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 |
|---|---|---|---|---|
| Biopsy of rectum wall anal approach 45100 CPT 45100 | not published | not published | $316.50 – $1,076.89 | 7 |
| Biopsy of sacroiliac joint CPT 27050 | not published | not published | $430.00 – $1,441.05 | 7 |
| Biopsy of salivary gland 42400 CPT 42400 | $902.88 | $1,584.00 | $55.76 – $1,420.44 | 12 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | not published | not published | $239.14 – $1,089.83 | 7 |
| Biopsy of tear gland CPT 68510 | not published | not published | $301.53 – $1,655.89 | 7 |
| Biopsy of tear sac CPT 68525 | not published | not published | $268.91 – $957.68 | 7 |
| Biopsy of testis CPT 54500 | not published | not published | $77.57 – $271.16 | 7 |
| Biopsy of testis CPT 54505 | not published | not published | $219.87 – $767.66 | 7 |
| Biopsy of toe joint lining CPT 28054 | not published | not published | $252.38 – $1,382.81 | 7 |
| Biopsy of upper nose/throat CPT 42804 | not published | not published | $131.07 – $719.29 | 7 |
| Biopsy of urethra CPT 53200 | not published | not published | $146.91 – $573.83 | 7 |
| Biopsy of wrist joint CPT 25100 | not published | not published | $372.28 – $1,245.04 | 7 |
| Biopsy oocyte polar body CPT 89291 | not published | not published | $76.99 – $345.95 | 8 |
| Biopsy oocyte polar body <=5 CPT 89290 | not published | not published | $76.99 – $345.95 | 8 |
| Biopsy/removal lymph nodes CPT 38525 | $1,318.98 | $2,314.00 | $448.69 – $1,546.50 | 7 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | not published | not published | $480.16 – $1,653.34 | 7 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $3,133.86 | $5,498.00 | $130.94 – $1,984.61 | 7 |
| Biopsy roof of mouth CPT 42100 | not published | not published | $116.79 – $537.79 | 7 |
| Biopsy skin incisional single lesion CPT 11106 | $515.85 | $905.00 | $58.53 – $1,235.81 | 11 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $1,723.68 | $3,024.00 | $163.84 – $954.08 | 7 |
| Biopsy thigh soft tissues CPT 27324 | not published | not published | $428.78 – $1,436.85 | 7 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | $113.44 – $1,028.10 | 12 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $154.79 – $574.76 | 7 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $94.63 – $1,028.10 | 12 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $425.39 – $1,492.84 | 7 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $396.45 – $1,376.89 | 7 |
| Biospy of bladder CPT 53899 | not published | not published | $233.81 – $491.00 | 5 |
| Biotinidase - quest CPT 82261 | $19.95 | $35.00 | $16.87 – $65.12 | 16 |
| Bis xtracell fluid analysis CPT 93702 | $233.13 | $409.00 | $130.47 – $350.96 | 11 |
| Bivalirudin HCPCS J0583 | $0.78 | $1.37 | $0.27 – $1.37 | 6 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $477.66 | $838.00 | $30.85 – $491.00 | 12 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $121.78 – $882.61 | 12 |
| Bld prd mix CPT 86965 | not published | not published | $34.23 – $345.95 | 8 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $52.82 – $882.61 | 12 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $14.37 | $25.21 | $12.61 – $25.21 | 3 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $550.92 – $2,087.89 | 7 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $423.06 – $1,646.70 | 7 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $586.56 – $2,238.53 | 7 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $585.09 – $2,231.93 | 7 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $253.88 | $445.40 | $112.55 – $445.40 | 7 |
| Blink reflex test CPT 95933 | not published | not published | $33.07 – $119.91 | 12 |
| Blm gene CPT 81209 | not published | not published | $39.31 – $151.74 | 12 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | not published | not published | $80.73 – $1,797.37 | 12 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $3,780.24 | $6,632.00 | $75.42 – $1,797.37 | 12 |
| Block paracervical nrv CPT 64435 | not published | not published | $44.91 – $1,398.10 | 12 |
| Block plantar digital nerve CPT 64455 | not published | not published | $35.12 – $595.94 | 12 |
| Block tap inj(s) w/wo img bi CPT 64488 | not published | not published | $71.96 – $500.48 | 6 |
| Block tap inj(s) w/wo img uni CPT 64486 | not published | not published | $57.63 – $406.58 | 6 |
