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 |
|---|---|---|---|---|
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $26.98 – $53.24 | 7 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $290.70 | $510.00 | $68.02 – $345.95 | 12 |
| M/phmtrc alysishquant/semiq CPT 88369 | $885.78 | $1,554.00 | $35.50 – $66.45 | 7 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $49.79 – $345.95 | 13 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $150.33 – $580.27 | 12 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $20.05 – $77.39 | 16 |
| M.pneumon dna quant CPT 87582 | not published | not published | $59.72 – $1,168.11 | 16 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $142.02 – $142.02 | 2 |
| MRA abdomen post contrast CPT 74185 | $1,173.63 | $2,059.00 | $89.98 – $218.07 | 7 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $1,471.74 | $2,582.00 | $90.36 – $218.96 | 7 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $1,375.98 | $2,414.00 | $90.49 – $219.85 | 7 |
| MRA pelvis CPT 72198 | $987.81 | $1,733.00 | $89.98 – $217.20 | 7 |
| MRA spinal canal CPT 72159 | $653.22 | $1,146.00 | $91.05 – $220.60 | 7 |
| MRA upper extremity post contrast-bil CPT 73225 | $1,471.17 | $2,581.00 | $87.37 – $212.64 | 7 |
| Mr elastography CPT 76391 | not published | not published | $55.67 – $488.00 | 11 |
| MRI brain w/dye CPT 70558 | not published | not published | $171.14 – $420.96 | 12 |
| MRI brain without dye CPT 70557 | not published | not published | $162.17 – $1,106.93 | 12 |
| MRI brain without & w/dye CPT 70559 | $1,182.75 | $2,075.00 | $165.33 – $397.25 | 12 |
| MRI breast c- unilateral CPT 77046 | $943.35 | $1,655.00 | $73.12 – $488.00 | 11 |
| MRI breast c-+ w/cad uni CPT 77048 | $1,014.60 | $1,780.00 | $106.05 – $256.81 | 6 |
| MRI breast without cont bi CPT 77047 | $1,064.19 | $1,867.00 | $80.62 – $488.00 | 11 |
| MRI breast w IV cont bi CPT 77049 | $1,521.90 | $2,670.00 | $116.13 – $152.14 | 6 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $117.75 – $488.00 | 12 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $130.40 – $720.99 | 12 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $149.60 – $1,595.01 | 12 |
| MRI chest without contrast CPT 71550 | $708.51 | $1,243.00 | $73.62 – $488.00 | 12 |
| MRI chest without & w/contrast CPT 71552 | $1,043.67 | $1,831.00 | $113.92 – $720.99 | 12 |
| MRI chest w IV cont CPT 71551 | not published | not published | $87.37 – $1,595.01 | 12 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $93.63 – $226.77 | 6 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $151.87 – $488.00 | 11 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $75.57 – $179.30 | 7 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $210.74 – $529.09 | 7 |
| MRI loex nonjt w IV cont CPT 73719 | not published | not published | $81.72 – $720.99 | 12 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $609.33 | $1,069.00 | $67.96 – $488.00 | 12 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $1,080.72 | $1,896.00 | $108.27 – $720.99 | 12 |
| MRI orbit/face/neck without contrast CPT 70540 | $598.50 | $1,050.00 | $67.96 – $488.00 | 12 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $896.04 | $1,572.00 | $108.27 – $720.99 | 12 |
| MRI orbit fac&nck w IV cont CPT 70542 | not published | not published | $81.72 – $720.99 | 12 |
| MRI tmj CPT 70336 | $543.21 | $953.00 | $74.36 – $488.00 | 12 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $646.95 | $1,135.00 | $68.68 – $488.00 | 12 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $908.58 | $1,594.00 | $108.63 – $720.99 | 12 |
| MRI upper extremity w/dye CPT 73219 | not published | not published | $82.08 – $720.99 | 12 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $84.65 – $177.77 | 5 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $88.24 – $185.30 | 5 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $57.10 – $119.91 | 5 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $23.54 – $49.43 | 5 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $232.38 – $488.00 | 5 |
| Mr spectroscopy CPT 76390 | $519.84 | $912.00 | $84.65 – $177.77 | 7 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $159.05 – $823.34 | 15 |
| Msh2 gene full seq CPT 81295 | not published | not published | $159.05 – $1,473.36 | 15 |
