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 |
|---|---|---|---|---|
| Treat thumb fracture CPT 26650 | not published | not published | $513.42 – $1,721.44 | 7 |
| Treat thumb fracture CPT 26665 | not published | not published | $664.60 – $2,245.69 | 7 |
| Treat toe dislocation CPT 28636 | not published | not published | $233.99 – $1,137.68 | 7 |
| Treat toe dislocation CPT 28665 | not published | not published | $135.73 – $562.16 | 12 |
| Treat toe dislocation CPT 28666 | not published | not published | $188.46 – $615.75 | 7 |
| Treat toe fracture CPT 28525 | not published | not published | $434.97 – $2,101.95 | 7 |
| Treat trigeminal nerve CPT 61790 | not published | not published | $872.59 – $2,975.18 | 7 |
| Treat trigeminal tract CPT 61791 | not published | not published | $1,105.90 – $3,793.76 | 7 |
| Treat ulnar fracture CPT 24675 | not published | not published | $447.52 – $1,646.48 | 7 |
| Treat ulnar fracture CPT 24685 | not published | not published | $686.95 – $2,340.86 | 7 |
| Treat vaginal bleeding CPT 57180 | not published | not published | $127.13 – $627.49 | 12 |
| Treat wrist bone fracture CPT 25635 | not published | not published | $455.23 – $1,653.34 | 7 |
| Treat wrist dislocation CPT 25675 | not published | not published | $230.61 – $1,588.09 | 12 |
| Treponema pallidum ag if CPT 87285 | not published | not published | $12.18 – $47.01 | 16 |
| Treponema pallidum antibody CPT 86780 | $22.80 | $40.00 | $11.32 – $51.11 | 16 |
| Trg gene rearrangement anal CPT 81342 | not published | not published | $201.50 – $777.79 | 15 |
| Trh stimulation panel CPT 80439 | not published | not published | $67.21 – $259.43 | 16 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $5.33 | $9.35 | $1.60 – $9.35 | 6 |
| Trichinella antibody CPT 86784 | not published | not published | $8.32 – $48.48 | 16 |
| Trichomonas assay w/optic CPT 87808 | not published | not published | $15.29 – $59.02 | 16 |
| #tricyclicantidprssnt CPT 80337 | $165.30 | $290.00 | $33.24 – $59.44 | 3 |
| Triglycerides CPT 84478 | $14.82 | $26.00 | $5.74 – $22.16 | 16 |
| Trim nail(s) HCPCS G0127 | $91.77 | $161.00 | $7.89 – $86.36 | 6 |
| Trim nondyst nails CPT 11719 | $153.90 | $270.00 | $7.89 – $119.91 | 12 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $661.00 – $3,446.25 | 7 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $766.94 – $3,609.45 | 7 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | not published | not published | $431.81 – $1,654.31 | 6 |
| Trml dstrj ios bvn ea addl CPT 64629 | not published | not published | $203.10 – $767.33 | 6 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | not published | not published | $230.61 – $1,864.76 | 12 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $15,607.74 | $27,382.00 | $1,027.22 – $3,634.43 | 6 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $20,196.24 | $35,432.00 | $957.68 – $3,499.24 | 7 |
| Trnscath plc stnt ante carotid art CPT 37218 | $22,143.36 | $38,848.00 | $807.79 – $2,880.15 | 6 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $13,970.70 | $24,510.00 | $203.83 – $6,785.66 | 6 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $13,970.70 | $24,510.00 | $147.26 – $5,344.54 | 6 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $28,889.88 | $50,684.00 | $300.65 – $11,551.46 | 6 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $6,084.18 | $10,674.00 | $298.66 – $5,829.60 | 7 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $4,626.12 | $8,116.00 | $380.57 – $1,381.65 | 7 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $4,412.37 | $7,741.00 | $228.47 – $839.89 | 7 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $4,793.13 | $8,409.00 | $120.15 – $441.75 | 7 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $2,151.18 | $3,774.00 | $334.10 – $1,216.16 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | $2,415.09 | $4,237.00 | $901.87 – $3,892.95 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | $788.88 | $1,384.00 | $218.45 – $783.56 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $699.98 – $2,788.16 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $860.00 – $3,613.84 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $742.73 – $3,125.21 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | $2,202.48 | $3,864.00 | $677.01 – $2,863.80 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | $1,706.58 | $2,994.00 | $525.92 – $2,254.24 | 7 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $640.73 – $2,473.22 | 12 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $1,084.41 – $3,802.46 | 7 |
