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 |
|---|---|---|---|---|
| Sleeve fing rolyan med HCPCS L3933 | $533.52 | $936.00 | $194.54 – $194.54 | 2 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $2,969.06 – $10,671.00 | 7 |
| Sling pelv split sam med HCPCS L0621 | $144.21 | $253.00 | $86.38 – $86.38 | 2 |
| Slitting of prepuce CPT 54000 | not published | not published | $117.64 – $572.36 | 7 |
| Slitting of prepuce CPT 54001 | not published | not published | $148.21 – $705.38 | 7 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $111.34 – $111.34 | 2 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $313.50 – $313.50 | 2 |
| Slp pure tone screening CPT 92551 | not published | not published | $13.32 – $37.45 | 6 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $43.48 – $139.60 | 12 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $276.96 – $276.96 | 2 |
| Small animal inoculation CPT 87003 | not published | not published | $16.84 – $65.00 | 16 |
| Small bowel endoscopy CPT 44360 | not published | not published | $148.63 – $525.98 | 7 |
| Small bowel endoscopy CPT 44364 | not published | not published | $210.80 – $749.74 | 7 |
| Small bowel endoscopy CPT 44366 | not published | not published | $247.35 – $880.69 | 7 |
| Small bowel endoscopy CPT 44369 | not published | not published | $253.13 – $902.44 | 7 |
| Small bowel endoscopy CPT 44376 | not published | not published | $292.64 – $1,042.88 | 7 |
| Small bowel endoscopy CPT 44378 | not published | not published | $395.64 – $1,412.14 | 7 |
| Small bowel endoscopy CPT 44382 | not published | not published | $76.87 – $1,892.79 | 12 |
| Small bowel endoscopy CPT 44384 | not published | not published | $156.96 – $561.08 | 6 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $197.68 – $701.81 | 7 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $188.00 – $666.30 | 7 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $163.72 – $580.61 | 7 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $307.62 – $1,096.58 | 7 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $59.84 – $1,892.79 | 12 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $87.92 – $3,576.68 | 6 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $275.48 – $976.76 | 7 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.02 | 7 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $24.51 | $43.00 | $5.39 – $20.81 | 16 |
| Smear gram stain CPT 87205 | $22.23 | $39.00 | $4.27 – $16.48 | 16 |
| Smear nasal eosinophil CPT 89190 | $12.54 | $22.00 | $5.79 – $22.35 | 16 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $15.39 | $27.00 | $5.99 – $23.12 | 16 |
| Smear wet mount CPT 87210 | $22.80 | $40.00 | $5.82 – $22.47 | 16 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $301.35 – $1,163.21 | 12 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $185.20 – $714.87 | 12 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $47.00 – $181.42 | 12 |
| Snrpn/ube3a gene CPT 81331 | $149.91 | $263.00 | $51.07 – $197.13 | 12 |
| So airplane w/wo joint cf HCPCS L3674 | $2,955.45 | $5,185.00 | $1,077.71 – $1,077.71 | 2 |
| So cap design without jnts cf HCPCS L3671 | $2,252.64 | $3,952.00 | $821.53 – $821.53 | 2 |
| Sodium 24 hour urine CPT 84300 | $15.96 | $28.00 | $5.06 – $19.53 | 16 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $13.07 | $22.93 | $2.94 – $22.93 | 6 |
| Sodium serum/plasma/whole blood CPT 84295 | $13.11 | $23.00 | $4.81 – $18.57 | 16 |
| Somatosensory testing CPT 95927 | not published | not published | $28.94 – $628.68 | 12 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $896.87 – $1,883.43 | 5 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $163.48 – $582.75 | 7 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $177.85 – $632.03 | 7 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $421.73 – $421.73 | 2 |
| Special physics consult CPT 77370 | $484.50 | $850.00 | $127.64 – $291.95 | 12 |
| Special pump services CPT 99190 | not published | not published | $1,400.81 – $1,400.81 | 2 |
| Special pump services CPT 99191 | not published | not published | $980.47 – $980.47 | 2 |
| Special pump services CPT 99192 | not published | not published | $701.21 – $701.21 | 2 |
| Special radiation dosimetry CPT 77331 | $267.90 | $470.00 | $44.10 – $268.04 | 12 |
