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 |
|---|---|---|---|---|
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $352.46 – $1,259.55 | 7 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $1,612.96 – $5,602.43 | 7 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $1,731.79 – $5,891.48 | 7 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $861.09 – $2,943.11 | 7 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $1,137.71 – $3,932.85 | 7 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $710.57 – $2,441.10 | 7 |
| Ot evaluation high complexity patient/family CPT 97167 | $230.28 | $404.00 | $97.60 – $204.96 | 11 |
| Ot evaluation low complexity patient/family CPT 97165 | $153.33 | $269.00 | $97.60 – $204.96 | 11 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $184.68 | $324.00 | $97.60 – $204.96 | 11 |
| Other bone graft microvasc CPT 20962 | not published | not published | $2,732.76 – $9,486.19 | 7 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $23.13 – $89.28 | 16 |
| Oth resp proc, group HCPCS G0239 | $284.43 | $499.00 | $13.68 – $38.60 | 6 |
| Oth resp proc, indiv HCPCS G0238 | $64.41 | $113.00 | $10.83 – $30.49 | 6 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $78.09 | $137.00 | $48.45 – $101.75 | 11 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $75.81 | $133.00 | $44.45 – $93.35 | 12 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $74.10 | $130.00 | $26.40 – $61.63 | 12 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $9.69 – $95.28 | 7 |
| Otoplasty 69300 CPT 69300 | not published | not published | $495.74 – $2,236.65 | 7 |
| Ot re-evaluation patient/family CPT 97168 | $93.48 | $164.00 | $67.28 – $141.29 | 11 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $69.54 | $122.00 | $33.53 – $72.00 | 12 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $26.22 | $46.00 | $20.28 – $42.59 | 11 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $52.44 | $92.00 | $21.23 – $44.58 | 11 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $74.10 | $130.00 | $27.97 – $65.82 | 12 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $69.54 | $122.00 | $31.14 – $68.58 | 12 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $63.84 | $112.00 | $31.07 – $71.35 | 12 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $1,546.53 – $5,500.50 | 7 |
| Out of office emerg med serv CPT 99060 | not published | not published | $77.81 – $77.81 | 2 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $791.87 – $2,724.64 | 7 |
| Ovulation tests CPT 84830 | not published | not published | $12.70 – $49.02 | 16 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $3.13 | $5.49 | $1.36 – $5.49 | 6 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $0.89 | $1.57 | $0.10 – $1.30 | 7 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $7.10 | $12.46 | $3.20 – $3.20 | 2 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $137.00 – $528.82 | 12 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $0.61 | $1.07 | $0.14 – $1.07 | 6 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $28.29 | $49.64 | $11.76 – $49.64 | 7 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $390.37 – $2,611.29 | 12 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $301.35 – $1,163.21 | 12 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $2,224.39 | $3,902.43 | $560.47 – $1,511.73 | 7 |
| Palonosetron hcl HCPCS J2469 | $11.22 | $19.68 | $1.23 – $19.68 | 6 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $61.51 | $107.91 | $14.46 – $107.91 | 6 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $11,242.01 – $11,242.01 | 2 |
| Pancreatectomy CPT 48146 | not published | not published | $1,879.93 – $6,641.59 | 7 |
| Pancreatectomy CPT 48152 | not published | not published | $2,862.88 – $10,173.94 | 7 |
| Pancreatectomy CPT 48154 | not published | not published | $2,875.40 – $10,217.51 | 7 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $3,082.78 – $10,926.53 | 7 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $1,565.75 – $5,512.13 | 7 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $1,344.64 – $4,740.94 | 7 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $257.53 | $451.80 | $123.49 – $451.80 | 7 |
| Papaverin hcl injection HCPCS J2440 | $82.84 | $145.33 | $75.80 – $75.80 | 2 |
| Parathormone (pth) intact CPT 83970 | $97.47 | $171.00 | $41.28 – $159.34 | 16 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $1,432.62 – $4,943.66 | 7 |
