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 |
|---|---|---|---|---|
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $1,710.94 – $5,953.73 | 7 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $20.05 – $77.39 | 16 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $41.76 – $161.19 | 16 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $911.77 – $3,258.71 | 7 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,094.40 | $1,920.00 | $34.33 – $488.00 | 12 |
| Leishmania antibody CPT 86717 | not published | not published | $8.32 – $47.29 | 16 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $697.85 – $2,296.01 | 7 |
| Lengthening of palate CPT 42227 | not published | not published | $888.63 – $2,992.09 | 7 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $954.08 – $3,199.05 | 7 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $1,220.26 – $4,224.49 | 7 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $527.65 – $1,821.86 | 7 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $684.95 – $2,338.69 | 7 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $916.06 – $3,142.65 | 7 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $1,105.93 – $3,823.24 | 7 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $977.38 – $3,270.26 | 7 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $1,029.87 – $3,555.19 | 7 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $1,163.15 – $4,029.34 | 7 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $295.94 | $519.20 | $118.79 – $118.79 | 2 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $188.10 | $330.00 | $118.79 – $118.79 | 2 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $21.27 | $37.31 | $5.63 – $25.72 | 6 |
| Leukacyte transfusion CPT 86950 | not published | not published | $20.38 – $345.95 | 8 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $10.39 – $40.11 | 16 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $266.17 | $466.96 | $233.37 – $466.96 | 7 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $0.19 | $0.34 | $0.09 – $0.34 | 6 |
| Levetiracetam therapeutic drug level CPT 80177 | $41.61 | $73.00 | $13.25 – $51.15 | 15 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $7.05 | $12.38 | $1.30 – $7.26 | 6 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $0.03 – $275.65 | 6 |
| Lidocaine therapeutic drug level CPT 80176 | $46.74 | $82.00 | $14.69 – $56.70 | 16 |
| Lift heel adj small gl60404sm HCPCS L3332 | $202.35 | $355.00 | $73.89 – $73.89 | 2 |
| Ligate esophagus veins CPT 43400 | not published | not published | $1,516.10 – $5,353.50 | 7 |
| Ligate leg veins open CPT 37761 | not published | not published | $530.12 – $1,900.80 | 7 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $561.28 – $2,182.69 | 7 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $77.00 – $277.35 | 7 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $1,443.14 – $5,101.31 | 7 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $452.01 – $1,649.96 | 7 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $384.59 – $1,473.56 | 7 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $386.58 – $1,331.81 | 7 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $207.95 – $1,116.64 | 7 |
| Ligation common iliac vein CPT 37660 | not published | not published | $1,304.88 – $4,618.43 | 7 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $242.98 – $859.31 | 7 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $767.62 – $2,636.29 | 7 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $714.40 – $2,559.86 | 7 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $737.67 – $2,570.18 | 7 |
| Ligation major artery chest CPT 37616 | not published | not published | $1,117.60 – $3,880.20 | 7 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $394.57 – $1,368.53 | 7 |
| Ligation major artery neck CPT 37615 | not published | not published | $527.80 – $1,861.05 | 7 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $637.75 – $2,118.64 | 7 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $1,313.01 – $4,686.45 | 7 |
| Ligation of femoral vein CPT 37650 | not published | not published | $448.17 – $1,594.09 | 7 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $1,705.51 – $6,058.95 | 7 |
| Ligation of neck artery CPT 37606 | not published | not published | $726.96 – $2,442.75 | 7 |
| Ligation of salivary duct CPT 42665 | not published | not published | $231.31 – $1,249.69 | 7 |
| Ligation of shunt CPT 49428 | not published | not published | $432.69 – $1,520.55 | 7 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $919.83 – $3,071.44 | 7 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $254.11 – $1,261.61 | 7 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $369.98 – $1,314.90 | 7 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $566.83 – $2,017.88 | 7 |
| Limb exercise test CPT 95875 | not published | not published | $61.96 – $315.86 | 12 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $215.84 – $773.25 | 7 |
| Limited autopsy CPT 88036 | not published | not published | $132.60 – $135.64 | 3 |
| Limited autopsy CPT 88037 | not published | not published | $117.77 – $120.53 | 3 |
| Limited visual field xm CPT 92081 | not published | not published | $17.02 – $119.91 | 12 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $34.29 | $60.16 | $4.06 – $60.16 | 7 |
| Lipase CPT 83690 | $39.33 | $69.00 | $6.89 – $26.60 | 16 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $368.98 – $1,774.01 | 7 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $33.86 – $130.70 | 16 |
| Lipoprotein blood quant CPT 83704 | $64.41 | $113.00 | $34.19 – $131.97 | 16 |
| Lipoprotein direct measurement hdl CPT 83718 | $21.09 | $37.00 | $8.19 – $31.61 | 16 |
| Lipoprotein direct measurement ldl CPT 83721 | $23.94 | $42.00 | $10.50 – $40.53 | 16 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $34.19 – $131.97 | 12 |
| Lip surgery procedure CPT 40799 | not published | not published | $223.25 – $468.83 | 5 |
| Listeria monocytogenes CPT 86723 | not published | not published | $8.32 – $50.91 | 16 |
| Lithium therapeutic drug level CPT 80178 | $21.09 | $37.00 | $6.61 – $25.51 | 16 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $1,444.95 | $2,535.00 | $151.63 – $151.63 | 4 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $1,159.29 – $3,379.16 | 6 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $1,383.52 – $4,014.56 | 6 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $1,217.33 – $4,278.90 | 7 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $176.19 – $2,219.99 | 10 |
| Liver elastography 91200 CPT 91200 | not published | not published | $11.16 – $315.86 | 11 |
| Liver Function Test CPT 80076 | $64.98 | $114.00 | $8.17 – $31.54 | 16 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $1,447.75 – $5,114.55 | 7 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $105.78 – $204.11 | 3 |
| Liver imaging CPT 78201 | not published | not published | $21.29 – $1,086.69 | 12 |
| Liver imaging (3d) CPT 78205 | not published | not published | $77.98 – $147.64 | 3 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $24.97 – $1,086.69 | 12 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $24.22 – $811.23 | 12 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $27.56 – $811.23 | 12 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $77.41 – $243.97 | 7 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $494.59 – $2,413.46 | 7 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $4.76 | $8.35 | $1.41 – $2.75 | 6 |
| Loudness balance test CPT 92562 | not published | not published | $51.50 – $628.68 | 12 |
| Low back disk surgery CPT 63030 | not published | not published | $921.87 – $3,368.63 | 7 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $570.57 | $1,001.00 | $63.91 – $359.39 | 12 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $428.64 | $752.00 | $61.57 – $720.99 | 12 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $369.36 | $648.00 | $50.39 – $214.68 | 12 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,100.67 | $1,931.00 | $115.76 – $720.99 | 12 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,508.79 | $2,647.00 | $90.07 – $720.99 | 12 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,451.79 | $2,547.00 | $75.07 – $488.00 | 12 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $99.18 | $174.00 | $11.54 – $214.68 | 12 |
| Lower jaw bone graft CPT 21215 | not published | not published | $834.46 – $15,060.60 | 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.