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 |
|---|---|---|---|---|
| Perq p-art revsc 1 abnor uni CPT 33902 | $31,723.92 | $55,656.00 | $729.34 – $2,652.04 | 6 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | $19,604.58 | $34,394.00 | $755.28 – $2,746.31 | 6 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | $19,604.58 | $34,394.00 | $574.72 – $2,089.09 | 6 |
| Perq p-art revsc each addl CPT 33904 | $9,802.29 | $17,197.00 | $288.34 – $1,048.50 | 6 |
| Perq plmt bile duct stent CPT 47538 | $10,061.64 | $17,652.00 | $238.80 – $15,649.39 | 6 |
| Perq plmt bile duct stent CPT 47539 | $10,701.75 | $18,775.00 | $432.72 – $17,251.01 | 6 |
| Perq plmt bile duct stent CPT 47540 | $9,513.87 | $16,691.00 | $445.91 – $2,087.63 | 6 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $89.08 – $1,226.63 | 11 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $566.59 – $1,904.40 | 7 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $521.83 – $1,752.19 | 7 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $424.84 – $1,006.04 | 3 |
| Perq transcath closure each CPT 93592 | not published | not published | $401.97 – $1,322.76 | 6 |
| Perq transcath closure pda CPT 93582 | not published | not published | $643.00 – $2,097.76 | 6 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $914.48 – $3,010.19 | 6 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $1,109.03 – $3,629.41 | 6 |
| Perq transcath septal reduxn CPT 93583 | $50,628.54 | $88,822.00 | $721.81 – $2,348.86 | 6 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $565.04 – $2,057.14 | 6 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $293.08 – $1,651.09 | 7 |
| Perq tx malar fracture CPT 21355 | not published | not published | $347.92 – $1,554.41 | 7 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $488.47 – $2,581.13 | 7 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $790.78 – $2,685.56 | 7 |
| Pertussis ag if CPT 87265 | not published | not published | $11.98 – $46.24 | 16 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $25.12 | $44.07 | $12.47 – $44.07 | 7 |
| Pet CT skull-mid thgh initial CPT 78815 | $1,898.67 | $3,331.00 | $120.16 – $292.32 | 7 |
| Pet CT whole body initial CPT 78816 | $1,931.16 | $3,388.00 | $121.55 – $295.15 | 7 |
| Pet fdg brain metoblic eval sb CPT 78608 | $1,274.52 | $2,236.00 | $73.43 – $176.46 | 7 |
| Pet image full body CPT 78813 | not published | not published | $97.44 – $230.00 | 7 |
| Pet image ltd area CPT 78811 | not published | not published | $75.40 – $184.32 | 7 |
| Pet image skull-thigh CPT 78812 | not published | not published | $95.19 – $227.72 | 7 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $107.87 – $260.65 | 7 |
| Pet scan brain perf study CPT 78609 | not published | not published | $0.02 – $76.99 | 6 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $23.20 – $89.57 | 11 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $32.21 – $132.06 | 11 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $12.30 – $46.34 | 11 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $299.18 – $1,553.18 | 7 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $25.04 – $87.14 | 6 |
| Ph body fluid CPT 83986 | $11.97 | $21.00 | $3.58 – $13.82 | 16 |
| Phencyclidine (pcp) CPT 83992 | $39.90 | $70.00 | $21.02 – $56.72 | 6 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $51.98 | $91.19 | $50.75 – $91.19 | 6 |
| Phenobarbital therapeutic drug level CPT 80184 | $27.93 | $49.00 | $15.30 – $59.06 | 16 |
| Phentolaine mesylate inj HCPCS J2760 | $966.32 | $1,695.30 | $478.61 – $1,695.30 | 8 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $32.30 | $56.67 | $0.01 – $0.01 | 2 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $0.49 | $0.86 | $0.64 – $0.86 | 6 |
| Phenytoin total therapeutic drug level CPT 80185 | $43.32 | $76.00 | $13.25 – $51.15 | 16 |
| Phlebotomy therapeutic CPT 99195 | $372.78 | $654.00 | $101.00 – $325.33 | 12 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $266.97 – $1,575.98 | 7 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $327.05 – $1,838.74 | 7 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | not published | not published | $69.56 – $163.26 | 6 |
| Phone e/m phys/qhp 21-30 min CPT 99443 | not published | not published | $102.92 – $237.46 | 6 |
| Phone e/m phys/qhp 5-10 min CPT 99441 | not published | not published | $37.06 – $98.51 | 6 |
| Phosphorus CPT 84100 | $15.39 | $27.00 | $4.74 – $18.30 | 16 |
