Ascension Ne Wisconsin - St Elizabeth Campus

1506 S Oneida St, Appleton, WI 54915 · (920) 738-2000

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 4/5Appleton, WI metro Website ↗

Price file

Prices published

File dated 2026-01-01

4,624 price rows for 68 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $67

$67

cash

$8 to $33

60 negotiated rates

$117

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $1,531

$808

cash

$92 to $818

46 negotiated rates

$1,418

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $698

$698

cash

$43 to $392

46 negotiated rates

$1,225

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $823

$429

cash

$59 to $650

46 negotiated rates

$752

list

Cataract surgery with lens implant

CPT 66984

—

cash

$575 to $1,990

14 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$2,670 to $6,132

14 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$5,736 to $13,154

36 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $143

$106

cash

$35 to $135

60 negotiated rates

$186

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$190 to $1,841

34 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$207 to $1,548

14 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$261 to $1,615

14 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $32

$28

cash

$8 to $30

60 negotiated rates

$49

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $79

$79

cash

$11 to $41

60 negotiated rates

$138

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $712

$712

cash

$50 to $406

44 negotiated rates

$1,249

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$15 to $55

14 negotiated rates

—

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 6 lines · metro median $243

$243

cash

$152 to $319

50 negotiated rates

$426

list

Family psychotherapy with the patient

CPT 90847 · lowest of 26 lines · metro median $149

$725

cash

$111 to $352

184 negotiated rates

$1,272

list

Family psychotherapy without the patient

CPT 90846 · lowest of 27 lines · metro median $169

$725

cash

$107 to $340

187 negotiated rates

$1,272

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$666 to $2,325

14 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $143

$106

cash

$35 to $135

60 negotiated rates

$186

list

Group psychotherapy

CPT 90853 · lowest of 50 lines · metro median $34

$34

cash

$26 to $187

303 negotiated rates

$59

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$12,601 to $34,439

14 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$5,093 to $14,378

14 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$8,105 to $21,267

14 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$530 to $1,843

14 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$567 to $1,937

14 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$331 to $1,209

34 negotiated rates

—

list

Left heart catheterization

CPT 93452 · lowest of 2 lines · metro median $4,159

$4,457

cash

$233 to $2,963

26 negotiated rates

$7,820

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $55

$51

cash

$13 to $52

60 negotiated rates

$89

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $65

$65

cash

$8 to $32

60 negotiated rates

$114

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $1,818

$1,172

cash

$115 to $1,337

46 negotiated rates

$2,056

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $1,015

$927

cash

$69 to $659

46 negotiated rates

$1,626

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $1,472

$1,452

cash

$75 to $892

46 negotiated rates

$2,547

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $1,701

$867

cash

$75 to $905

46 negotiated rates

$1,521

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$15,949 to $45,034

14 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 2 lines · metro median $1,253

$1,337

cash

$117 to $1,797

46 negotiated rates

$2,346

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines · metro median $169

$200

cash

$86 to $234

26 negotiated rates

$351

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 2 lines · metro median $176

$306

cash

$140 to $357

26 negotiated rates

$537

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines · metro median $305

$381

cash

$191 to $452

26 negotiated rates

$668

list

PSA test (prostate)

CPT 84153 · lowest of 4 lines · metro median $31

$21

cash

$18 to $71

76 negotiated rates

$37

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $24

$23

cash

$6 to $23

60 negotiated rates

$40

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 4 lines · metro median $99

$74

cash

$28 to $66

58 negotiated rates

$130

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $431

$181

cash

$51 to $354

46 negotiated rates

$317

list

Preventive visit, new patient age 18 to 39

CPT 99385

—

cash

$99 to $291

12 negotiated rates

—

list

Preventive visit, new patient age 40 to 64

CPT 99386

—

cash

$121 to $336

12 negotiated rates

—

list

Prostate biopsy

CPT 55700

—

cash

$134 to $904

14 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$1,240 to $5,277

14 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 4 lines · metro median $14

