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 |
|---|---|---|---|---|
| Ultrasound guide intraoperative CPT 76998 | $390.45 | $685.00 | $46.96 – $144.29 | 7 |
| Ultrasound guide tissue ablation CPT 76940 | $287.85 | $505.00 | $102.51 – $236.41 | 7 |
| Ultrasound hips infant dynamic CPT 76885 | $194.94 | $342.00 | $37.36 – $177.77 | 12 |
| Ultrasound infant hips ltd without stress CPT 76886 | $150.48 | $264.00 | $31.33 – $177.77 | 12 |
| Ultrasound joint complete left CPT 76881 | $156.18 | $274.00 | $46.18 – $214.68 | 12 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $83.22 | $146.00 | $26.63 – $214.68 | 12 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $36.80 – $214.68 | 11 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $90.63 | $159.00 | $50.34 – $113.34 | 7 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $73.53 | $129.00 | $42.37 – $61.58 | 7 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | not published | not published | $97.38 – $488.00 | 12 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $135.66 | $238.00 | $43.71 – $214.68 | 12 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $144.21 | $253.00 | $32.81 – $214.68 | 12 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $120.27 | $211.00 | $38.32 – $214.68 | 12 |
| Ultrasound prostate/transrectal CPT 76872 | not published | not published | $34.89 – $214.68 | 12 |
| Ultrasound retroperitoneal limited CPT 76775 | $225.72 | $396.00 | $29.13 – $214.68 | 12 |
| Ultrasound scrotum and contents CPT 76870 | $232.56 | $408.00 | $32.08 – $214.68 | 12 |
| Ultrasound spinal canal and contents CPT 76800 | $141.93 | $249.00 | $63.03 – $214.68 | 12 |
| Ultrasound transabd ea addl gest CPT 76812 | not published | not published | $91.47 – $217.94 | 7 |
| Ultrasound transvaginal non obstetric CPT 76830 | $164.73 | $289.00 | $35.01 – $214.68 | 12 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $82.08 – $359.39 | 11 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $42.89 – $104.14 | 6 |
| Ultraviolet therapy CPT 97028 | $52.44 | $92.00 | $7.65 – $16.07 | 12 |
| Umbilical artery cath newborn 36660 CPT 36660 | $535.23 | $939.00 | $71.63 – $255.04 | 7 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $292.44 – $1,803.79 | 12 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $1,200.75 – $1,200.75 | 2 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $23.54 – $49.43 | 5 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $23.54 – $49.43 | 5 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $44.36 – $93.16 | 5 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $223.25 – $468.83 | 5 |
| Unlisted CT procedure CPT 76497 | not published | not published | $84.65 – $182.03 | 7 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $386.30 – $848.52 | 7 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $15.07 – $107.88 | 8 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $15.07 – $107.88 | 8 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $150.41 – $315.86 | 5 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $386.30 – $848.52 | 7 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $193.40 – $406.14 | 5 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $84.65 – $182.03 | 7 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $386.30 – $848.52 | 7 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $386.30 – $848.52 | 7 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $193.40 – $406.14 | 5 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $223.25 – $468.83 | 5 |
| Unlisted misc path test CPT 89240 | not published | not published | $15.07 – $107.88 | 8 |
| Unlisted mr procedure CPT 76498 | $1,165.08 | $2,044.00 | $84.65 – $182.03 | 7 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $386.30 – $848.52 | 7 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $223.25 – $468.83 | 5 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $150.41 – $315.86 | 5 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $386.30 – $848.52 | 7 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $23.54 – $49.43 | 5 |
| Unlisted orl service/px CPT 92700 | not published | not published | $23.54 – $49.43 | 5 |
| Unlisted procedure colon CPT 45399 | not published | not published | $876.48 – $1,840.61 | 5 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $901.33 – $1,892.79 | 5 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $287.38 – $603.50 | 5 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $223.25 – $468.83 | 5 |
| Unlisted procedure liver CPT 47399 | not published | not published | $676.40 – $1,420.44 | 5 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $287.38 – $603.50 | 5 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $676.40 – $1,420.44 | 5 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $876.48 – $1,840.61 | 5 |
| Unlisted procedure spine CPT 22899 | not published | not published | $230.61 – $484.28 | 5 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $941.54 – $3,284.74 | 7 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $28.64 – $60.14 | 5 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $230.61 – $484.28 | 5 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $223.25 – $468.83 | 5 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $230.61 – $484.28 | 5 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $901.33 – $1,892.79 | 5 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $151.69 – $318.55 | 5 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $287.38 – $603.50 | 5 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $676.40 – $1,420.44 | 5 |
| Unlisted px external ear CPT 69399 | not published | not published | $223.25 – $468.83 | 5 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $287.38 – $603.50 | 5 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $230.61 – $484.28 | 5 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $230.61 – $484.28 | 5 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $230.61 – $484.28 | 5 |
| Unlisted px inner ear CPT 69949 | not published | not published | $223.25 – $468.83 | 5 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $287.38 – $603.50 | 5 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $230.61 – $484.28 | 5 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $233.81 – $491.00 | 5 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $127.64 – $268.04 | 5 |
| Unlisted px middle ear CPT 69799 | not published | not published | $223.25 – $468.83 | 5 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $223.25 – $468.83 | 5 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $223.25 – $468.83 | 5 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $230.61 – $484.28 | 5 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $223.25 – $468.83 | 5 |
| Unlisted px small intestine CPT 44799 | not published | not published | $901.33 – $1,892.79 | 5 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $223.25 – $468.83 | 5 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $127.64 – $268.04 | 5 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $223.25 – $468.83 | 5 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $223.25 – $468.83 | 5 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $15.07 – $107.88 | 8 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $386.30 – $848.52 | 7 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $191.02 – $401.14 | 5 |
| Unlisted surgical path px CPT 88399 | not published | not published | $15.07 – $107.88 | 8 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $20.38 – $49.43 | 8 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $84.65 – $182.03 | 7 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $594.37 – $1,248.18 | 5 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $386.30 – $848.52 | 7 |
| Upgrade pm system CPT 33214 | $30,827.88 | $54,084.00 | $476.63 – $26,705.00 | 8 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,111.50 | $1,950.00 | $115.76 – $720.99 | 12 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $877.23 | $1,539.00 | $89.95 – $720.99 | 12 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $808.26 | $1,418.00 | $74.72 – $488.00 | 12 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,588.59 | $2,787.00 | $126.80 – $1,892.79 | 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.