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 |
|---|---|---|---|---|
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $8,500.41 | $14,913.00 | $278.54 – $4,503.83 | 7 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $8,500.41 | $14,913.00 | $318.10 – $5,789.81 | 7 |
| Place slctv cath subclavian art CPT 36225 | $8,500.41 | $14,913.00 | $315.48 – $5,545.80 | 7 |
| Place slctv cath vertebral art uni CPT 36226 | $9,562.32 | $16,776.00 | $353.62 – $7,070.89 | 7 |
| Plasma volume multiple CPT 78111 | not published | not published | $9.40 – $23.39 | 7 |
| Plasma volume single CPT 78110 | not published | not published | $8.28 – $21.72 | 7 |
| Plastic surgery neck CPT 15819 | not published | not published | $830.01 – $2,862.83 | 7 |
| Platelet aggregation each agent teg CPT 85576 | $51.30 | $90.00 | $24.91 – $96.15 | 16 |
| Platelet automated CPT 85049 | $11.97 | $21.00 | $4.48 – $17.29 | 16 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $12.41 – $882.61 | 11 |
| Platelet survival CPT 78191 | not published | not published | $26.43 – $811.23 | 12 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $291.36 – $1,124.65 | 12 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $5,029.68 | $8,824.00 | $268.38 – $4,594.35 | 6 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $8,935.32 | $15,676.00 | $205.39 – $7,634.40 | 6 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $8,472.48 | $14,864.00 | $208.59 – $3,809.10 | 6 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $5,133.99 | $9,007.00 | $349.09 – $5,124.79 | 6 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | not published | not published | $770.65 – $2,808.83 | 6 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $937.08 | $1,644.00 | $86.88 – $1,420.44 | 11 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $468.54 | $822.00 | $43.63 – $201.91 | 6 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $8,295.21 | $14,553.00 | $308.80 – $1,127.44 | 6 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | not published | not published | $65.13 – $2,257.35 | 6 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | not published | not published | $51.13 – $754.46 | 6 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $879.51 | $1,543.00 | $43.50 – $201.91 | 6 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $120.84 | $212.00 | $12.67 – $628.68 | 12 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $910.19 – $3,195.68 | 7 |
| Plmt access bil tree sm bwl CPT 47541 | $5,029.68 | $8,824.00 | $341.53 – $4,442.06 | 6 |
| Plmt biliary drainage cath CPT 47534 | $5,029.68 | $8,824.00 | $375.62 – $5,224.13 | 6 |
| Plmt nephroureteral catheter CPT 50433 | $9,044.19 | $15,867.00 | $259.98 – $4,201.16 | 6 |
| Plmt ureteral stent prq CPT 50694 | not published | not published | $272.43 – $4,229.10 | 6 |
| Pm device progr eval dual CPT 93280 | $57.00 | $100.00 | $35.85 – $75.29 | 12 |
| Pm device progr eval multi CPT 93281 | not published | not published | $35.85 – $109.21 | 12 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $207.31 – $800.22 | 15 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $758.36 – $2,927.27 | 12 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $769.58 – $2,970.58 | 12 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $46.60 – $179.88 | 12 |
| Pm phone r-strip device eval CPT 93293 | not published | not published | $15.25 – $75.29 | 12 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $203.50 – $785.51 | 15 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $676.50 – $2,611.29 | 15 |
| Pms2 known familial variants CPT 81318 | not published | not published | $193.55 – $1,277.66 | 15 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $94.71 – $1,248.18 | 12 |
| #pnh-flow cytometry interp CPT 88187 | $159.03 | $279.00 | $15.07 – $162.08 | 8 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $47.88 | $84.00 | $26.07 – $100.63 | 16 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $229.82 | $403.19 | $169.72 – $399.55 | 6 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $1,874.73 | $3,289.00 | $143.72 – $2,053.97 | 12 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $88.45 – $2,053.97 | 12 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,853.77 | $6,761.00 | $130.63 – $2,053.97 | 12 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $10.51 – $40.57 | 16 |
| Positional change of finger CPT 26555 | not published | not published | $1,439.94 – $4,918.35 | 7 |
