Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)
500 S. Oakwood Rd, Oshkosh, WI · Ascension · · NPI 1912527193
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 |
|---|---|---|---|---|
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $111.12 – $596.81 | 12 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $128.00 – $680.55 | 12 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $74.84 – $401.14 | 12 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $92.40 – $529.50 | 12 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $116.74 – $641.96 | 12 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $129.10 – $697.39 | 12 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $2,028.06 | $3,558.00 | $202.65 – $1,528.61 | 7 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $1,014.60 | $1,780.00 | $70.08 – $684.75 | 7 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $160.62 – $778.46 | 7 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $58.80 – $401.14 | 12 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $222.68 – $911.66 | 7 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $141.43 – $592.91 | 7 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $88.78 – $476.85 | 12 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $381.00 – $1,617.11 | 12 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $292.37 – $1,239.90 | 12 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $553.84 – $2,308.50 | 7 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $2.20 – $22.13 | 7 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $141.52 – $936.86 | 7 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $189.28 – $1,959.08 | 7 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $145.06 – $859.76 | 12 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $73.34 – $405.19 | 12 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $198.02 – $1,797.37 | 12 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $1,574.34 | $2,762.00 | $61.37 – $624.15 | 7 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $3,148.11 | $5,523.00 | $203.01 – $1,513.20 | 7 |
| Destruction ciliary body CPT 66700 | not published | not published | $414.56 – $1,647.64 | 7 |
| Destruction ciliary body CPT 66720 | not published | not published | $436.53 – $1,684.28 | 7 |
| Destruction ciliary body CPT 66740 | not published | not published | $414.56 – $1,601.40 | 7 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $150.63 – $896.96 | 12 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $135.21 – $1,526.36 | 7 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $158.30 – $574.84 | 7 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $144.52 – $806.59 | 12 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $176.33 – $891.34 | 12 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $137.79 – $806.59 | 12 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $161.41 – $851.51 | 12 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $113.81 – $806.59 | 12 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $182.35 – $800.25 | 7 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $103.95 – $806.59 | 12 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $728.02 – $2,534.78 | 7 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $195.10 – $800.85 | 7 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $121.83 – $511.31 | 7 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $101.97 – $458.66 | 7 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $28.69 – $115.92 | 16 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $43.67 – $168.57 | 16 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $12.25 – $31.64 | 6 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $132.26 – $456.30 | 11 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $60.52 – $204.05 | 6 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $58.71 | $103.00 | $10.35 – $177.77 | 12 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $4.70 | $8.24 | $0.11 – $1.24 | 6 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $1.25 | $2.20 | $0.17 – $0.85 | 6 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $53.58 | $94.00 | $22.23 – $85.81 | 16 |
| Diabetes (HbA1c) Test CPT 83036 | $34.20 | $60.00 | $9.71 – $37.48 | 16 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $176.26 – $647.63 | 7 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $334.42 – $1,164.00 | 7 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $97.33 – $805.60 | 11 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $128.78 – $729.94 | 6 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $43.02 – $373.76 | 12 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $122.36 – $122.36 | 2 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $99.42 – $99.42 | 2 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $52.27 – $391.94 | 12 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $71.74 – $444.53 | 12 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $711.93 | $1,249.00 | $50.39 – $216.93 | 11 |
| Diagnostic Mammogram (one breast) CPT 77065 | $570.00 | $1,000.00 | $41.04 – $170.12 | 11 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $84.65 – $182.03 | 7 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $10,710.30 | $18,790.00 | $199.69 – $7,275.15 | 6 |
| Dialysis one evaluation CPT 90945 | $536.94 | $942.00 | $90.79 – $859.68 | 12 |
| Diathermy eg microwave CPT 97024 | not published | not published | $6.69 – $14.05 | 12 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $27.99 | $49.10 | $8.45 – $49.10 | 6 |
| Dicyclomine injection HCPCS J0500 | $153.53 | $269.35 | $30.52 – $269.35 | 6 |
| Diffusing capacity CPT 94729 | $189.24 | $332.00 | $9.35 – $30.52 | 7 |
| Digital analysis of eeg CPT 95957 | not published | not published | $107.99 – $345.78 | 7 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $7.50 | $13.16 | $5.80 – $13.16 | 7 |
| Digoxin total therapeutic drug level CPT 80162 | $51.87 | $91.00 | $13.28 – $51.26 | 16 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $294.84 | $517.27 | $65.13 – $517.27 | 6 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $137.79 – $1,895.85 | 6 |
| Dilate esophagus CPT 43453 | not published | not published | $89.88 – $3,216.00 | 7 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $82.88 – $1,892.79 | 12 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $337.42 – $1,223.44 | 6 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $168.71 – $611.70 | 6 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $480.17 – $1,740.98 | 6 |
| Dilate tear duct opening CPT 68801 | not published | not published | $85.06 – $805.60 | 12 |
| Dilate urethra stricture CPT 53600 | not published | not published | $65.52 – $491.00 | 12 |
| Dilate urethra stricture CPT 53601 | not published | not published | $55.14 – $294.11 | 12 |
| Dilate urethra stricture CPT 53605 | not published | not published | $65.75 – $236.29 | 7 |
| Dilate urethra stricture CPT 53621 | not published | not published | $74.19 – $507.75 | 12 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $43.28 – $315.86 | 12 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $177.35 – $605.63 | 7 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $49.93 – $253.28 | 7 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $201.02 – $692.18 | 7 |
| Dilation of salivary duct CPT 42660 | not published | not published | $88.28 – $1,028.10 | 12 |
| Dilation of urethra CPT 53661 | not published | not published | $41.87 – $260.23 | 12 |
| Dilation of urethra CPT 53665 | not published | not published | $39.08 – $140.18 | 7 |
| Dilation of vagina CPT 57400 | not published | not published | $134.04 – $475.31 | 7 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $62.18 – $284.96 | 7 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $89.98 – $1,347.53 | 12 |
| Dilat xst trc ndurlgc px CPT 50436 | $3,256.98 | $5,714.00 | $153.96 – $554.96 | 6 |
| Dilat xst trc new access rcs CPT 50437 | $5,647.56 | $9,908.00 | $255.48 – $929.89 | 6 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $7.33 | $12.86 | $1.19 – $12.86 | 6 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $29.07 – $29.07 | 2 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $30.81 – $83.76 | 12 |
| Disability dlco CPT 94727 | $163.02 | $286.00 | $12.67 – $315.86 | 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.