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 |
|---|---|---|---|---|
| Pt-focused hlth risk assmt CPT 96160 | not published | not published | $3.21 – $60.14 | 11 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $22.61 – $85.04 | 12 |
| Pt prgrm for implt neurostim HCPCS L8681 | $1,231.59 | $2,160.68 | $1,144.82 – $1,144.82 | 2 |
| Pt re-evaluation patient/family CPT 97164 | $88.35 | $155.00 | $65.63 – $137.82 | 11 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $84.36 | $148.00 | $38.32 – $147.88 | 12 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $59.85 | $105.00 | $27.97 – $58.74 | 12 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | not published | not published | $28.76 – $60.40 | 12 |
| Pt wheelchair management each 15 minutes CPT 97542 | $69.54 | $122.00 | $29.87 – $62.73 | 12 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $625.96 – $2,046.69 | 7 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $311.08 – $1,020.22 | 7 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $5,796.00 – $21,230.00 | 7 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $4,052.27 – $14,712.64 | 7 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $985.81 – $3,481.76 | 7 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $24.22 – $811.23 | 12 |
| Pulse ox continuous overnight monitoring CPT 94762 | $192.66 | $338.00 | $26.88 – $315.86 | 12 |
| Pulse ox multiple CPT 94761 | not published | not published | $4.05 – $11.97 | 7 |
| Pulse ox single CPT 94760 | not published | not published | $2.62 – $7.33 | 7 |
| Punc of shunt for asp or inj CPT 61070 | $987.81 | $1,733.00 | $57.63 – $1,398.10 | 12 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $91.20 | $160.00 | $15.74 – $260.23 | 12 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $648.09 | $1,137.00 | $102.10 – $806.59 | 12 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $49.21 – $312.04 | 7 |
| Puncture spinal lumbar diagnostic CPT 62270 | $851.01 | $1,493.00 | $63.44 – $1,398.10 | 12 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $50.68 – $270.94 | 6 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $85.30 – $1,398.10 | 11 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $81.49 – $1,398.10 | 11 |
| Pyelotomy complicated CPT 50135 | not published | not published | $1,163.84 – $4,102.69 | 7 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $1,022.24 – $3,592.69 | 7 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $987.93 – $3,471.98 | 7 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $1,073.14 – $3,777.79 | 7 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $931.17 – $3,285.94 | 7 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $21.54 | $37.78 | $9.27 – $37.78 | 6 |
| Pyruvate CPT 84210 | $26.79 | $47.00 | $14.48 – $55.89 | 16 |
| Pyruvate kinase CPT 84220 | not published | not published | $9.44 – $36.44 | 16 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $10.40 – $260.23 | 11 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,242.60 | $2,180.00 | $41.34 – $1,086.69 | 12 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $35.82 – $811.23 | 12 |
| Quest t3 uptake CPT 84479 | $14.82 | $26.00 | $6.47 – $24.97 | 16 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $239.26 – $1,400.00 | 9 |
| Rabies ig ht&sol human im/sc CPT 90377 | $633.89 | $1,112.09 | $241.15 – $1,400.00 | 12 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $608.65 | $1,067.81 | $289.91 – $1,400.00 | 12 |
| Rabies vaccine id CPT 90676 | not published | not published | $264.47 – $555.39 | 7 |
| Radial keratotomy CPT 65771 | not published | not published | $2,259.86 – $2,259.86 | 2 |
| Radiation handling CPT 77790 | $133.95 | $235.00 | $18.80 – $100.46 | 7 |
| Radiation physics consult CPT 77336 | $481.65 | $845.00 | $93.40 – $268.04 | 12 |
| Radiation therapy dose plan CPT 77300 | $759.81 | $1,333.00 | $34.90 – $268.04 | 12 |
| Radiation therapy management CPT 77431 | not published | not published | $114.29 – $257.47 | 7 |
| Radiation treatment aid(s) CPT 77332 | $506.16 | $888.00 | $25.59 – $268.04 | 12 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $21.87 – $268.04 | 12 |
| Radiation treatment aid(s) CPT 77334 | $1,017.45 | $1,785.00 | $64.90 – $739.05 | 12 |
| Radiation treatment delivery CPT 77401 | not published | not published | $44.37 – $221.07 | 12 |