| Msh2 gene known variants CPT 81296 | not published | not published | $135.81 – $1,303.64 | 15 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $169.51 – $918.68 | 15 |
| Msh6 gene full seq CPT 81298 | not published | not published | $301.77 – $2,477.54 | 15 |
| Msh6 gene known variants CPT 81299 | not published | not published | $169.05 – $1,188.88 | 15 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $2,800.62 – $9,802.99 | 7 |
| Mthfr gene analy common variants CPT 81291 | $287.85 | $505.00 | $62.43 – $252.21 | 15 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $26.88 – $103.76 | 16 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $42.84 – $165.36 | 16 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.86 – $22.62 | 16 |
| Mucopolysaccharides CPT 83864 | not published | not published | $28.49 – $110.01 | 16 |
| Mucormycosis antibody CPT 86732 | not published | not published | $15.00 – $57.90 | 16 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $28.64 – $60.14 | 5 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $31.92 – $324.37 | 12 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $35.35 – $315.86 | 11 |
| Multiple sleep latency test CPT 95805 | not published | not published | $60.93 – $1,071.21 | 12 |
| Mumps antibody igg CPT 86735 | $41.04 | $72.00 | $13.05 – $50.37 | 16 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $1,254.14 – $4,381.50 | 7 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $1,300.08 – $4,639.99 | 7 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $1,526.55 – $5,360.06 | 7 |
| Muscle test cran nerv unilat CPT 95867 | $198.36 | $348.00 | $43.86 – $628.68 | 12 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $67.20 – $315.86 | 12 |
| Muscle test larynx CPT 95865 | $181.83 | $319.00 | $87.46 – $260.23 | 12 |
| Muscle test one fiber CPT 95872 | not published | not published | $106.61 – $315.86 | 12 |
| Muscle transfers CPT 23397 | not published | not published | $1,175.02 – $4,074.38 | 7 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $1,325.82 – $4,585.65 | 7 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $1,066.08 – $3,760.91 | 6 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $781.82 – $2,680.80 | 7 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $48.24 – $186.21 | 16 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $20.05 – $77.39 | 16 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $42.84 – $165.36 | 16 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $6.96 | $12.22 | $0.25 – $2.38 | 6 |
| Mycophenolic acid HCPCS J7518 | $2.23 | $3.91 | $0.57 – $3.91 | 6 |
| Mycoplasma antibody igm CPT 86738 | $33.06 | $58.00 | $13.24 – $51.11 | 16 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | not published | not published | $175.40 – $677.04 | 12 |
| Myelogphy 2/> spine regions CPT 72270 | not published | not published | $69.13 – $1,595.01 | 12 |
| Myelography l-s spine CPT 72265 | not published | not published | $42.50 – $1,595.01 | 12 |
| Myelography neck spine CPT 72240 | not published | not published | $46.08 – $1,595.01 | 12 |
| Myelography thoracic spine CPT 72255 | not published | not published | $45.96 – $1,595.01 | 12 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $1,959.66 | $3,438.00 | $127.08 – $1,595.01 | 11 |
| Myelography via inj w/s&i cervical CPT 62302 | $1,959.66 | $3,438.00 | $123.77 – $1,595.01 | 11 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $1,959.66 | $3,438.00 | $122.28 – $1,595.01 | 11 |
| Myelography via inj w/s&i thoracic CPT 62303 | $1,959.66 | $3,438.00 | $124.00 – $1,595.01 | 11 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $62.13 | $109.00 | $11.53 – $44.51 | 16 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $2,555.96 – $9,181.28 | 7 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $76.62 – $181.84 | 7 |
| Myocrd img pet 1 std w/ct CPT 78429 | $1,150.26 | $2,018.00 | $84.20 – $205.97 | 6 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $100.16 – $241.92 | 6 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $109.51 – $264.32 | 6 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $89.97 – $213.80 | 7 |
| Myocrd img pet rst&strs CT CPT 78431 | not published | not published | $93.70 – $226.72 | 6 |
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.