32.66 | 16 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $78.66 | $138.00 | $10.56 – $40.76 | 16 |
| Metabolic panel ionized ca CPT 80047 | $66.69 | $117.00 | $12.10 – $53.00 | 16 |
| Metatarsal joint implant HCPCS L8641 | $2,821.50 | $4,950.00 | $349.34 – $349.34 | 2 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $7.34 | $12.88 | $0.21 – $2.31 | 6 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $15.36 | $26.95 | $8.50 – $26.95 | 6 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $0.92 | $1.61 | $0.36 – $1.61 | 6 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $6.13 | $10.75 | $3.26 – $10.75 | 6 |
| Methotrexate therapeutic drug level CPT 80204 | $103.74 | $182.00 | $38.57 – $148.88 | 12 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $49.56 | $86.94 | $29.53 – $86.94 | 6 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $2.38 | $4.18 | $2.85 – $2.85 | 2 |
| Methylphenidate CPT 80360 | $132.24 | $232.00 | $29.42 – $31.67 | 3 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $2.97 | $5.21 | $1.43 – $4.91 | 6 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $4.99 | $8.76 | $0.03 – $8.76 | 6 |
| Metyrapone panel CPT 80436 | not published | not published | $91.16 – $351.88 | 16 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $87.24 – $481.11 | 15 |
| Microalbumin urine screen CPT 82044 | not published | not published | $4.34 – $24.05 | 16 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $14.83 – $155.06 | 16 |
| Microdissection laser CPT 88380 | not published | not published | $55.83 – $171.27 | 8 |
| Microdissection manual CPT 88381 | $132.24 | $232.00 | $24.88 – $144.22 | 8 |
| Microfluid analy tears CPT 83861 | not published | not published | $22.48 – $86.77 | 16 |
| Microsatellite instability CPT 81301 | $892.62 | $1,566.00 | $348.56 – $1,345.44 | 15 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $205.50 – $726.94 | 7 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $39.63 – $315.86 | 12 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $2.72 | $4.77 | $0.22 – $0.49 | 6 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $35.98 – $214.68 | 12 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $9.53 | $16.72 | $2.15 – $14.30 | 6 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,490.20 – $12,830.64 | 7 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $224.63 | $394.08 | $4.20 – $114.93 | 7 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $2,735.79 – $9,791.29 | 7 |
| Mlh1 gene CPT 81288 | not published | not published | $167.62 – $742.36 | 15 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $199.91 – $781.26 | 15 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $675.40 – $2,607.04 | 15 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $271.60 – $1,277.66 | 15 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $22.68 – $80.65 | 11 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $5.74 – $20.82 | 11 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $1,093.49 – $3,772.09 | 7 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $57.89 – $177.77 | 12 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $85.55 – $300.83 | 6 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $151.16 – $520.50 | 6 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $143.85 – $499.65 | 6 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $205.10 – $699.23 | 7 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $473.85 – $1,539.26 | 7 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $253.67 – $1,397.48 | 7 |
| Mnt subs tx for change dx HCPCS G0270 | $57.00 | $100.00 | $30.18 – $81.64 | 6 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $118.92 – $426.75 | 7 |
| Modification of contact lens CPT 92325 | not published | not published | $43.65 – $260.23 | 12 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $1,339.16 – $4,731.86 | 7 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $577.22 – $2,040.04 | 7 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $16.63 – $145.64 | 12 |
| Mometasone sinus sinuva HCPCS J7402 | $868.53 | $1,523.73 | $15.89 – $1,523.73 | 7 |
| Mopath procedure level 1 CPT 81400 | $221.16 | $388.00 | $63.96 – $246.89 | 12 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $150.33 – $580.27 | 12 |
| Mopath procedure level 5 CPT 81404 | $221.16 | $388.00 | $274.83 – $1,060.84 | 12 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $301.35 – $1,163.21 | 12 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $282.88 – $1,091.92 | 12 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $846.27 – $3,266.60 | 12 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $2,100.00 – $7,720.00 | 7 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $20.51 | $35.98 | $0.28 – $5.02 | 6 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $50.15 | $87.99 | $5.50 – $21.72 | 6 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $241.68 | $424.00 | $44.79 – $345.95 | 12 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $573.42 | $1,006.00 | $46.24 – $726.22 | 13 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $160.17 | $281.00 | $43.94 – $345.95 | 13 |
| Motion analysis video/3d CPT 96000 | not published | not published | $89.26 – $1,071.21 | 12 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $116.03 – $2,053.97 | 12 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $2.70 – $805.60 | 12 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $300.29 – $1,389.41 | 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.