| Troponin quantitative CPT 84484 | $59.28 | $104.00 | $12.47 – $48.13 | 16 |
| Tr retinal les preterm inf CPT 67229 | $958.17 | $1,681.00 | $527.40 – $2,553.85 | 12 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $402.06 – $6,559.01 | 6 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $387.29 – $1,334.85 | 7 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $74.41 – $882.61 | 11 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $1,188.13 – $4,167.45 | 7 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $1,106.78 – $3,853.91 | 7 |
| Tx atrial fib pulm vein isol CPT 93656 | $39,318.03 | $68,979.00 | $924.88 – $16,158.00 | 8 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $230.61 – $484.28 | 5 |
| Tx closed hip disl traumatic without anes CPT 27250 | not published | not published | $179.28 – $645.56 | 12 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $610.30 – $2,208.38 | 7 |
| Tx closed tib shaft fx without manip CPT 27750 | not published | not published | $230.61 – $1,242.56 | 12 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $113.84 – $1,235.81 | 12 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $74.20 – $1,235.81 | 12 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $941.64 – $3,267.60 | 7 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $893.46 – $3,098.18 | 7 |
| Tx l/r atrial fib addl CPT 93657 | $19,659.30 | $34,490.00 | $299.33 – $16,158.00 | 8 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $778.75 – $2,664.23 | 7 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $535.33 – $1,803.38 | 7 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $580.22 – $1,960.58 | 7 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $472.58 – $1,580.33 | 7 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $673.85 – $2,302.76 | 7 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $628.59 – $2,135.03 | 7 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $466.85 – $1,576.95 | 7 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | $208.89 – $769.84 | 12 |
| Tympanic membrane repair CPT 69610 | not published | not published | $301.10 – $1,358.89 | 7 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $581.20 – $1,953.98 | 7 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $23.52 – $315.86 | 12 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $140.58 – $1,028.10 | 12 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $1,478.52 – $4,947.15 | 7 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $1,340.61 – $4,434.53 | 7 |
| Tyms gene com variants CPT 81346 | not published | not published | $174.81 – $674.77 | 12 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $148.91 – $148.91 | 2 |
| U2af1 gene common variants CPT 81357 | not published | not published | $193.25 – $745.95 | 12 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $4.02 – $15.52 | 16 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $234.00 – $903.24 | 12 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $117.99 | $207.00 | $27.65 – $214.68 | 11 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $2.77 – $214.68 | 12 |
| Ultrasound breast complete CPT 76641 | $493.05 | $865.00 | $36.99 – $214.68 | 11 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $410.97 | $721.00 | $34.41 – $177.77 | 11 |
| Ultrasound chest CPT 76604 | $131.10 | $230.00 | $28.79 – $214.68 | 12 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | not published | not published | $25.54 – $214.68 | 12 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $32.78 – $214.68 | 12 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $26.50 – $61.46 | 6 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $30.22 – $214.68 | 11 |
| Ultrasound encephalogram CPT 76506 | $160.74 | $282.00 | $32.43 – $214.68 | 12 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $46.78 – $84.17 | 3 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $205.20 | $360.00 | $38.10 – $214.68 | 12 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $98.61 | $173.00 | $39.30 – $214.68 | 12 |
| Ultrasound guidance for vascular access CPT 76937 | $134.52 | $236.00 | $14.41 – $35.07 | 7 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $389.31 | $683.00 | $32.13 – $77.06 | 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.