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 |
|---|---|---|---|---|
| Prophylactic tx ulna CPT 25491 | not published | not published | $770.39 – $2,639.40 | 7 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $0.64 | $1.12 | $0.14 – $1.12 | 6 |
| _propoxygc/msur CPT 80367 | not published | not published | $31.67 – $33.34 | 3 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $26.27 | $46.09 | $15.97 – $15.97 | 2 |
| Prostate biopsy, any mthd HCPCS G0416 | $585.39 | $1,027.00 | $187.76 – $211.75 | 8 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $758.82 – $2,667.08 | 7 |
| Prostate laser enucleation CPT 52649 | not published | not published | $861.16 – $3,018.53 | 7 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $375.76 – $5,679.56 | 7 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $402.06 – $5,507.59 | 7 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $6.21 | $10.89 | $1.11 – $6.38 | 6 |
| Protein analysis w/probe CPT 88372 | not published | not published | $25.36 – $101.21 | 11 |
| Protein c activity CPT 85303 | $29.64 | $52.00 | $13.84 – $53.42 | 16 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $35.34 | $62.00 | $10.74 – $41.46 | 16 |
| Protein s total CPT 85305 | $62.70 | $110.00 | $11.61 – $44.81 | 16 |
| Protein total 24 hour urine CPT 84156 | $18.81 | $33.00 | $3.67 – $14.17 | 16 |
| Protein total body fluid CPT 84157 | $21.09 | $37.00 | $4.00 – $15.44 | 16 |
| Protein total serum plasma whole blood CPT 84155 | $9.69 | $17.00 | $3.67 – $14.17 | 16 |
| Protein western blot tissue CPT 88371 | not published | not published | $23.34 – $85.81 | 11 |
| Prothrombin complex kcentra HCPCS J7168 | $3.96 | $6.94 | $3.60 – $3.60 | 2 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $7.98 | $14.00 | $3.94 – $15.21 | 16 |
| Proton treatment complex CPT 77525 | not published | not published | $2,202.81 – $2,202.81 | 2 |
| Proton trmt intermediate CPT 77523 | not published | not published | $2,068.77 – $2,068.77 | 2 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $1,743.22 – $1,743.22 | 2 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $556.12 – $1,697.46 | 7 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $9.74 – $37.60 | 16 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $447.01 – $1,568.70 | 6 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $595.37 – $2,070.98 | 7 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $168.72 | $296.00 | $82.13 – $188.17 | 11 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $55.86 | $98.00 | $32.99 – $75.05 | 6 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $359.03 – $26,959.05 | 6 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $462.82 – $38,356.58 | 6 |
| Prq card angio/athrect addl CPT 92925 | not published | not published | $21,365.00 – $21,365.00 | 1 |
| Prq cardiac angio addl art CPT 92921 | not published | not published | $21,365.00 – $21,365.00 | 1 |
| Prq card revasc chronic addl CPT 92944 | not published | not published | $22,700.00 – $22,700.00 | 1 |
| Prq card revasc mi 1 vsl CPT 92941 | $23,213.82 | $40,726.00 | $643.46 – $22,700.00 | 8 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $35,795.43 | $62,799.00 | $28,041.00 – $28,041.00 | 1 |
| Prq card stent/ath/angio CPT 92934 | not published | not published | $22,700.00 – $22,700.00 | 1 |
| Prq card stent w/angio addl CPT 92929 | $16,768.26 | $29,418.00 | $22,700.00 – $22,700.00 | 1 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $23,213.82 | $40,726.00 | $572.76 – $22,700.00 | 8 |
| Prq revasc byp graft addl CPT 92938 | not published | not published | $22,700.00 – $22,700.00 | 1 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $623.73 – $1,947.86 | 7 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $756.76 – $2,569.65 | 7 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $826.60 – $2,729.63 | 7 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $527.56 – $1,679.81 | 7 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $397.79 – $1,223.18 | 7 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $23,213.82 | $40,726.00 | $573.01 – $22,700.00 | 8 |
| Prq trlml c athrc st angiop1 CPT 92933 | $35,795.43 | $62,799.00 | $642.48 – $22,700.00 | 8 |
| Prq trluml c angiop 1art&/br CPT 92920 | $12,017.88 | $21,084.00 | $514.98 – $21,365.00 | 8 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $12,060.06 | $21,158.00 | $614.07 – $21,365.00 | 8 |
| Prq trluml revsc ch occ ant CPT 92943 | $23,213.82 | $40,726.00 | $643.22 – $22,700.00 | 8 |
