Supplies, drugs & other prices at Ascension NE Wisconsin - St. Elizabeth Campus
Appleton, WI · every code in this section with a posted price and a Medicare benchmark.
28 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $45.60 | $80 | 1.0× |
| Admin influenza virus vac (G0008) | $71.82 | $126 | 1.6× |
| Admin pneumococcal vaccine (G0009) | $51.30 | $90 | 1.1× |
| Behavior counsel obesity 15m (G0447) | $100.32 | $176 | 1.0× |
| Catheterize for urine spec (P9612) range across 2 matching MRF lines |
$59.28–$73.53 | $104–$129 | varies |
| Chemo extend iv infus w/pump (G0498) | $790.59 | $1,387 | 2.4× |
| Drug test def 1-7 classes (G0480) | $165.30 | $290 | 1.4× |
| Drug test def 8-14 classes (G0481) | $181.26 | $318 | 1.2× |
| Ekg tracing for initial prev (G0404) | $144.21 | $253 | 5.1× |
| Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) | $5,097.51 | $8,943 | 1.6× |
| Fern test (Q0114) | $11.97 | $21 | 1.2× |
| Group behave couns 2-10 (G0473) | $62.13 | $109 | 1.7× |
| Hbot, full body chamber, 30m (G0277) | $337.44 | $592 | 2.5× |
| Mnt subs tx for change dx (G0270) | $57 | $100 | 1.8× |
| Njx platelet plasma (0232T) | $761.52 | $1,336 | 1.7× |
| Oth resp proc, group (G0239) | $284.43 | $499 | 7.8× |
| Oth resp proc, indiv (G0238) | $64.41 | $113 | 2.3× |
| Perc d-e cor revasc chro sin (C9607) | $35,795.43 | $62,799 | 2.0× |
| Perc d-e cor revasc t cabg s (C9604) | $23,192.16 | $40,688 | 2.1× |
| Perc d-e cor stent ather s (C9602) | $23,192.16 | $40,688 | 1.3× |
| Perc drug-el cor stent sing (C9600) | $23,213.82 | $40,726 | 2.1× |
| Perq Sacral Augmt Bilat Inj (0201T) | $8,157.27 | $14,311 | 1.1× |
| Perq Sacral Augmt Unilat Inj (0200T) | $5,488.53 | $9,629 | 0.8× |
| Prostate biopsy, any mthd (G0416) | $585.39 | $1,027 | 1.7× |
| Psa screening (G0103) | $33.06 | $58 | 1.7× |
| Therapeutic procd strg endur (G0237) | $64.41 | $113 | 2.3× |
| Trim nail(s) (G0127) | $91.77 | $161 | 1.6× |
| Trluml Perip Athrc Iliac Art (0238T) | $38,147.82 | $66,926 | 2.1× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.