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 |
|---|---|---|---|---|
| Revision of ileostomy; simple 44312 CPT 44312 | not published | not published | $611.58 – $2,120.59 | 7 |
| Revision of infusion pump CPT 36261 | not published | not published | $419.87 – $1,432.54 | 7 |
| Revision of iris CPT 66761 | not published | not published | $250.03 – $1,107.54 | 12 |
| Revision of iris CPT 66762 | not published | not published | $449.68 – $1,738.35 | 12 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $211.17 – $682.46 | 7 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $432.32 – $1,469.81 | 7 |
| Revision of kidney/ureter CPT 50400 | not published | not published | $1,198.99 – $4,242.00 | 7 |
| Revision of kidney/ureter CPT 50405 | not published | not published | $1,445.88 – $5,104.50 | 7 |
| Revision of knee joint CPT 27440 | not published | not published | $829.07 – $2,848.99 | 7 |
| Revision of knee joint CPT 27441 | not published | not published | $855.16 – $2,942.06 | 7 |
| Revision of knee joint CPT 27442 | not published | not published | $900.55 – $3,114.86 | 7 |
| Revision of knee joint CPT 27443 | not published | not published | $847.93 – $2,903.85 | 7 |
| Revision of knee joint CPT 27446 | not published | not published | $1,179.68 – $4,129.99 | 7 |
| Revision of knee joint CPT 27445 | not published | not published | $1,288.60 – $4,475.70 | 7 |
| Revision of larynx CPT 31400 | not published | not published | $1,067.00 – $3,543.86 | 7 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $233.54 – $817.73 | 7 |
| Revision of lung CPT 32940 | not published | not published | $1,213.73 – $4,309.28 | 7 |
| Revision of mitral valve CPT 33420 | not published | not published | $1,422.77 – $5,077.05 | 7 |
| Revision of mitral valve CPT 33422 | not published | not published | $1,630.47 – $5,824.16 | 7 |
| Revision of neck muscle CPT 21700 | not published | not published | $352.74 – $1,246.01 | 7 |
| Revision of neck muscle CPT 21720 | not published | not published | $536.64 – $1,785.79 | 7 |
| Revision of neck muscle CPT 21725 | not published | not published | $566.88 – $1,932.71 | 12 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $524.00 – $1,863.23 | 7 |
| Revision of nose CPT 30120 | not published | not published | $442.61 – $1,849.13 | 7 |
| Revision of nose CPT 30430 | not published | not published | $1,133.73 – $3,753.04 | 7 |
| Revision of nose CPT 30435 | not published | not published | $1,405.08 – $4,731.60 | 7 |
| Revision of nose CPT 30450 | not published | not published | $1,824.22 – $6,240.23 | 7 |
| Revision of nose CPT 30460 | not published | not published | $862.39 – $2,984.63 | 7 |
| Revision of nose CPT 30462 | not published | not published | $1,654.37 – $5,736.86 | 7 |
| Revision of pelvis CPT 27158 | not published | not published | $1,434.52 – $4,994.21 | 7 |
| Revision of penis CPT 54300 | not published | not published | $675.30 – $2,359.28 | 7 |
| Revision of penis CPT 54304 | not published | not published | $780.55 – $2,741.55 | 7 |
| Revision of penis CPT 54420 | not published | not published | $734.36 – $2,576.10 | 7 |
| Revision of penis CPT 54430 | not published | not published | $669.12 – $2,339.03 | 7 |
| Revision of penis CPT 54435 | not published | not published | $436.70 – $1,518.60 | 7 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $1,941.78 – $6,763.31 | 7 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $2,460.28 – $8,540.51 | 7 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $1,499.35 – $5,360.93 | 7 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $2,126.68 – $7,609.43 | 7 |
| Revision of radius CPT 25350 | not published | not published | $707.99 – $2,423.33 | 7 |
| Revision of radius CPT 25355 | not published | not published | $796.84 – $2,732.85 | 7 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $617.39 – $2,098.58 | 7 |
| Revision of scrotum CPT 55175 | not published | not published | $384.61 – $1,327.09 | 7 |
| Revision of scrotum CPT 55180 | not published | not published | $720.29 – $2,527.80 | 7 |
| Revision of spinal shunt CPT 63744 | not published | not published | $682.47 – $2,323.65 | 7 |
| Revision of testis CPT 54660 | not published | not published | $378.55 – $1,306.91 | 7 |
| Revision of thigh muscles CPT 27430 | not published | not published | $773.73 – $2,651.89 | 7 |