| Pr removal drug delivery implant CPT 11982 | $482.22 | $846.00 | $74.33 – $805.60 | 12 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | not published | not published | $49.33 – $292.65 | 12 |
| Pr removal intrauterine device CPT 58301 | not published | not published | $67.78 – $614.12 | 12 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | not published | not published | $200.64 – $1,097.74 | 12 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $271.89 | $477.00 | $56.04 – $401.14 | 12 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | not published | not published | $58.08 – $410.59 | 12 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $304.38 | $534.00 | $45.42 – $401.14 | 12 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | not published | not published | $59.49 – $401.14 | 12 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $738.28 – $3,099.11 | 7 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $43.12 – $92.52 | 7 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $661.54 – $2,239.05 | 7 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $623.23 – $2,121.15 | 7 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $102.34 – $882.61 | 11 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $688.16 – $2,369.70 | 7 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $704.27 – $2,358.41 | 7 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,143.99 | $2,007.00 | $156.27 – $561.68 | 7 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $34.20 | $60.00 | $17.54 – $38.28 | 6 |
| PSA (Prostate) Test CPT 84153 | $64.98 | $114.00 | $18.39 – $70.99 | 16 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $2.26 – $49.43 | 11 |
| Psychoanalysis CPT 90845 | not published | not published | $94.66 – $328.00 | 12 |
| Psychophysiological therapy CPT 90875 | not published | not published | $62.37 – $204.32 | 6 |
| Psychophysiological therapy CPT 90876 | not published | not published | $98.72 – $356.89 | 6 |
| Psychotherapy group therapy CPT 90853 | $359.10 | $630.00 | $26.22 – $186.75 | 12 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $314.07 | $551.00 | $74.83 – $324.37 | 12 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $440.61 | $773.00 | $99.06 – $324.37 | 12 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $507.30 | $890.00 | $146.18 – $464.04 | 12 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $117.26 – $628.68 | 11 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $82.25 – $306.30 | 6 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $36.52 – $805.60 | 11 |
| Psy evaluation of records CPT 90885 | not published | not published | $164.67 – $164.67 | 2 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $25.03 – $260.23 | 11 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $19.41 – $142.57 | 6 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $37.59 – $123.10 | 6 |
| Psytx complex interactive CPT 90785 | $207.48 | $364.00 | $9.67 – $51.07 | 7 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $69.39 – $238.59 | 7 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $88.02 – $302.04 | 7 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $116.52 – $397.62 | 7 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $43.32 | $76.00 | $13.77 – $39.04 | 12 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | not published | $7.50 – $7.50 | 2 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $62.70 | $110.00 | $18.11 – $67.36 | 12 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $62.70 | $110.00 | $13.40 – $28.14 | 12 |
| Pt application of modality traction mechanical CPT 97012 | $35.91 | $63.00 | $13.77 – $32.83 | 12 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $74.58 – $210.71 | 6 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $91.84 – $1,158.00 | 15 |
| Pten gene full sequence CPT 81321 | not published | not published | $600.00 – $2,316.00 | 15 |
| Pten gene known fam variant CPT 81322 | not published | not published | $46.60 – $179.88 | 15 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $850.14 – $2,834.96 | 7 |
| Pt evaluation high complexity patient/family CPT 97163 | $215.46 | $378.00 | $95.13 – $199.77 | 11 |
| Pt evaluation low complexity patient/family CPT 97161 | $153.33 | $269.00 | $95.13 – $199.77 | 11 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $184.11 | $323.00 | $95.13 – $199.77 | 11 |
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.