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 |
|---|---|---|---|---|
| Partial removal of lung 32480 CPT 32480 | not published | not published | $1,455.65 – $5,169.38 | 7 |
| Partial removal of nose CPT 30150 | not published | not published | $842.07 – $2,832.19 | 7 |
| Partial removal of pancreas CPT 48145 | not published | not published | $1,625.62 – $5,749.76 | 7 |
| Partial removal of pancreas CPT 48150 | not published | not published | $3,100.98 – $10,968.04 | 7 |
| Partial removal of penis CPT 54120 | not published | not published | $662.61 – $2,309.59 | 7 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $1,478.83 – $5,143.01 | 7 |
| Partial removal of radius CPT 25151 | not published | not published | $615.46 – $2,094.04 | 7 |
| Partial removal of radius CPT 25230 | not published | not published | $459.69 – $1,553.33 | 7 |
| Partial removal of rectum CPT 45111 | not published | not published | $1,105.50 – $3,872.14 | 7 |
| Partial removal of rectum CPT 45114 | not published | not published | $1,805.22 – $6,387.79 | 7 |
| Partial removal of rectum CPT 45116 | not published | not published | $1,594.70 – $5,634.90 | 7 |
| Partial removal of rib CPT 21600 | not published | not published | $585.39 – $1,964.14 | 7 |
| Partial removal of sternum CPT 21620 | not published | not published | $512.42 – $1,790.06 | 7 |
| Partial removal of thyroid CPT 60220 | not published | not published | $728.31 – $2,518.16 | 7 |
| Partial removal of thyroid CPT 60225 | not published | not published | $965.71 – $3,324.83 | 7 |
| Partial removal of tibia CPT 27640 | not published | not published | $865.49 – $2,982.34 | 7 |
| Partial removal of toe CPT 28160 | not published | not published | $286.58 – $1,534.01 | 7 |
| Partial removal of tongue CPT 41120 | not published | not published | $1,110.84 – $3,851.03 | 7 |
| Partial removal of tongue CPT 41130 | not published | not published | $1,369.59 – $4,751.06 | 7 |
| Partial removal of ulna CPT 25119 | not published | not published | $529.89 – $1,785.68 | 7 |
| Partial removal of ulna CPT 25150 | not published | not published | $596.31 – $2,028.15 | 7 |
| Partial removal of ulna CPT 25240 | not published | not published | $456.74 – $1,542.19 | 7 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $564.17 – $1,866.56 | 7 |
| Partial removal tear gland CPT 68505 | not published | not published | $1,121.01 – $3,675.45 | 7 |
| Partial thyroid excision CPT 60210 | not published | not published | $725.82 – $2,513.44 | 7 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $1,029.02 – $3,609.41 | 7 |
| Part removal hip bone deep CPT 27071 | not published | not published | $1,009.79 – $3,381.30 | 7 |
| Part removal of metatarsal CPT 28110 | not published | not published | $314.39 – $1,708.50 | 7 |
| Part removal of metatarsal CPT 28113 | not published | not published | $457.35 – $2,166.94 | 7 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $334.35 – $1,795.76 | 7 |
| Part remove hip bone super CPT 27070 | not published | not published | $920.68 – $3,139.13 | 7 |
| Passy muir valve metal trach HCPCS L8501 | $245.10 | $430.00 | $120.56 – $120.56 | 2 |
| Path clin consltj high 41-60 CPT 80505 | $278.16 | $488.00 | $94.24 – $345.95 | 11 |
| Path clin consltj mod 21-40 CPT 80504 | $278.16 | $488.00 | $50.24 – $345.95 | 11 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $45.30 – $59.86 | 6 |
| Path clin consltj sf 5-20 CPT 80503 | $88.35 | $155.00 | $23.41 – $107.88 | 11 |
| Patient recorded spirometry CPT 94014 | not published | not published | $60.07 – $805.60 | 12 |
| Patient recorded spirometry CPT 94015 | not published | not published | $34.02 – $628.68 | 12 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $255.05 – $984.49 | 15 |
| Pdgfra gene CPT 81314 | not published | not published | $329.51 – $1,271.91 | 15 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $191.02 – $699.49 | 11 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $771.32 – $3,246.11 | 7 |
| Ped crit care age 2-5 init CPT 99475 | $1,728.81 | $3,033.00 | $585.87 – $1,235.27 | 7 |
| Ped crit care age 2-5 subsq CPT 99476 | not published | not published | $352.76 – $761.57 | 7 |
| Ped crit care transport CPT 99466 | not published | not published | $245.09 – $525.77 | 7 |
| Ped crit care transport addl CPT 99467 | not published | not published | $122.97 – $263.92 | 7 |
| Ped critical care initial CPT 99471 | $2,132.37 | $3,741.00 | $818.19 – $1,754.60 | 7 |