| Revision of toe CPT 28312 | not published | not published | $366.96 – $1,851.79 | 7 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $2,382.57 – $8,559.71 | 7 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $2,333.23 – $8,402.89 | 7 |
| Revision of ulna CPT 25360 | not published | not published | $688.52 – $2,345.96 | 7 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $781.16 – $2,660.29 | 7 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $773.21 – $2,660.36 | 7 |
| Revision of upper arm CPT 24940 | not published | not published | $3,673.09 – $3,673.09 | 2 |
| Revision of ureter CPT 50700 | not published | not published | $964.24 – $3,384.86 | 7 |
| Revision of urethra CPT 53450 | not published | not published | $430.57 – $1,495.20 | 7 |
| Revision of urethra CPT 53460 | not published | not published | $481.19 – $1,674.15 | 7 |
| Revision of urethra CPT 57220 | not published | not published | $363.84 – $1,212.64 | 7 |
| Revision of urinary tract CPT 51820 | not published | not published | $1,128.64 – $3,965.96 | 7 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $736.83 – $2,644.16 | 7 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $873.38 – $3,040.16 | 7 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $779.94 – $2,672.18 | 7 |
| Revision tips CPT 37183 | not published | not published | $380.85 – $22,614.19 | 7 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $1,648.19 – $5,780.66 | 7 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $1,777.64 – $6,244.46 | 7 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $1,191.00 – $4,293.98 | 7 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $1,151.91 – $4,181.40 | 7 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $1,071.16 – $3,688.24 | 7 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $1,171.48 – $3,988.05 | 7 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $1,929.50 – $6,820.24 | 7 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,466.31 – $5,180.03 | 7 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $1,147.20 – $3,901.91 | 7 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $307.72 – $1,315.80 | 7 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $4,985.29 – $4,985.29 | 2 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $150.87 – $896.25 | 7 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $238.83 – $864.41 | 7 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $2,244.08 – $7,784.36 | 7 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $2,251.69 – $7,777.01 | 7 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $628.16 – $628.16 | 4 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $2,016.47 – $2,016.47 | 4 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $899.28 – $2,994.60 | 6 |
| Revsc opn/prq tib/pero stent CPT 37234 | $20,238.42 | $35,506.00 | $273.13 – $14,120.78 | 7 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $3,818.43 | $6,699.00 | $206.33 – $1,812.30 | 6 |
| Rheumatoid factor qualitative CPT 86430 | not published | not published | $6.14 – $23.70 | 16 |
| Rheumatoid factor quantitative CPT 86431 | $23.37 | $41.00 | $5.67 – $21.89 | 16 |
| Rh ig IV CPT 90386 | not published | not published | $1,048.77 – $1,048.77 | 2 |
| Rh ig minidose im CPT 90385 | not published | not published | $99.23 – $99.23 | 2 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $1,292.05 – $4,323.30 | 7 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $21.08 | $36.99 | $6.79 – $36.99 | 6 |
| Rho d immune globulin inj HCPCS J2790 | $232.72 | $408.28 | $108.22 – $408.28 | 6 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $188.40 – $188.40 | 2 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $0.03 – $303.28 | 6 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $0.03 – $199.72 | 6 |
| Rhythm ecg with report CPT 93040 | not published | not published | $13.69 – $41.07 | 7 |
| Rib cartilage graft CPT 21230 | not published | not published | $778.08 – $2,680.46 | 7 |
| Right heart cath congenital CPT 93530 | not published | not published | $445.13 – $569.48 | 3 |
| Right ventric recording CPT 93603 | not published | not published | $112.98 – $16,158.00 | 8 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $27.25 | $47.81 | $21.46 – $47.81 | 6 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $168.16 | $295.01 | $112.27 – $295.01 | 6 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $151.34 | $265.50 | $52.24 – $265.50 | 6 |
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.