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 |
|---|---|---|---|---|
| Rpr hern preemie reduc CPT 49491 | not published | not published | $804.80 – $2,806.50 | 7 |
| Rpr hypopl a-arch w/byp CPT 33853 | not published | not published | $1,796.84 – $6,407.74 | 7 |
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $1,376.34 – $4,893.56 | 7 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $1,051.26 – $3,702.79 | 7 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $597.31 – $2,083.43 | 7 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $623.32 – $2,167.09 | 7 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $414.54 – $1,442.59 | 7 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $613.70 – $2,135.44 | 7 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $425.10 – $1,459.73 | 7 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $964.27 – $3,375.45 | 7 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $175.69 – $11,436.11 | 6 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $156.42 – $9,689.03 | 6 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $742.73 – $2,685.60 | 6 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $916.70 – $3,315.11 | 6 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $1,671.68 – $5,998.46 | 7 |
| Rpr&refitg spect xcp aphakia CPT 92370 | not published | not published | $16.46 – $101.57 | 6 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $36.27 – $119.91 | 7 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $584.98 – $2,036.44 | 7 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $2,291.32 – $8,208.08 | 7 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $1,921.16 – $6,850.43 | 7 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $1,815.62 – $6,478.76 | 7 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $1,766.01 – $6,290.93 | 7 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $1,846.31 – $6,613.01 | 7 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $2,298.39 – $8,267.18 | 7 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $2,254.31 – $8,118.56 | 7 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $2,239.65 – $8,073.49 | 7 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $2,055.82 – $7,392.60 | 7 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $2,110.12 – $7,604.85 | 7 |
| Rpr umbil hern block < 5 yr CPT 49582 | not published | not published | $1,037.15 – $2,128.73 | 3 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $384.21 – $1,304.70 | 7 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $215.47 – $561.65 | 7 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $983.52 – $3,462.38 | 7 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $2,091.17 – $7,345.88 | 7 |
| Rsv assay w/optic CPT 87807 | $29.07 | $51.00 | $13.10 – $50.57 | 16 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $20.94 – $260.17 | 11 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $35.85 – $75.29 | 5 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $35.85 – $124.10 | 11 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $35.85 – $124.10 | 11 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $32.53 – $112.77 | 6 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $32.16 – $91.33 | 6 |
| Rubella antibody igg CPT 86762 | $35.34 | $62.00 | $14.39 – $55.55 | 16 |
| Rubeola ag if CPT 87283 | not published | not published | $17.15 – $234.69 | 16 |
| Rubeola antibody igg CPT 86765 | $62.70 | $110.00 | $12.88 – $49.72 | 16 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $329.51 – $1,271.91 | 12 |
| Russell viper venom diluted CPT 85613 | $19.38 | $34.00 | $9.58 – $36.98 | 16 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $917.08 – $4,044.32 | 10 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $55.91 | $98.08 | $46.56 – $98.08 | 6 |
| Salivary gland function exam CPT 78232 | not published | not published | $20.14 – $811.23 | 12 |
| Salivary gland imaging CPT 78230 | not published | not published | $22.73 – $811.23 | 12 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $22.36 – $811.23 | 12 |
| Salmonella antibody CPT 86768 | not published | not published | $11.70 – $50.91 | 16 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $892.50 – $3,110.36 | 7 |
| Same day nb discharge 99463 CPT 99463 | $227.43 | $399.00 | $114.44 – $260.17 | 12 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $51.43 – $108.00 | 7 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $0.02 – $229.71 | 4 |
| Sarscov coronavirus ag ia CPT 87426 | not published | not published | $35.33 – $136.37 | 12 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $70.29 – $147.61 | 7 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $421.55 – $1,499.29 | 7 |
| Sbrt management CPT 77435 | not published | not published | $680.46 – $1,565.95 | 7 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | $384.18 | $674.00 | $140.91 – $302.55 | 7 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | not published | not published | $163.23 – $296.49 | 7 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | not published | not published | $79.19 – $151.67 | 7 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | not published | not published | $114.57 – $200.78 | 7 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | not published | not published | $42.77 – $96.59 | 7 |
| Sbsq psyc collab care mgmt CPT 99493 | not published | not published | $88.93 – $272.67 | 11 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,078.44 | $1,892.00 | $57.56 – $488.00 | 12 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $718.77 | $1,261.00 | $40.08 – $214.68 | 12 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $782.61 | $1,373.00 | $38.91 – $488.00 | 12 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $522.12 | $916.00 | $24.38 – $214.68 | 12 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $571.14 | $1,002.00 | $24.38 – $214.68 | 12 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $729.60 | $1,280.00 | $22.14 – $214.68 | 12 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,072.17 | $1,881.00 | $39.25 – $488.00 | 12 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $714.78 | $1,254.00 | $23.90 – $214.68 | 12 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $714.78 | $1,254.00 | $24.25 – $214.68 | 12 |
| Scan proc cranial extra CPT 61782 | not published | not published | $177.16 – $626.36 | 7 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $222.68 – $786.83 | 7 |
| Scan proc spinal CPT 61783 | not published | not published | $221.76 – $788.03 | 7 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $2,393.43 | $4,199.00 | $121.99 – $565.20 | 6 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $471.70 – $2,351.14 | 7 |
| Screening Mammogram CPT 77067 | $314.07 | $551.00 | $38.46 – $179.63 | 11 |
| Screening prostate cancer PSA HCPCS G0103 | $33.06 | $58.00 | $20.28 – $41.35 | 9 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | not published | $3.33 – $5.67 | 6 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $64.35 – $207.23 | 12 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $837.67 – $2,896.65 | 7 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $4,446.00 | $7,800.00 | $237.64 – $4,784.14 | 7 |
| Sedimentation rate erythrocyte automated CPT 85652 | $7.98 | $14.00 | $2.70 – $10.42 | 16 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $1,407.10 – $5,004.86 | 7 |
| Select picture audiometry CPT 92583 | not published | not published | $57.10 – $156.66 | 12 |
| Self-meas bp 2 readg bid 30d CPT 99474 | not published | not published | $9.33 – $32.75 | 6 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $15.11 – $49.43 | 11 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | not published | not published | $42.08 – $42.08 | 2 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | not published | $30.49 – $30.49 | 2 |
| Semen analysis presence/motility CPT 89321 | $13.68 | $24.00 | $12.05 – $46.51 | 16 |
| Semen analysis w/count CPT 89310 | $18.81 | $33.00 | $8.61 – $33.23 | 16 |
| Sensorimotor examination CPT 92060 | not published | not published | $39.76 – $119.91 | 12 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $37.73 – $211.49 | 12 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $419.67 – $2,114.36 | 7 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $114.18 – $741.12 | 13 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $722.99 – $2,436.00 | 7 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $662.28 – $2,257.61 | 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.