| Special radiation treatment CPT 77470 | $1,483.14 | $2,602.00 | $60.61 – $1,167.85 | 12 |
| Special teletx port plan CPT 77321 | $686.28 | $1,204.00 | $53.75 – $739.05 | 12 |
| Specific gravity body fluid CPT 84315 | $7.41 | $13.00 | $3.28 – $12.66 | 16 |
| Specimen fat stain CPT 89125 | not published | not published | $5.88 – $22.70 | 16 |
| Speech audiometry complete CPT 92556 | not published | not published | $47.93 – $123.10 | 12 |
| Speech evaluation complex CPT 70371 | not published | not published | $44.30 – $488.00 | 12 |
| Speech recep thresh CPT 92555 | not published | not published | $30.81 – $119.91 | 12 |
| Sperm antibody test CPT 89325 | not published | not published | $10.67 – $41.19 | 16 |
| Sperm evaluation test CPT 89329 | not published | not published | $18.24 – $75.62 | 16 |
| Sperm identification CPT 89257 | not published | not published | $49.79 – $107.88 | 8 |
| Sperm isolation complex CPT 89261 | not published | not published | $49.79 – $107.88 | 8 |
| Sperm isolation simple CPT 89260 | not published | not published | $49.79 – $107.88 | 8 |
| Sperm washing 58323 CPT 58323 | not published | not published | $12.28 – $406.14 | 12 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $735.19 – $2,406.26 | 7 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $775.22 – $2,720.33 | 7 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $106.87 – $380.21 | 7 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $448.95 – $448.95 | 2 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,354.89 | $2,377.00 | $88.72 – $1,398.10 | 11 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $146.18 – $628.68 | 12 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $354.54 | $622.00 | $10.82 – $628.68 | 12 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $89.56 – $315.86 | 12 |
| Spleen imaging CPT 78185 | not published | not published | $17.18 – $811.23 | 12 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $1,150.79 – $4,063.80 | 7 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $2,295.58 – $8,144.55 | 7 |
| Splicing of ureters CPT 50770 | not published | not published | $1,196.64 – $4,218.41 | 7 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $1,267.11 | $2,223.00 | $462.05 – $462.05 | 2 |
| Splint finger frog med HCPCS L3927 | $103.74 | $182.00 | $31.92 – $31.92 | 2 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $716.92 – $3,062.10 | 7 |
| Split blood or products CPT 86985 | $41.61 | $73.00 | $20.38 – $345.95 | 8 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $133.73 – $757.73 | 7 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $46.75 – $46.75 | 2 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $102.05 – $669.63 | 9 |
| Sputum specimen collection CPT 89220 | not published | not published | $20.46 – $345.95 | 13 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $1,345.79 – $4,645.35 | 7 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $999.77 – $3,420.49 | 7 |
| Srs cran les complex addl CPT 61799 | not published | not published | $286.43 – $1,011.49 | 7 |
| Srs cran les simple addl CPT 61797 | not published | not published | $207.22 – $731.81 | 7 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $175.40 – $677.04 | 12 |
| Srs linear based CPT 77372 | $20,693.85 | $36,305.00 | $1,015.39 – $2,508.27 | 7 |
| Srs multisource CPT 77371 | not published | not published | $2,593.48 – $2,593.48 | 2 |
| Srs spinal lesion CPT 63620 | not published | not published | $1,101.61 – $3,772.84 | 7 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $238.12 – $841.28 | 7 |
| Staggered spondaic word test CPT 92572 | not published | not published | $56.85 – $315.86 | 12 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $2,018.28 – $4,343.64 | 3 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $186.96 | $328.00 | $103.81 – $299.57 | 11 |
| Staph a dna amp probe CPT 87640 | $73.53 | $129.00 | $35.09 – $135.45 | 16 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $228.57 | $401.00 | $96.70 – $363.32 | 12 |
| Stem cells total count CPT 86367 | not published | not published | $53.96 – $300.23 | 16 |
| Stenger test pure tone CPT 92565 | not published | not published | $22.24 – $119.91 | 12 |
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.