| Parathyrd planar w/spect&ct CPT 78072 | $988.95 | $1,735.00 | $78.00 – $1,086.69 | 12 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $241.94 – $858.00 | 7 |
| Parathyroid planar imaging CPT 78070 | $550.62 | $966.00 | $39.95 – $811.23 | 12 |
| Parathyroid planar img w/tomo spect CPT 78071 | $674.31 | $1,183.00 | $59.39 – $811.23 | 12 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $865.97 – $2,997.04 | 7 |
| Parial mast w/lymph removal 19302 CPT 19302 | $1,755.03 | $3,079.00 | $915.98 – $1,912.55 | 7 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $245.67 | $431.00 | $16.27 – $401.14 | 12 |
| Parotid duct diversion CPT 42507 | not published | not published | $523.02 – $1,802.48 | 7 |
| Parotid duct diversion CPT 42509 | not published | not published | $858.78 – $2,985.86 | 7 |
| Parotid duct diversion CPT 42510 | not published | not published | $640.33 – $2,214.08 | 7 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $891.75 – $3,030.38 | 7 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $213.01 – $710.06 | 7 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $1,304.76 – $4,613.70 | 7 |
| Partial exc bone humerus CPT 24140 | not published | not published | $734.73 – $2,516.10 | 7 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $468.33 – $2,192.48 | 7 |
| Partial excision of lip CPT 40500 | not published | not published | $394.07 – $1,871.74 | 7 |
| Partial hip replacement CPT 27125 | not published | not published | $1,164.81 – $4,040.59 | 7 |
| Partial hysterectomy CPT 58180 | not published | not published | $994.06 – $3,468.71 | 7 |
| Partial proctectomy CPT 45113 | not published | not published | $1,922.70 – $6,835.31 | 7 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $1,140.80 – $4,007.81 | 7 |
| Partial removal donor liver CPT 47140 | not published | not published | $3,556.16 – $12,527.36 | 7 |
| Partial removal donor liver CPT 47141 | not published | not published | $4,245.45 – $14,982.90 | 7 |
| Partial removal donor liver CPT 47142 | not published | not published | $4,670.22 – $16,514.14 | 7 |
| Partial removal finger bone CPT 26235 | not published | not published | $521.25 – $1,770.71 | 7 |
| Partial removal finger bone CPT 26236 | not published | not published | $468.18 – $1,584.79 | 7 |
| Partial removal foot fascia CPT 28060 | not published | not published | $384.73 – $1,924.39 | 7 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $940.88 – $3,141.41 | 7 |
| Partial removal of bladder CPT 51550 | not published | not published | $997.38 – $3,502.73 | 7 |
| Partial removal of esophagus CPT 43116 | not published | not published | $4,826.76 – $17,412.41 | 7 |
| Partial removal of esophagus CPT 43118 | not published | not published | $3,527.75 – $12,686.33 | 7 |
| Partial removal of esophagus CPT 43121 | not published | not published | $2,796.06 – $9,989.29 | 7 |
| Partial removal of esophagus CPT 43123 | not published | not published | $4,384.79 – $15,766.54 | 7 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $3,197.02 – $11,377.13 | 7 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $2,543.37 – $8,982.56 | 7 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $505.94 – $1,719.19 | 7 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $577.91 – $1,972.20 | 7 |
| Partial removal of fibula CPT 27641 | not published | not published | $683.68 – $2,384.81 | 7 |
| Partial removal of foot bone CPT 28288 | not published | not published | $465.57 – $2,243.81 | 7 |
| Partial removal of hand bone CPT 26230 | not published | not published | $527.91 – $1,796.51 | 7 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $1,957.33 – $6,987.68 | 7 |
| Partial removal of larynx CPT 31367 | not published | not published | $2,270.34 – $7,899.68 | 7 |
| Partial removal of larynx CPT 31368 | not published | not published | $2,508.53 – $8,761.58 | 7 |
| Partial removal of larynx CPT 31370 | not published | not published | $2,132.85 – $7,426.16 | 7 |
| Partial removal of larynx CPT 31375 | not published | not published | $2,028.19 – $7,049.59 | 7 |
| Partial removal of larynx CPT 31380 | not published | not published | $2,000.48 – $6,951.90 | 7 |
| Partial removal of larynx CPT 31382 | not published | not published | $2,188.76 – $7,622.36 | 7 |
| Partial removal of lip CPT 40530 | not published | not published | $426.25 – $1,976.06 | 7 |
| Partial removal of liver CPT 47125 | not published | not published | $3,052.12 – $10,826.89 | 7 |
| Partial removal of liver CPT 47130 | not published | not published | $3,272.61 – $11,625.60 | 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.