| Phosphorus 24 hour urine CPT 84105 | $16.53 | $29.00 | $5.78 – $22.31 | 16 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $57.10 – $378.15 | 12 |
| Photochemotherapy puva CPT 96912 | not published | not published | $57.10 – $323.36 | 12 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $163.07 – $806.59 | 12 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $26.35 – $86.43 | 7 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $52.82 – $181.00 | 7 |
| Photo patch test CPT 95052 | not published | not published | $6.55 – $119.91 | 12 |
| Photopheresis CPT 36522 | not published | not published | $100.62 – $7,015.24 | 7 |
| Photosensitivity tests CPT 95056 | not published | not published | $55.55 – $260.23 | 12 |
| Phys blood bank serv authrj CPT 86079 | $88.35 | $155.00 | $23.29 – $126.02 | 13 |
| Phys blood bank serv reactj CPT 86078 | $278.16 | $488.00 | $49.79 – $345.95 | 13 |
| Phys blood bank serv xmatch CPT 86077 | $48.45 | $85.00 | $23.29 – $126.02 | 13 |
| Physician standby services CPT 99360 | not published | not published | $62.37 – $135.85 | 6 |
| Phys review of motion tests CPT 96004 | not published | not published | $113.51 – $374.61 | 7 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $12.20 | $21.40 | $4.17 – $20.88 | 6 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $108.30 – $108.30 | 2 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $274.83 – $1,060.84 | 12 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $477.01 – $2,111.66 | 12 |
| Pin finger dislocation CPT 26776 | not published | not published | $480.46 – $1,607.18 | 7 |
| Pin finger fracture each CPT 26756 | not published | not published | $454.20 – $1,518.64 | 7 |
| Pin hand dislocation CPT 26676 | not published | not published | $543.81 – $1,818.79 | 7 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $478.70 – $1,587.60 | 7 |
| Pinworm exam CPT 87172 | $11.40 | $20.00 | $4.27 – $16.48 | 16 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $8.50 | $14.91 | $1.25 – $14.91 | 6 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $579.48 – $2,236.79 | 16 |
| Place breast cath for rad CPT 19297 | not published | not published | $92.50 – $331.99 | 7 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $335.88 – $3,629.18 | 7 |
| Place cath intracranial art CPT 36228 | $4,778.88 | $8,384.00 | $238.38 – $4,776.64 | 7 |
| Place cath xtrnl carotid CPT 36227 | $4,778.88 | $8,384.00 | $116.38 – $884.33 | 7 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $214.52 – $3,240.83 | 7 |
| Place duod/jej tube perc CPT 49441 | $6,076.20 | $10,660.00 | $244.56 – $3,861.11 | 7 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $1,048.50 – $3,671.40 | 7 |
| Place gastrostomy tube perc CPT 49440 | $5,172.18 | $9,074.00 | $208.31 – $3,418.50 | 7 |
| Placement bile duct support CPT 47801 | not published | not published | $1,119.39 – $3,934.95 | 7 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,759.02 | $3,086.00 | $102.12 – $895.43 | 6 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $879.51 | $1,543.00 | $51.24 – $237.49 | 6 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,759.02 | $3,086.00 | $86.88 – $1,420.44 | 11 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $8,472.48 | $14,864.00 | $209.72 – $3,247.28 | 6 |
| Placement of drain pancreas CPT 48001 | not published | not published | $2,284.11 – $8,114.10 | 7 |
| Placement of seton CPT 46020 | not published | not published | $119.69 – $1,016.06 | 7 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $28,889.88 | $50,684.00 | $427.57 – $12,221.89 | 6 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $355.44 – $1,202.10 | 7 |
| Place needles h&n for right CPT 41019 | not published | not published | $517.09 – $1,793.63 | 7 |
| Place needles pelvic for right CPT 55920 | not published | not published | $486.50 – $1,684.24 | 7 |
| Place non-slctv cath thoracic arta CPT 36221 | $8,500.41 | $14,913.00 | $194.47 – $3,815.63 | 7 |
| Placental lactogen CPT 83632 | not published | not published | $20.22 – $78.05 | 16 |
| Place po breast cath for rad CPT 19296 | not published | not published | $208.88 – $14,624.78 | 7 |
| Place right device/marker pros CPT 55876 | not published | not published | $107.16 – $530.96 | 7 |
| Place slctv cath carotd art uni CPT 36224 | $9,562.32 | $16,776.00 | $355.41 – $7,478.51 | 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.