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 |
|---|---|---|---|---|
| Wnd prep f/n/hf/g addl cm CPT 15005 | not published | not published | $89.77 – $433.43 | 7 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $363.66 | $638.00 | $21.73 – $806.59 | 11 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $369.36 | $648.00 | $25.04 – $806.59 | 11 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $144.78 | $254.00 | $51.52 – $401.14 | 12 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $238.26 | $418.00 | $57.20 – $806.59 | 12 |
| Wrist arthroscopy CPT 29840 | not published | not published | $475.90 – $1,621.01 | 7 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $511.48 – $1,735.31 | 7 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $524.89 – $1,795.95 | 7 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $615.26 – $2,094.11 | 7 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $549.43 – $1,876.54 | 7 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $569.19 – $1,943.18 | 7 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $540.98 – $1,832.36 | 7 |
| Wrist X-ray CPT 73110 | $103.74 | $182.00 | $8.96 – $177.77 | 12 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $3,014.36 – $3,014.36 | 2 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $786.85 – $2,729.06 | 7 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $722.03 – $2,542.58 | 6 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $2,466.98 – $2,466.98 | 2 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $902.45 – $3,183.56 | 6 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $655.91 – $2,742.68 | 7 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $595.75 – $2,513.93 | 7 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $914.00 – $3,528.04 | 12 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $914.00 – $3,528.04 | 12 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $15.07 – $132.75 | 13 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $359.21 – $1,298.40 | 6 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | not published | $197.01 – $729.31 | 7 |
| X-ray abdomen 1 view CPT 74018 | $183.54 | $322.00 | $9.33 – $177.77 | 11 |
| X-ray abdomen 2 views CPT 74019 | $199.50 | $350.00 | $11.55 – $214.68 | 11 |
| X-ray abdomen >=3 views CPT 74021 | $215.46 | $378.00 | $13.76 – $214.68 | 11 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $101.46 | $178.00 | $16.10 – $214.68 | 12 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $50.73 | $89.00 | $9.69 – $177.77 | 12 |
| X-ray ankle 2 views (both sides) CPT 73600 | $50.73 | $89.00 | $8.23 – $177.77 | 12 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $407.55 | $715.00 | $28.35 – $720.99 | 12 |
| X-ray assay calculus CPT 82370 | not published | not published | $12.52 – $48.33 | 16 |
| X-ray bone age studies CPT 77072 | $60.99 | $107.00 | $9.70 – $214.68 | 12 |
| X-ray bone length studies CPT 77073 | $60.99 | $107.00 | $13.86 – $214.68 | 12 |
| X-ray bone survey complete CPT 77075 | $107.16 | $188.00 | $28.01 – $214.68 | 12 |
| X-ray bone survey infant CPT 77076 | $75.81 | $133.00 | $35.51 – $214.68 | 12 |
| X-ray cervical spine 2-3 views CPT 72040 | $91.20 | $160.00 | $11.54 – $177.77 | 12 |
| X-ray cervical spine 4-5 views CPT 72050 | $94.62 | $166.00 | $13.76 – $214.68 | 12 |
| X-ray cervical spine >= 6 views CPT 72052 | $132.81 | $233.00 | $15.36 – $214.68 | 12 |
| X-ray clavicle complete (both sides) CPT 73000 | $50.73 | $89.00 | $8.59 – $177.77 | 12 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $167.01 | $293.00 | $52.23 – $359.39 | 12 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $229.14 | $402.00 | $63.54 – $359.39 | 12 |
| X-ray elbow 2 views (both sides) CPT 73070 | $50.73 | $89.00 | $8.59 – $177.77 | 12 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $82.08 | $144.00 | $8.96 – $177.77 | 12 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $0.02 – $805.76 | 7 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $0.02 – $688.08 | 7 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $118.56 | $208.00 | $30.23 – $359.39 | 12 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $148.77 | $261.00 | $18.52 – $214.68 | 11 |
| X-ray exam entire spi 6/> vw CPT 72084 | $226.86 | $398.00 | $21.24 – $214.68 | 11 |
| X-ray exam of arm infant CPT 73092 | $60.99 | $107.00 | $8.23 – $214.68 | 12 |
