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 |
|---|---|---|---|---|
| Glucagon plasma - sendout CPT 82943 | $19.95 | $35.00 | $14.11 – $55.16 | 16 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $46.07 – $177.83 | 16 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $50.50 – $194.93 | 16 |
| Glucagon tolerance test CPT 82946 | not published | not published | $10.63 – $68.59 | 16 |
| Glucose 1 hr post dose CPT 82950 | $18.81 | $33.00 | $4.75 – $18.34 | 16 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $6.05 – $23.35 | 16 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $11.40 | $20.00 | $3.28 – $12.66 | 16 |
| Glucose blood quantitative CPT 82947 | $9.69 | $17.00 | $3.93 – $15.17 | 16 |
| Glucose body fluid CPT 82945 | $21.09 | $37.00 | $3.93 – $15.17 | 16 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $57.10 – $175.96 | 11 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $31.92 | $56.00 | $12.87 – $49.68 | 16 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $10.26 | $18.00 | $3.92 – $15.13 | 16 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $76.95 | $135.00 | $18.58 – $71.72 | 16 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $148.41 – $572.86 | 16 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $45.03 | $79.00 | $18.52 – $71.49 | 16 |
| Gonioscopy CPT 92020 | not published | not published | $21.77 – $260.23 | 12 |
| Goniotomy CPT 65820 | not published | not published | $873.51 – $2,859.71 | 7 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $1,218.09 | $2,137.00 | $42.42 – $2,137.00 | 7 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $966.34 – $3,217.91 | 7 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $141.36 | $248.00 | $144.86 – $248.00 | 6 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,092.46 – $3,771.68 | 7 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $2,492.61 | $4,373.00 | $197.15 – $1,400.00 | 7 |
| Great toe-hand transfer CPT 26551 | not published | not published | $3,369.31 – $11,741.78 | 7 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $163.10 – $650.48 | 12 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $522.75 – $2,094.41 | 6 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $532.50 – $2,074.46 | 6 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $150.62 – $651.19 | 6 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $497.93 – $1,729.46 | 6 |
| Group behave couns 2-10 HCPCS G0473 | $62.13 | $109.00 | $12.59 – $42.35 | 6 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.74 – $60.76 | 16 |
| Growth hormone panel CPT 80428 | not published | not published | $66.70 – $257.46 | 16 |
| Growth hormone panel CPT 80430 | not published | not published | $112.26 – $499.21 | 16 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $31.46 – $291.82 | 15 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $28.64 – $60.14 | 5 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $28.64 – $60.14 | 5 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,915.00 – $6,769.91 | 7 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $1,283.42 – $4,515.38 | 7 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,648.25 – $5,728.35 | 7 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,801.72 – $6,353.78 | 7 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,214.22 – $4,293.56 | 6 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $711.12 – $2,484.53 | 7 |
| G-tube reposition CPT 43761 | $2,061.12 | $3,616.00 | $105.07 – $491.00 | 12 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,533.87 | $2,691.00 | $41.66 – $98.93 | 7 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,589.73 | $2,789.00 | $138.82 – $2,248.35 | 11 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $1,152.59 | $2,022.08 | $555.54 – $555.54 | 2 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $232.43 – $232.43 | 2 |
| Gum graft CPT 41870 | not published | not published | $1,082.36 – $1,082.36 | 2 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $445.90 – $1,969.61 | 7 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $268.05 – $1,235.81 | 7 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $260.81 – $1,331.81 | 12 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $356.72 – $1,824.15 | 12 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $53.04 | $93.06 | $10.12 – $93.06 | 6 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $2.21 | $3.87 | $1.74 – $3.87 | 6 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $7.38 – $9.28 | 3 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $885.72 – $2,919.60 | 7 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $727.89 – $2,295.86 | 7 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $796.86 – $2,607.38 | 7 |
| Hand X-ray CPT 73130 | $103.74 | $182.00 | $8.96 – $177.77 | 12 |
| Haptoglobin quantitative CPT 83010 | $31.35 | $55.00 | $12.58 – $48.56 | 16 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $88.91 – $316.09 | 7 |
| Harvest auto stem cells CPT 38206 | not published | not published | $87.13 – $314.81 | 7 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $127.54 – $939.26 | 7 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $436.60 – $1,501.73 | 7 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $329.09 – $1,202.40 | 7 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $49.12 – $882.61 | 11 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $304.55 – $1,108.61 | 7 |
| Hast w/i&r phys/qhp CPT 94452 | $131.67 | $231.00 | $14.89 – $260.23 | 12 |
| Hast w/oxygen titrate CPT 94453 | $131.67 | $231.00 | $19.44 – $260.23 | 12 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $600.00 – $2,316.00 | 12 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $202.40 – $781.26 | 12 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $375.25 – $1,448.47 | 12 |
| Hbb full gene sequence CPT 81364 | not published | not published | $324.58 – $1,252.88 | 12 |
| Hbb gene com variants CPT 81361 | not published | not published | $174.81 – $674.77 | 12 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $202.40 – $781.26 | 12 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $375.25 – $1,448.47 | 12 |
| Hb glycosylated a1c home dev CPT 83037 | $11.40 | $20.00 | $9.71 – $37.48 | 16 |
| Hc ea ha check monaural CPT 92594 | not published | not published | $67.94 – $67.94 | 2 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $173.85 | $305.00 | $58.99 – $359.39 | 12 |
| Hcg free betachain test CPT 84704 | $17.67 | $31.00 | $15.29 – $59.02 | 16 |
| Hcg qualitative CPT 84703 | $38.76 | $68.00 | $7.52 – $29.03 | 16 |
| Hcg quantitative CPT 84702 | $61.56 | $108.00 | $15.05 – $58.09 | 16 |
| Hc hearing aid chck binaurl CPT 92593 | not published | not published | $118.23 – $118.23 | 2 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | $71.49 – $71.49 | 2 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $229.40 – $229.40 | 2 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | $180.32 – $180.32 | 2 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $139.89 – $641.33 | 7 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $370.34 – $2,414.14 | 12 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $196.92 – $1,447.76 | 7 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $332.19 – $2,262.38 | 12 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $52.10 – $283.50 | 7 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $182.61 – $1,384.46 | 7 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $48.80 – $1,086.69 | 12 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $386.30 – $848.52 | 7 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $24.58 – $811.23 | 12 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $45.73 – $1,086.69 | 12 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $77.89 – $187.17 | 7 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | not published | not published | $129.85 – $475.73 | 6 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $110.08 – $1,400.70 | 11 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $214.29 – $1,400.70 | 11 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $302.63 – $1,400.70 | 11 |
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.