| Positional nystagmus test CPT 92532 | not published | not published | $54.96 – $54.96 | 2 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $736.56 – $2,620.99 | 7 |
| Postpartum Care Only CPT 59430 | not published | not published | $176.47 – $729.90 | 7 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $740.38 – $2,629.88 | 7 |
| Potassium 24 hour urine CPT 84133 | $13.68 | $24.00 | $4.73 – $18.26 | 16 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $1.96 | $3.43 | $0.15 – $0.77 | 6 |
| Potassium serum/plasma/whole blood CPT 84132 | $11.97 | $21.00 | $4.76 – $18.37 | 16 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $137.00 – $528.82 | 12 |
| Pq biliary strict dil s&i CPT 74363 | $538.65 | $945.00 | $43.77 – $106.54 | 7 |
| Pq dr cath chg w cont s&i CPT 75984 | $213.75 | $375.00 | $39.89 – $84.57 | 7 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $10,830.00 | $19,000.00 | $483.73 – $2,192.00 | 6 |
| Pq thr inj ext pse CPT 36002 | $1,064.19 | $1,867.00 | $105.08 – $1,248.18 | 12 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $5,117.46 | $8,978.00 | $208.32 – $3,121.99 | 6 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $10,234.92 | $17,956.00 | $443.59 – $6,643.88 | 6 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $10,571.22 | $18,546.00 | $417.78 – $6,579.98 | 6 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | not published | not published | $745.20 – $2,404.46 | 7 |
| Pr application of long arm splint CPT 29105 | $158.46 | $278.00 | $42.15 – $318.55 | 12 |
| Pr application splint static short arm CPT 29125 | $131.67 | $231.00 | $42.23 – $260.23 | 12 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $4.76 – $79.23 | 11 |
| Pr biopsy skin punch single lesion CPT 11104 | $310.65 | $545.00 | $48.59 – $806.59 | 11 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $637.52 – $3,860.59 | 7 |
| Pr correction hammertoe CPT 28285 | not published | not published | $413.75 – $1,979.44 | 7 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $64.41 | $113.00 | $12.74 – $60.14 | 12 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | not published | $281.92 – $998.25 | 6 |
| Prcrd drg 6+yr without anomly CPT 33017 | $6,817.77 | $11,961.00 | $241.81 – $867.41 | 6 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $160.48 – $1,655.51 | 7 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $265.05 | $465.00 | $46.86 – $401.14 | 12 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $147.06 | $258.00 | $85.82 – $160.17 | 7 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $215.46 | $378.00 | $121.25 – $235.51 | 7 |
| Prealbumin CPT 84134 | $51.87 | $91.00 | $7.99 – $56.32 | 16 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $8.60 – $28.09 | 7 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $19.66 – $88.52 | 7 |
| Prednisone 1 mg tablet HCPCS J7512 | $15.68 | $27.52 | $0.01 – $1.24 | 6 |
| Pregabalin - sendout CPT 80366 | $67.26 | $118.00 | $29.42 – $31.67 | 3 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $2,363.79 | $4,147.00 | $204.09 – $726.23 | 7 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $15.05 – $58.09 | 16 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $180.69 | $317.00 | $50.60 – $214.68 | 12 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $147.06 | $258.00 | $50.25 – $214.68 | 12 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | $103.87 – $299.68 | 6 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $426.87 – $1,645.05 | 7 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $783.12 – $2,934.64 | 7 |
| Preparation for bladder xray CPT 51605 | not published | not published | $40.19 – $140.63 | 7 |
| Preparation palate mold CPT 42280 | not published | not published | $115.13 – $1,028.10 | 12 |
| Prepare donor heart CPT 33944 | not published | not published | $1,010.29 – $1,010.29 | 2 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $1,433.74 – $1,433.74 | 2 |
| Prepare donor intestine CPT 44715 | not published | not published | $1,236.04 – $1,236.04 | 2 |
| Prepare donor lung double CPT 32856 | not published | not published | $1,251.19 – $1,251.19 | 2 |
| Prepare donor lung single CPT 32855 | not published | not published | $1,036.84 – $1,036.84 | 2 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $51.37 – $107.88 | 8 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $74.41 – $406.31 | 6 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $1,712.02 – $6,118.76 | 7 |
| Prepare penis study CPT 54230 | not published | not published | $83.33 – $365.14 | 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.