| Ped critical care subsq CPT 99472 | not published | not published | $417.10 – $885.69 | 7 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $150.41 – $315.86 | 7 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $150.41 – $711.79 | 7 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $681.07 – $2,888.96 | 7 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $879.08 | $1,542.25 | $13.31 – $1,400.00 | 7 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $622.70 | $1,092.46 | $211.09 – $1,068.66 | 6 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $622.70 | $1,092.46 | $135.04 – $1,092.46 | 6 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $475.38 | $834.00 | $61.21 – $359.39 | 12 |
| Pelvic CT scan (with contrast) CPT 72193 | $428.64 | $752.00 | $58.62 – $359.39 | 12 |
| Pelvic CT scan (without contrast) CPT 72192 | $333.45 | $585.00 | $54.94 – $214.68 | 12 |
| Pelvic exenteration CPT 45126 | not published | not published | $2,800.94 – $9,963.79 | 7 |
| Pelvic MRI (with and without contrast) CPT 72197 | $905.16 | $1,588.00 | $110.85 – $720.99 | 12 |
| Pelvic MRI (with contrast) CPT 72196 | not published | not published | $87.02 – $720.99 | 12 |
| Pelvic MRI (without contrast) CPT 72195 | $633.84 | $1,112.00 | $73.97 – $488.00 | 12 |
| Pelvic Ultrasound (complete) CPT 76856 | $253.08 | $444.00 | $34.66 – $214.68 | 12 |
| Pelvic Ultrasound (limited) CPT 76857 | $197.22 | $346.00 | $24.95 – $214.68 | 12 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $93.73 | $164.44 | $53.57 – $164.44 | 7 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $48.24 | $84.63 | $11.14 – $60.06 | 7 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $7.18 | $12.60 | $1.15 – $9.10 | 6 |
| Penile injection CPT 54235 | not published | not published | $77.26 – $491.00 | 12 |
| Penile vascular study CPT 93980 | not published | not published | $63.63 – $214.68 | 12 |
| Penile vascular study CPT 93981 | not published | not published | $22.13 – $214.68 | 12 |
| Penile venous occlusion CPT 37790 | not published | not published | $508.01 – $1,778.66 | 7 |
| Penis plastic surgery CPT 54360 | not published | not published | $753.32 – $2,638.31 | 7 |
| Penis study CPT 54240 | not published | not published | $66.86 – $628.68 | 12 |
| Pentamidine non-comp unit HCPCS J2545 | $153.06 | $268.53 | $129.39 – $268.53 | 6 |
| Perc cryo ablate renal tum CPT 50593 | $25,737.21 | $45,153.00 | $470.50 – $15,831.45 | 7 |
| Perc d-e cor revasc chro add HCPCS C9608 | $17,898.00 | $31,400.00 | $28,041.00 – $28,041.00 | 1 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $35,795.43 | $62,799.00 | $28,041.00 – $28,041.00 | 1 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $23,192.16 | $40,688.00 | $28,041.00 – $28,041.00 | 1 |
| Perc d-e cor stent ather s HCPCS C9602 | $23,192.16 | $40,688.00 | $28,041.00 – $28,041.00 | 1 |
| Perc drug-el cor stent sing HCPCS C9600 | $23,213.82 | $40,726.00 | $28,041.00 – $28,041.00 | 1 |
| Perc rf ablate renal tumor CPT 50592 | $9,311.52 | $16,336.00 | $353.08 – $11,709.56 | 7 |
| Percut ablate liver rf CPT 47382 | $25,105.08 | $44,044.00 | $754.58 – $16,085.78 | 7 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $9,190.68 | $16,124.00 | $214.17 – $804.68 | 6 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $2,414.32 – $8,649.53 | 7 |
| Pericardiocentesis wwo imaging CPT 33016 | $3,409.17 | $5,981.00 | $229.53 – $832.09 | 6 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $814.02 – $2,890.43 | 7 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $737.19 – $2,836.09 | 7 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $285.01 – $966.83 | 7 |
| Peripheral vascular rehab CPT 93668 | $95.76 | $168.00 | $15.47 – $119.91 | 11 |
| Peri-proc device eval icd CPT 93287 | not published | not published | $22.97 – $77.67 | 7 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $15.59 – $52.05 | 7 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $420.68 – $1,550.78 | 7 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $23.26 – $1,106.93 | 12 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $44.49 – $811.23 | 12 |
| Perq art m-thrombect &/nfs CPT 61645 | $16,178.31 | $28,383.00 | $824.30 – $2,924.40 | 6 |
| Perq clsr tcat l atr apndge CPT 33340 | $18,971.31 | $33,283.00 | $762.90 – $2,780.25 | 6 |
| Perq dev breast 1st mr guide CPT 19287 | $2,115.27 | $3,711.00 | $130.38 – $2,837.33 | 11 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $102.49 – $1,420.44 | 11 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $1,167.11 – $4,671.45 | 7 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $726.18 – $3,178.31 | 7 |
| Perq p-art revsc 1 abnor bi CPT 33903 | $19,604.58 | $34,394.00 | $859.62 – $3,126.04 | 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.