healthcosts.net

Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)

1506 S. Oneida St, Appleton, WI · Ascension · · NPI 1407803638

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 8, 2026

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
Upper Endoscopy (EGD, with biopsy) CPT 43239 not published not published $143.11 – $1,892.79 12
Upper ext harvest for cabg1 seg 35600 CPT 35600 not published not published $179.78 – $894.60 7
Uppr gi scope w/submuc inj CPT 43236 not published not published $143.11 – $1,892.79 12
Urachal cyst/sinus excision 51500 CPT 51500 not published not published $667.55 – $2,328.68 7
Urea nitrogen CPT 84520 $10.83 $19.00 $3.95 – $15.25 16
Urea nitrogen 24 hour urine CPT 84540 $12.54 $22.00 $5.56 – $21.46 16
Urea nitrogen clearance CPT 84545 not published not published $7.20 – $27.79 16
Urea nitrogen semi-quant CPT 84525 not published not published $5.13 – $19.80 16
Ureteral embolization/occl CPT 50705 not published not published $179.48 – $6,935.74 6
Ureteral reflux study CPT 78740 not published not published $28.28 – $811.23 12
Ureter endoscopy CPT 50970 not published not published $380.38 – $1,353.45 7
Ureter endoscopy & biopsy CPT 50955 not published not published $362.01 – $1,557.49 7
Ureter endoscopy & biopsy CPT 50974 not published not published $484.96 – $1,726.80 7
Ureter endoscopy & catheter CPT 50972 not published not published $367.36 – $1,308.45 7
Ureter endoscopy & treatment CPT 50957 not published not published $363.86 – $1,572.34 7
Ureter endoscopy & treatment CPT 50961 not published not published $326.01 – $1,417.31 7
Ureter endoscopy & treatment CPT 50976 not published not published $478.21 – $1,702.80 7
Ureter endoscopy & treatment CPT 50980 not published not published $365.51 – $1,301.78 7
Ureteroneocystostomy 50780 CPT 50780 not published not published $1,147.19 – $4,023.56 7
Ureteroureterostomy 50760 CPT 50760 not published not published $1,160.58 – $4,080.34 7
Urethrcystgrphy rtrgrde s&i CPT 74450 $238.83 $419.00 $16.71 – $488.00 12
Urethrlys transvag with scope CPT 53500 not published not published $776.65 – $2,726.93 7
Urethrocystography void s&i CPT 74455 $257.07 $451.00 $16.71 – $488.00 12
Uric acid blood CPT 84550 $17.10 $30.00 $4.52 – $17.45 16
Uric acid urine CPT 84560 $15.39 $27.00 $5.08 – $19.61 16
Urinalysis glass test CPT 81020 not published not published $4.70 – $18.14 16
Urinalysis microscopic only CPT 81015 $3.99 $7.00 $3.05 – $11.77 16
Urinalysis qual/semiquant excpt ia CPT 81005 not published not published $2.17 – $8.38 16
Urinalysis (with microscopy) CPT 81001 $18.24 $32.00 $3.17 – $12.24 16
Urinalysis (without microscopy) CPT 81003 $13.68 $24.00 $2.25 – $8.69 16
Urinary bldr retent nuc study CPT 78730 not published not published $8.09 – $19.37 7
Urinary reflex study CPT 51792 not published not published $57.01 – $202.88 12
Urine Culture Test CPT 87086 $43.32 $76.00 $8.07 – $31.15 16
Urine flow measurement 51736 CPT 51736 not published not published $8.60 – $260.23 12
Urine pregnancy test CPT 81025 $16.53 $29.00 $8.61 – $33.23 16
Urine screen for bacteria CPT 81007 not published not published $3.66 – $115.72 16
Urine shunt to intestine CPT 50815 not published not published $1,272.58 – $4,475.25 7
Urography, antegrade CPT 74425 $257.07 $451.00 $25.33 – $720.99 12
Urography inf drip &/or bolus CPT 74410 not published not published $24.58 – $359.39 12
Use 1st target lesion CPT 76982 not published not published $30.22 – $214.68 11
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 not published not published $204.29 – $226.18 2
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 not published not published $204.29 – $226.18 2
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 not published not published $183.54 – $203.21 2
Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 not published not published $122.89 – $136.06 2
Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 not published not published $91.50 – $101.60 2
Vaccine dtap < 7 years im CPT 90700 $42.39 $74.37 $64.94 – $64.94 2
Vaccine dtap-hep b-ipv im CPT 90723 $170.19 $298.58 $182.18 – $182.18 2
Vaccine dtap-ipv 4-6 years im CPT 90696 not published not published $239.10 – $239.10 2
Vaccine dtap-ipv-hib-hepb im CPT 90697 not published not published $564.12 – $564.12 2
Vaccine dtap-ipv/hib im CPT 90698 not published not published $214.07 – $214.07 2
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 $70.51 $123.71 $56.91 – $56.91 2
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 not published not published $30.82 – $30.82 2
