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 |
|---|---|---|---|---|
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $128.30 | $225.08 | $29.84 – $225.08 | 6 |
| R & l heart cath congenital CPT 93531 | not published | not published | $880.33 – $1,184.50 | 3 |
| R & l heart cath congenital CPT 93532 | not published | not published | $1,053.68 – $1,440.35 | 3 |
| R & l heart cath congenital CPT 93533 | not published | not published | $705.96 – $963.27 | 3 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | $4,522.38 | $7,934.00 | $0.03 – $447.15 | 6 |
| R&l hrt cath chd nml nt cnj CPT 93596 | $4,522.38 | $7,934.00 | $0.03 – $342.87 | 6 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $1,109.19 – $3,842.74 | 7 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $1,069.89 | $1,877.00 | $94.68 – $1,420.44 | 12 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $675.55 – $2,360.78 | 6 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $360.43 – $1,537.50 | 7 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $422.68 – $1,970.40 | 7 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $236.94 – $1,247.70 | 7 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $148.62 – $782.48 | 7 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $759.64 – $2,523.83 | 6 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $125.07 – $429.56 | 6 |
| Rmvl icd by tv extr CPT 33244 | $6,235.23 | $10,939.00 | $855.95 – $3,058.46 | 7 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $57,800.28 | $101,404.00 | $384.76 – $66,765.00 | 8 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $70,178.97 | $123,121.00 | $401.04 – $66,765.00 | 8 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $57,800.28 | $101,404.00 | $370.62 – $66,765.00 | 8 |
| Rmvl icd pulse gen only CPT 33241 | $5,092.38 | $8,934.00 | $215.81 – $762.11 | 7 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $104.85 – $359.85 | 6 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $475.88 – $1,723.99 | 6 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $2,280.12 – $8,213.70 | 7 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $382.47 | $671.00 | $161.68 – $1,248.18 | 12 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $197.37 – $714.04 | 6 |
| Rmvl perm pm pulse gen CPT 33233 | $16,097.94 | $28,242.00 | $235.13 – $821.93 | 7 |
| Rmvl perq right heart vad CPT 33997 | $36,651.00 | $64,300.00 | $156.88 – $576.90 | 6 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $217.78 – $217.78 | 4 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $569.20 – $569.20 | 4 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $345.22 – $345.22 | 4 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $40,351.44 | $70,792.00 | $371.30 – $26,705.00 | 8 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $16,967.76 | $29,768.00 | $338.04 – $26,705.00 | 8 |
| Rmvl pq iabp CPT 33968 | $1,377.12 | $2,416.00 | $33.08 – $119.25 | 7 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $36,651.00 | $64,300.00 | $183.02 – $698.66 | 7 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $1,291.76 – $4,499.74 | 7 |
| Rmvl rplcmt hrt sys f/trnspl CPT 33929 | not published | not published | $5,771.55 – $5,771.55 | 2 |
| Rmvl & rplcmt tot hrt sys CPT 33928 | not published | not published | $8,965.01 – $8,965.01 | 2 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $345.81 – $1,229.78 | 6 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,867.89 | $3,277.00 | $84.38 – $1,420.44 | 11 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $576.39 – $1,741.16 | 7 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $104.51 – $805.60 | 12 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $2,008.29 – $6,950.63 | 7 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $2,198.85 – $7,590.86 | 7 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $1,232.06 – $4,270.01 | 7 |
| Rmvl tv pm lead dual CPT 33235 | $5,092.38 | $8,934.00 | $632.82 – $2,258.51 | 7 |
| Rmvl tv pm lead sgl CPT 33234 | $5,092.38 | $8,934.00 | $481.40 – $1,719.11 | 7 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $501.91 – $1,570.54 | 6 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $628.76 – $2,240.85 | 6 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $559.04 – $1,796.36 | 6 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $267.59 – $962.25 | 7 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | not published | not published | $505.94 – $505.94 | 4 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | not published | not published | $385.42 – $385.42 | 4 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $873.66 – $873.66 | 4 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $189.45 – $189.45 | 2 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | not published | not published | $2,442.06 – $8,529.49 | 7 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | not published | not published | $2,924.87 – $10,145.78 | 7 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | not published | not published | $2,062.72 – $7,096.20 | 7 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $0.58 | $1.01 | $0.10 – $0.54 | 6 |
| Rotavirus antibody CPT 86759 | not published | not published | $18.23 – $70.37 | 16 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $675.13 – $2,309.63 | 6 |
| Rplcmt a-valve tlcj autol pv CPT 33440 | not published | not published | $3,303.79 – $11,968.35 | 6 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $588.70 – $3,988.09 | 7 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $726.84 – $2,594.33 | 6 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $2,057.13 | $3,609.00 | $66.28 – $795.19 | 7 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,688.34 | $2,962.00 | $35.92 – $811.23 | 12 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $2,352.96 | $4,128.00 | $71.63 – $176.70 | 6 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $2,501.16 | $4,388.00 | $102.63 – $250.96 | 6 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $2,991.93 | $5,249.00 | $60.13 – $1,273.01 | 7 |
| Rpl tun-cvad w subq port CPT 36582 | $5,995.83 | $10,519.00 | $290.49 – $3,593.10 | 7 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $329.05 – $4,560.90 | 7 |
| Rpl tun cvc wo subq port CPT 36581 | $6,224.40 | $10,920.00 | $187.33 – $2,931.64 | 7 |
| Rpm tx mgmt 1st 20 min CPT 99457 | not published | not published | $31.80 – $110.67 | 6 |
| Rpm tx mgmt ea addl 20 min CPT 99458 | not published | not published | $31.80 – $90.54 | 6 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $1,015.51 – $3,671.89 | 6 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $764.94 – $2,763.79 | 6 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $739.05 – $2,671.39 | 6 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $568.59 – $2,055.30 | 6 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $340.49 – $1,228.13 | 6 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $471.92 – $1,704.38 | 6 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | not published | not published | $1,230.02 – $4,446.00 | 6 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | not published | not published | $879.33 – $3,177.98 | 6 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | not published | not published | $850.97 – $3,075.75 | 6 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $634.50 – $2,293.28 | 6 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $567.26 – $2,050.09 | 6 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $420.04 – $1,515.45 | 6 |
| Rpr acq av fistula thrx&abd CPT 35189 | not published | not published | $1,451.57 – $5,226.94 | 7 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $980.09 – $3,528.41 | 7 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $898.83 – $3,264.11 | 7 |
| Rpr blvs gr ot/th vn ntrth w CPT 35271 | not published | not published | $1,360.84 – $4,833.45 | 7 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | not published | not published | $1,431.16 – $5,099.63 | 7 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | not published | not published | $1,570.89 – $5,682.90 | 7 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | not published | not published | $1,696.49 – $6,106.05 | 7 |
| Rpr blvsl vn grf ntrthrc w/b CPT 35241 | not published | not published | $1,407.90 – $5,022.08 | 7 |
| Rpr cgen av fistula thrx&abd CPT 35182 | not published | not published | $1,755.63 – $6,256.09 | 7 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $783.17 – $2,562.53 | 7 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $1,059.19 – $3,496.46 | 7 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $1,115.34 – $3,836.10 | 7 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $929.66 – $3,308.25 | 7 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $855.82 – $3,011.78 | 7 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $639.49 – $2,229.68 | 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.