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 |
|---|---|---|---|---|
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $54.15 | $95.00 | $24.08 – $92.95 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $159.60 | $280.00 | $11.98 – $46.24 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $29.07 | $51.00 | $11.98 – $46.24 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | not published | not published | $11.98 – $46.24 | 16 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $176.13 | $309.00 | $35.09 – $135.45 | 16 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $106.02 | $186.00 | $35.09 – $135.45 | 16 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $80.37 | $141.00 | $37.27 – $143.86 | 16 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $742.14 | $1,302.00 | $416.78 – $1,608.77 | 13 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $78.09 | $137.00 | $35.09 – $135.45 | 16 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $74.67 | $131.00 | $35.09 – $135.45 | 16 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $47.88 | $84.00 | $41.68 – $160.88 | 16 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $106.02 | $186.00 | $35.09 – $135.45 | 16 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $74.67 | $131.00 | $51.31 – $198.06 | 13 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $162.45 | $285.00 | $142.63 – $550.55 | 12 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $267.90 | $470.00 | $142.63 – $550.55 | 12 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | not published | not published | $35.09 – $135.45 | 16 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $40.47 | $71.00 | $35.09 – $135.45 | 15 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $76.77 – $161.22 | 5 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | not published | not published | $416.78 – $1,608.77 | 15 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $164.73 | $289.00 | $128.29 – $495.20 | 15 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $432.63 | $759.00 | $262.99 – $1,015.14 | 15 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $87.78 | $154.00 | $42.84 – $165.36 | 16 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $121.41 | $213.00 | $42.84 – $165.36 | 16 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $102.03 | $179.00 | $42.84 – $165.36 | 16 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $200.64 | $352.00 | $85.10 – $328.49 | 16 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $159.03 | $279.00 | $142.63 – $550.55 | 16 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $209.02 | $366.70 | $45.70 – $366.70 | 7 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $172.24 | $302.18 | $16.52 – $302.18 | 6 |
| Influenza dna amp prob addl CPT 87503 | $26.79 | $47.00 | $29.22 – $112.79 | 16 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $51.30 – $51.30 | 2 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $28.51 – $28.51 | 2 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $3,126.68 – $10,891.35 | 7 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $3,099.47 – $10,845.83 | 7 |
| Infuse radioactive materials CPT 77750 | not published | not published | $252.82 – $530.92 | 12 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $72.53 – $282.60 | 7 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $78.78 – $1,071.21 | 12 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | not published | not published | $56.07 – $410.61 | 7 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $358.11 – $769.55 | 7 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $141.69 – $285.64 | 7 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $193.62 – $367.59 | 7 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $85.11 – $198.56 | 7 |
| Initial observation care CPT 99218 | not published | not published | $181.42 – $204.08 | 3 |
| Initial observation care CPT 99219 | not published | not published | $246.99 – $279.42 | 3 |
| Initial observation care CPT 99220 | not published | not published | $338.70 – $382.02 | 3 |
| Initiation & management bipap/cpap initial day CPT 94660 | $489.06 | $858.00 | $39.06 – $410.61 | 12 |
| Init nb em per day non-fac CPT 99461 | not published | not published | $64.50 – $199.56 | 7 |
| Init pm e/m new pat 65+ yrs CPT 99387 | not published | not published | $129.66 – $364.99 | 6 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $2.50 | $4.38 | $1.12 – $4.38 | 4 |