Vaccine hepatitis a (hepa) adult im CPT 90632 $149.77 $262.76 $98.11 – $1,400.00 7
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 not published not published $208.64 – $208.64 2
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 not published not published $67.65 – $67.65 2
Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 not published not published $49.76 – $49.76 2
Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 not published not published $103.39 – $1,400.00 5
Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 $125.34 $219.90 $92.36 – $1,400.00 7
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 not published not published $224.39 – $1,400.00 5
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 $53.96 $94.66 $39.76 – $1,400.00 7
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 not published not published $531.93 – $531.93 2
Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 not published not published $180.05 – $180.05 2
Vaccine influenza (iiv) preservative free antigen content im CPT 90662 $143.20 $251.23 $102.76 – $1,400.00 7
Vaccine influenza inactivated adjuvant im CPT 90653 not published not published $75.20 – $75.20 2
Vaccine influenza nos 0.5ml dose im CPT 90658 not published not published $21.81 – $21.81 2
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 $49.98 $87.69 $21.25 – $21.25 2
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 not published not published $29.23 – $1,400.00 5
Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 not published not published $108.30 – $1,400.00 5
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 not published not published $27.34 – $27.34 2
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 not published not published $31.29 – $1,400.00 5
Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 not published not published $14.62 – $1,400.00 5
Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 not published not published $38.91 – $1,400.00 5
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 not published not published $102.76 – $1,400.00 5
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 not published not published $28.15 – $28.15 2
Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 not published not published $21.81 – $21.81 2
Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 $404.35 $709.39 $398.79 – $398.79 2
Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 not published not published $354.32 – $354.32 2
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 not published not published $303.81 – $303.81 2
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 $318.37 $558.55 $294.28 – $294.28 2
Vaccine mmr live subcutaneous CPT 90707 $172.80 $303.15 $177.19 – $177.19 2
Vaccine mmrv live subcutaneous CPT 90710 not published not published $264.00 – $264.00 2
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 $195.69 $343.31 $144.19 – $1,400.00 7
Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 $445.09 $780.86 $327.96 – $1,400.00 7
Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 not published not published $344.68 – $1,400.00 5
Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 $358.95 $629.74 $264.49 – $1,400.00 7
Vaccine polio (ipv) subcutaneous/im CPT 90713 not published not published $80.24 – $80.24 2
Vaccine rabies im CPT 90675 $770.67 $1,352.05 $317.67 – $1,400.00 12
Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 not published not published $222.09 – $222.09 2
Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 not published not published $184.27 – $184.27 2
Vaccine tdap >=7 years im CPT 90715 $106.72 $187.22 $54.14 – $1,400.00 7
Vaccine td preservative free >= 7 years im CPT 90714 $91.34 $160.25 $40.11 – $1,400.00 7
Vaccine typhoid vicps im CPT 90691 not published not published $168.56 – $168.56 2
Vaccine varicella live subcutaneous CPT 90716 $314.05 $550.97 $316.54 – $316.54 2
Vaccine yellow fever live subcutaneous CPT 90717 not published not published $247.47 – $247.47 2
Vaccinia vrs vac 0.3 ml perq CPT 90622 not published not published $0.01 – $0.02 7
Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 not published not published $1,029.81 – $3,596.85 7
Vag hyst incl t/o complex CPT 58291 not published not published $1,283.06 – $4,520.33 7
Vag hyst including t/o CPT 58262 not published not published $961.29 – $3,350.59 7
Vag hyst t/o & repair compl CPT 58292 not published not published $1,351.71 – $4,756.35 7
Vag hyst w/enterocele compl 58294 CPT 58294 not published not published $1,255.80 – $4,412.78 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.