| Radiation treatment delivery CPT 77402 | not published | not published | $105.27 – $361.58 | 8 |
| Radiation treatment delivery CPT 77412 | not published | not published | $252.82 – $620.32 | 8 |
| Radiation tx management x5 CPT 77427 | not published | not published | $202.70 – $463.41 | 7 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $1,883.30 – $6,521.93 | 7 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $1,541.89 – $5,381.03 | 7 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $1,975.45 – $6,944.33 | 7 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $1,804.51 – $6,317.81 | 7 |
| Radical resection of elbow CPT 24149 | not published | not published | $1,228.14 – $4,208.74 | 7 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $1,354.71 – $4,307.40 | 7 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $1,063.27 – $3,725.70 | 7 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $1,459.36 – $5,092.46 | 7 |
| Radiology port images(s) CPT 77417 | $177.84 | $312.00 | $15.82 – $33.00 | 7 |
| Radiotherapy dose plan imrt CPT 77301 | $5,693.16 | $9,988.00 | $450.50 – $1,039.17 | 7 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $246.81 | $433.00 | $254.73 – $254.73 | 2 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $2,204.19 | $3,867.00 | $39.24 – $95.13 | 7 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $2,204.19 | $3,867.00 | $49.69 – $120.73 | 7 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $2,204.19 | $3,867.00 | $90.01 – $215.32 | 6 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,204.19 | $3,867.00 | $53.39 – $128.74 | 7 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,126.32 | $1,976.00 | $32.09 – $811.23 | 12 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $22.41 – $55.38 | 6 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $1,581.22 – $5,523.30 | 7 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $1,144.69 – $3,991.24 | 7 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $1,347.28 – $4,696.91 | 7 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $1,047.68 – $3,689.25 | 7 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $739.96 – $2,628.15 | 7 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $1,342.23 – $4,701.71 | 7 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $777.90 – $2,662.76 | 7 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $1,086.27 – $3,767.74 | 7 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $1,379.23 – $4,800.60 | 7 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $980.07 – $3,397.50 | 7 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $115.89 | $203.31 | $65.72 – $203.31 | 7 |
| Range of motion measurements CPT 95852 | not published | not published | $5.65 – $62.43 | 12 |
| Rapid desensitization CPT 95180 | $481.08 | $844.00 | $109.46 – $805.60 | 12 |
| Rapid Strep Test CPT 87880 | $29.07 | $51.00 | $16.53 – $63.81 | 16 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $604.14 | $1,059.89 | $286.14 – $1,059.89 | 7 |
| Rbc count only automated CPT 85041 | $3.42 | $6.00 | $3.02 – $11.66 | 16 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $49.12 – $882.61 | 11 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $8.60 – $33.20 | 16 |
| Rbc osmotic fragility CPT 85555 | not published | not published | $7.47 – $28.83 | 16 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $34.23 – $805.60 | 8 |
| Rcm img acquisj&i&r 1st les CPT 96931 | not published | not published | $181.95 – $565.68 | 6 |
| Rcm img acquisj&i&r ea addl CPT 96934 | not published | not published | $126.46 – $346.25 | 6 |
| Rcm img acquisj only 1st les CPT 96932 | not published | not published | $135.70 – $412.50 | 6 |
| Rcm img acquisj only ea addl CPT 96935 | not published | not published | $82.77 – $200.27 | 6 |
| Rcm i&r only 1st lesion CPT 96933 | not published | not published | $46.25 – $153.18 | 6 |
| Rcm i&r only ea addl lesion CPT 96936 | not published | not published | $43.69 – $145.98 | 6 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $2,264.26 – $7,999.99 | 7 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $1,742.50 – $6,144.49 | 7 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $1,561.55 – $5,495.40 | 7 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $1,628.49 – $5,749.09 | 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.