| X-ray exam of eye sockets CPT 70200 | $60.99 | $107.00 | $14.49 – $214.68 | 12 |
| X-ray exam of femur 1 CPT 73551 | $90.06 | $158.00 | $8.59 – $177.77 | 11 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $9.33 – $177.77 | 12 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $27.28 – $488.00 | 12 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $9.33 – $214.68 | 12 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $18.51 – $1,106.93 | 12 |
| X-ray exam of penis CPT 74445 | not published | not published | $57.27 – $214.68 | 12 |
| X-ray exam of perineum CPT 74775 | not published | not published | $31.33 – $488.00 | 12 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $8.60 – $177.77 | 12 |
| X-ray exam of sinuses CPT 70210 | $50.73 | $89.00 | $8.96 – $177.77 | 12 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $15.36 – $488.00 | 12 |
| X-ray exam of teeth CPT 70300 | not published | not published | $5.28 – $177.77 | 12 |
| X-ray exam of teeth CPT 70310 | not published | not published | $8.59 – $488.00 | 12 |
| X-ray exam si joints CPT 72200 | not published | not published | $8.60 – $214.68 | 12 |
| X-ray exam thorac spine4/>vw CPT 72074 | $122.55 | $215.00 | $12.65 – $214.68 | 12 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $50.73 | $89.00 | $8.97 – $177.77 | 12 |
| X-ray facial bones complete > 3 views CPT 70150 | $60.99 | $107.00 | $13.38 – $214.68 | 12 |
| X-ray fallopian tube CPT 74742 | not published | not published | $30.96 – $75.00 | 7 |
| X-ray femur >=2 views (both sides) CPT 73552 | $104.31 | $183.00 | $9.33 – $177.77 | 11 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $50.73 | $89.00 | $7.11 – $177.77 | 12 |
| X-ray foot 2 views (both sides) CPT 73620 | $63.27 | $111.00 | $7.87 – $177.77 | 12 |
| X-ray forearm 2 views (both sides) CPT 73090 | $71.25 | $125.00 | $8.23 – $177.77 | 12 |
| X-ray hand 2 views (both sides) CPT 73120 | $60.99 | $107.00 | $8.59 – $214.68 | 12 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $8.96 – $177.77 | 12 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $50.73 | $89.00 | $8.23 – $177.77 | 12 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $210.33 | $369.00 | $14.11 – $214.68 | 11 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $104.31 | $183.00 | $11.54 – $214.68 | 11 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $111.72 | $196.00 | $15.22 – $214.68 | 11 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $119.13 | $209.00 | $16.09 – $214.68 | 11 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $50.73 | $89.00 | $9.69 – $177.77 | 11 |
| X-ray humerus >= 2 views left CPT 73060 | $70.68 | $124.00 | $8.23 – $177.77 | 12 |
| X-ray joint survey 1 view CPT 77077 | $66.12 | $116.00 | $17.54 – $214.68 | 12 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $71.25 | $125.00 | $8.59 – $177.77 | 12 |
| X-ray knee 3 views (both sides) CPT 73562 | $142.50 | $250.00 | $9.69 – $177.77 | 12 |
| X-ray knee ap standing bilateral CPT 73565 | $63.84 | $112.00 | $8.59 – $177.77 | 12 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $50.73 | $89.00 | $8.23 – $177.77 | 12 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $63.84 | $112.00 | $11.54 – $214.68 | 12 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $156.18 | $274.00 | $13.38 – $214.68 | 12 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $109.44 | $192.00 | $15.36 – $214.68 | 12 |
| X-ray male genital tract CPT 74440 | not published | not published | $18.93 – $488.00 | 12 |
| X-ray mandible complete > 4 views CPT 70110 | $60.99 | $107.00 | $12.65 – $214.68 | 12 |
| X-ray mandible ltd <4 views CPT 70100 | $50.73 | $89.00 | $9.33 – $177.77 | 12 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $17.47 – $42.06 | 7 |
| X-ray nasal bones complete > 3 views CPT 70160 | $50.73 | $89.00 | $8.60 – $177.77 | 12 |
| X-ray neck soft tissue CPT 70360 | $50.73 | $89.00 | $9.33 – $177.77 | 12 |
| X-ray nose to rectum for foreign body child CPT 76010 | $50.73 | $89.00 | $8.97 – $177.77 | 12 |
| X-ray of mammary ducts CPT 77054 | $281.58 | $494.00 | $22.73 – $488.00 | 12 |
| X-ray optic foramina CPT 70190 | not published | not published | $11.52 – $177.77 | 12 |
| X-ray pelvis 1-2 views CPT 72170 | $62.70 | $110.00 | $8.96 – $214.68 | 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.