$14

cash

$4 to $17

78 negotiated rates

$24

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 14 lines · metro median $124

$314

cash

$75 to $324

106 negotiated rates

$551

list

Psychotherapy, 45 minutes

CPT 90834 · lowest of 13 lines · metro median $210

$441

cash

$99 to $324

101 negotiated rates

$773

list

Psychotherapy, 60 minutes

CPT 90837 · lowest of 15 lines · metro median $234

$507

cash

$146 to $464

111 negotiated rates

$890

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · metro median $1,283

$1,283

cash

$427 to $1,788

20 negotiated rates

$2,251

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $310

$314

cash

$38 to $328

44 negotiated rates

$551

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$173 to $621

14 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $3,551

$3,551

cash

$126 to $3,687

56 negotiated rates

$6,229

list

Spinal injection, lower back, no imaging guidance

CPT 62322

—

cash

$83 to $1,797

32 negotiated rates

—

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $1,147

$1,947

cash

$104 to $1,398

44 negotiated rates

$3,415

list

TSH test (thyroid)

CPT 84443 · lowest of 4 lines · metro median $68

$59

cash

$17 to $65

78 negotiated rates

$104

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$308 to $1,042

14 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $342

$165

cash

$35 to $296

46 negotiated rates

$289

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $552

$429

cash

$41 to $335

46 negotiated rates

$752

list

Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines · metro median $765

$1,589

cash

$127 to $1,893

46 negotiated rates

$2,787

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$143 to $1,893

34 negotiated rates

—

list

Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $18

$18

cash

$3 to $12

60 negotiated rates

$32

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$2,515 to $5,811

14 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$1,791 to $9,250

36 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$2,426 to $5,571

14 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $227

$156

cash

$13 to $215

46 negotiated rates

$274

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/wi-csv/390816818-1407803638_ascension-ne-wisconsin-inc-fka-st-elizabeth-hospital-inc_standardcharges.csv
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) · parsed · tall v3.0.0 · file dated 2026-01-01 · 376.2 MB · 2507 price rows read · read Nov 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/wi-csv/390816818-1912527193_ascension-ne-wisconsin-inc-fka-st-elizabeth-hospital-inc_standardcharges.csv
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) · discovered · tall v3.0.0 · file dated 2026-01-01 · 342 MB · 2117 price rows read · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/fl-csv/590634434_sacred-heart-health-system-inc_standardcharges.csv
Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) · unmatched · tall v3.0.0 · file dated 2026-01-01 · 261.1 MB · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/il-csv/362596381_alexian-brothers-medical-center_standardcharges.csv
Ascension Alexian Brothers Rehabilitation Hospital (Alexian Brothers Medical Center) · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/il-csv/364251846_st-alexius-medical-center_standardcharges.csv
Ascension Saint Alexius Women And Children's Hospital (Ascension St. Alexius Medical Center) · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/il-csv/362235165_presence-chicago-hospitals-network_standardcharges.csv
Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/in-csv/350869066_st-vincent-hospital-and-health-care-center-inc_standardcharges.csv
Ascension St. Vincent Hospital - Indianapolis (St Vincent Hospital and Health Care Center Inc.) · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/in-csv/350992717_st-joseph-hospital-and-health-center-inc_standardcharges.csv
Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/in-csv/320014795_carmel-ambulatory-surgery-center-llc_standardcharges.csv
Ascension St. Vincent Carmel Ambulatory Surgery Center · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/in-csv/320029881_endoscopy-center-llc_standardcharges.csv
Ascension St. Vincent Endoscopy · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/in-csv/351712001_st-vincent-seton-specialty-hospital-inc_standardcharges.csv
Ascension St. Vincent Seton (St. Vincent Seton Specialty Hospital, Inc.) · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/in-csv/350869065_st-marys-health-inc_standardcharges.csv
Ascension St. Vincent Evansville (St. Mary's Health, Inc.) · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/in-csv/350876389_st-vincent-madison-county-health-system-inc_standardcharges.csv
Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) · unmatched · tall v3.0.0 · file dated 2026-01-01 · 24.6 MB · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/in-csv/351343019_st-marys-warrick-hospital-inc_standardcharges.csv
Ascension St. Vincent Warrick (St. Mary's Warrick Hospital, Inc.) · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/in-csv/364492612_st-vincent-heart-center-of-indiana-llc_standardcharges.csv
Ascension St. Vincent Heart Center (St. Vincent Heart Center of Indiana, LLC) · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/in-csv/351991390_naab-road-surgery-center-llc_standardcharges.csv
Ascension St. Vincent Naab Surgery Center · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/ks-csv/481172106_ascension-via-christi-hospitals-wichita-inc_standardcharges.csv
Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/ks-csv/481158274_ascension-via-christi-rehabilitation-hospital-inc_standardcharges.csv
Ascension Via Christi Rehabilitation Hospital, Inc. · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/ks-csv/721526400_wamego-hospital-association_standardcharges.csv
Wamego Health Center (Wamego Hospital Association) · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/md-csv/520591657_st-agnes-healthcare-inc_standardcharges.csv
Ascension Saint Agnes Hospital · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/ok-csv/730579286_st-john-medical-center-inc_standardcharges.csv
Ascension St. John Medical Center (St. John Medical Center, Inc.) · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/ok-csv/203700131_owasso-medical-facility-inc_standardcharges.csv
Ascension St. John Owasso (Owasso Medical Facility, Inc.) · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/ok-csv/730606129_jane-phillips-memorial-medical-center-inc_standardcharges.csv
Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/ok-csv/731440267_jane-phillips-nowata-hospital-inc_standardcharges.csv
Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/ok-csv/3838331171497988596stjohnbrokenarrowincstandardcharges.csv
Ascension St. John Jenks · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/tn-csv/474063289_saint-thomas-dekalb-hospital-llc-_standardcharges.csv
Ascension Saint Thomas DeKalb · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/tn-csv/581737573_saint-thomas-hickman-hospital_standardcharges.csv
Ascension Saint Thomas Hickman · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/tn-csv/474063406_saint-thomas-highlands-hospital-llc-_standardcharges.csv
Ascension Saint Thomas Highlands · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/tn-csv/474063149_saint-thomas-river-park-hospital-llc_standardcharges.csv
Ascension Saint Thomas River Park · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/tn-csv/620475842_saint-thomas-rutherford-hospital_standardcharges.csv
Ascension Saint Thomas Rutherford · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/tn-csv/474063232_saint-thomas-stones-river-hospital-llc_standardcharges.csv
Ascension Saint Thomas Stones River · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/tn-csv/620347580-1629025648_saint-thomas-west-hospital_standardcharges.csv
Ascension Saint Thomas West · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/tn-csv/620347580-1780778969_saint-thomas-west-hospital_standardcharges.csv
Ascension Saint Thomas Midtown · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/tx-csv/741109643-1447355771_ascension-seton_standardcharges.csv
Dell Children's Medical Center (Ascension Seton) · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/tx-csv/741109643-1093810327_ascension-seton_standardcharges.csv
Dell Seton Medical Center at The University of Texas (Ascension Seton) · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/tx-csv/741109636_ascension-providence_standardcharges.csv
Ascension Providence · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/wi-csv/390902199_sacred-heart-rehabilitation-institute-inc_standardcharges.csv
Ascension Sacred Heart Rehabilitation Hospital (Sacred Heart Rehabilitation Institute, Inc.) · failed · read Oct 2026
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/fl-csv/900799724_bay-county-health-system-llc_standardcharges.csv
Ascension Sacred Heart Bay (Bay County Health System, Inc.) · discovered
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/fl-csv/260479484_st-lukes-st-vincents-healthcare-inc_standardcharges.csv
Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) · discovered
https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/il-csv/364251848_alexian-brothers-behavioral-health-hospital_standardcharges.csv
Ascension Alexian Brothers Behavioral Health Hospital · discovered