| Blood Clotting (PT/INR) Test CPT 85610 | $13.68 | $24.00 | $4.29 – $16.56 | 16 |
| Blood Clotting (PTT) Test CPT 85730 | $22.80 | $40.00 | $6.01 – $23.20 | 16 |
| Blood Count (CBC) Test CPT 85025 | $27.93 | $49.00 | $7.77 – $29.99 | 16 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $23.37 | $41.00 | $6.47 – $24.97 | 16 |
| Blood count spun microhematocrit CPT 85013 | $14.25 | $25.00 | $3.39 – $27.02 | 16 |
| Blood Culture Test CPT 87040 | $75.81 | $133.00 | $10.32 – $39.84 | 16 |
| Blood draw capillary 36416 CPT 36416 | $16.53 | $29.00 | $3.00 – $6.80 | 4 |
| Blood gases o2 saturation direct measurement CPT 82805 | $67.83 | $119.00 | $40.58 – $304.05 | 16 |
| Blood gases ph venous CPT 82800 | $21.09 | $37.00 | $11.00 – $42.46 | 16 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $33.06 | $58.00 | $15.92 – $61.45 | 16 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $13.11 | $23.00 | $4.23 – $16.33 | 16 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $11.40 | $20.00 | $4.38 – $16.91 | 16 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $9.12 | $16.00 | $4.65 – $20.54 | 16 |
| Blood smear interpretation CPT 85060 | not published | not published | $25.00 – $56.81 | 8 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $9.12 | $16.00 | $3.80 – $14.67 | 16 |
| Blood split unit HCPCS P9011 | $310.08 | $544.00 | $211.86 – $211.86 | 2 |
| Blood typing abo CPT 86900 | $6.84 | $12.00 | $3.14 – $260.23 | 16 |
| Blood typing ag donor ea ag CPT 86902 | $207.48 | $364.00 | $5.47 – $726.22 | 16 |
| Blood typing patient serum CPT 86904 | $99.75 | $175.00 | $13.61 – $119.91 | 16 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $207.48 | $364.00 | $4.02 – $726.22 | 16 |
| Blood typing rh (d) CPT 86901 | $6.84 | $12.00 | $3.14 – $79.23 | 16 |
| Blood typing rh phenotype complete reference CPT 86906 | $23.37 | $41.00 | $8.14 – $79.23 | 16 |
| Blood volume CPT 78122 | not published | not published | $21.66 – $1,086.69 | 12 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $146.32 – $531.56 | 7 |
| Bone Density Scan (DEXA) CPT 77080 | $117.99 | $207.00 | $10.35 – $214.68 | 12 |
| Bone imaging multiple areas CPT 78305 | not published | not published | $41.07 – $811.23 | 12 |
| Bone/joint imaging ltd area CPT 78300 | $478.23 | $839.00 | $30.98 – $811.23 | 12 |
| Bone marrow;aspiration only 38220 CPT 38220 | $986.10 | $1,730.00 | $70.59 – $605.63 | 7 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,085.28 | $1,904.00 | $73.93 – $575.29 | 7 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $204.07 – $727.65 | 7 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $193.87 – $716.40 | 7 |
| Bone marrow imaging body CPT 78104 | $652.08 | $1,144.00 | $39.12 – $811.23 | 12 |
| Bone marrow imaging ltd CPT 78102 | $434.34 | $762.00 | $26.46 – $811.23 | 12 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $32.37 – $811.23 | 12 |
| Bone marrow interpretation CPT 85097 | $745.56 | $1,308.00 | $49.79 – $1,649.19 | 13 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $3,049.95 – $10,716.49 | 7 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $2,889.11 – $10,146.45 | 7 |
| Bone survey-lead poisoning CPT 77074 | not published | not published | $22.36 – $214.68 | 12 |
| Boot softgait shrt m HCPCS L4387 | $435.48 | $764.00 | $158.84 – $158.84 | 2 |
| Borrelia antibody CPT 86619 | not published | not published | $13.38 – $51.65 | 16 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $36.48 | $64.00 | $17.03 – $65.74 | 16 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $35.09 – $135.45 | 12 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $10.10 | $17.72 | $2.68 – $17.72 | 6 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $3.43 – $13.24 | 16 |
| Bowel imaging CPT 78290 | $892.62 | $1,566.00 | $33.57 – $811.23 | 12 |
| Brace afo lg left 6607 HCPCS L1930 | $691.98 | $1,214.00 | $252.39 – $252.39 | 2 |
| Brace ank air stirrup univ HCPCS L4350 | $265.62 | $466.00 | $96.94 – $96.94 | 2 |
| Brace ankle stablizing lg HCPCS L1902 | $205.20 | $360.00 | $74.78 – $74.78 | 2 |
| Brace back epic lo 627 HCPCS L0642 | $601.92 | $1,056.00 | $411.77 – $411.77 | 2 |
| Brace back epic lso 637 HCPCS L0650 | $1,739.07 | $3,051.00 | $1,297.87 – $1,297.87 | 2 |
| Brace back epic tslo 456 HCPCS L0457 | $1,455.78 | $2,554.00 | $996.39 – $996.39 | 2 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $1,131.45 | $1,985.00 | $690.06 – $690.06 | 2 |
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.