| Inj, clevidipine butyrate HCPCS C9248 | $295.21 | $517.91 | $2.95 – $4.85 | 3 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $823.65 | $1,445.00 | $41.59 – $573.08 | 6 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $149.63 – $1,223.70 | 7 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $67.46 – $595.94 | 12 |
| Inj dx for sinogram CPT 20501 | $670.89 | $1,177.00 | $37.76 – $500.63 | 7 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $86.58 – $1,398.10 | 11 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $934.80 | $1,640.00 | $70.30 – $796.80 | 7 |
| Injection, cangrelor HCPCS C9460 | $33.70 | $59.12 | $28.36 – $28.36 | 2 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $58.19 – $595.94 | 12 |
| Injection during cath supravalvular aortography CPT 93567 | $307.23 | $539.00 | $36.63 – $400.16 | 7 |
| Injection epidural blood patch or clot CPT 62273 | $892.05 | $1,565.00 | $118.55 – $1,398.10 | 12 |
| Injection eye drug CPT 67028 | not published | not published | $96.43 – $669.63 | 12 |
| Injection for arthrography wrist (both sides) CPT 25246 | not published | not published | $75.89 – $674.10 | 7 |
| Injection for bladder x-ray CPT 51600 | $1,067.61 | $1,873.00 | $44.98 – $753.64 | 7 |
| Injection for hip x-ray CPT 27095 | not published | not published | $83.97 – $1,064.55 | 7 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $803.13 | $1,409.00 | $51.72 – $557.96 | 7 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $134.92 – $494.03 | 7 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $54.24 – $229.91 | 7 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $53.35 – $426.56 | 7 |
| Injection for ureter x-ray CPT 50690 | $547.77 | $961.00 | $72.91 – $395.55 | 7 |
| Injection, fulvestrant HCPCS J9395 | $19.72 | $34.60 | $11.70 – $34.60 | 6 |
| Injection into brain canal CPT 61026 | not published | not published | $110.07 – $1,398.10 | 12 |
| Injection into brain canal CPT 61055 | $1,457.49 | $2,557.00 | $119.72 – $595.94 | 12 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $194.38 – $1,840.61 | 12 |
| Injection into spinal artery CPT 62294 | not published | not published | $855.89 – $3,201.86 | 12 |
| Injection into vocal cord CPT 31513 | not published | not published | $136.35 – $783.95 | 12 |
| Injection intraop add-on CPT 48400 | not published | not published | $104.44 – $376.01 | 7 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $46.53 – $719.74 | 7 |
| Injection of sinus tract CPT 20500 | not published | not published | $94.53 – $415.20 | 7 |
| Injection,onabotulinumtoxina HCPCS J0585 | $10.76 | $18.87 | $6.83 – $18.87 | 7 |
| Injection px peyronie ds CPT 54200 | not published | not published | $92.70 – $491.00 | 12 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $897.75 | $1,575.00 | $33.07 – $811.23 | 12 |
| Injection, renflexis HCPCS Q5104 | $134.84 | $236.56 | $45.58 – $236.56 | 6 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | not published | not published | $66.30 – $1,398.10 | 12 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $596.22 | $1,046.00 | $43.70 – $1,398.10 | 12 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,337.22 | $2,346.00 | $117.30 – $1,797.37 | 12 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $739.86 | $1,298.00 | $61.85 – $348.00 | 7 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $2,010.96 | $3,528.00 | $110.75 – $1,797.37 | 12 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $661.77 | $1,161.00 | $53.14 – $324.19 | 7 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,340.07 | $2,351.00 | $95.27 – $1,797.37 | 12 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,946.55 | $3,415.00 | $112.86 – $1,398.10 | 11 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,946.55 | $3,415.00 | $104.29 – $1,398.10 | 11 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $542.64 | $952.00 | $40.26 – $595.94 | 12 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $384.18 | $674.00 | $38.44 – $595.94 | 12 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $43.70 – $595.94 | 12 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $117.42 | $206.00 | $16.34 – $93.16 | 12 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $117.42 | $206.00 | $32.21 – $32.21 | 2 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $120.27 | $211.00 | $39.07 – $425.36 | 12 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $79.23 | $139.00 | $15.38 – $143.68 | 12 |
| Injection treatment of eye CPT 66020 | not published | not published | $139.10 – $706.24 | 7 |
| Injection treatment of eye CPT 66030 | not published | not published | $118.20 – $631.95 | 7 |
| Injection treatment of nerve CPT 64605 | not published | not published | $415.42 – $2,236.88 | 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.