Ascension Health · Appleton, WI
46
In-network payers
288
Disclosed rate categories
332
Beds
4
Care quality
Ne Wisconsin - St. Elizabeth Campus is a 332-bed voluntary non-profit - private hospital in Appleton, WI, affiliated with Ascension Health. Below you'll find publicly disclosed negotiated rates and facility details, including 46 in-network payers and 288 disclosed rate categories.
CCN (Medicare provider number)
520009
NPI
1407803638
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
332
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Ne Wisconsin - St. Elizabeth Campus most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$5,300 - $9,788
from 2 insurers · median $7,544
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$8,691 - $14,960
from 2 insurers · median $11,826
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$24,534 - $39,051
from 2 insurers · median $31,793
86 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 216
$117,467 - $198,053
from 2 insurers · median $157,760
Hospital reports cardiac thoracic surgery services to CMS
CT imaging
CPT 74177
$92 - $1,979
from 4 insurers · median $1,152
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$2,750 - $6,440
from 2 insurers · median $4,595
11 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery
CPT 47562
$9,964 - $11,316
from 2 insurers · median $10,640
52 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$5,300 - $9,788
from 2 insurers · median $7,544
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Cardiology and vascular testing
CPT 93306
$2,088 - $2,581
from 3 insurers · median $2,569
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$43 - $1,084
from 4 insurers · median $921
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$9,122 - $12,034
from 3 insurers · median $11,316
52 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Mammography
CPT 77067
$38 - $485
from 4 insurers · median $424
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$3,609 - $15,219
from 3 insurers · median $11,316
19 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 66984
$2,998 - $6,440
from 2 insurers · median $4,719
174 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Nuclear imaging
CPT 78452
$3,167 - $3,821
from 3 insurers · median $3,804
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$36,745 - $66,610
from 2 insurers · median $51,678
Hospital reports neurosurgical services to CMS
Digestive procedures
CPT 47563
$6,258 - $11,316
from 3 insurers · median $11,018
52 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$1,616 - $2,967
from 3 insurers · median $2,960
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$115 - $2,804
from 4 insurers · median $1,527
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$2,090 - $2,960
from 3 insurers · median $2,581
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$75 - $2,254
from 4 insurers · median $2,081
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$92 - $1,812
from 4 insurers · median $1,017
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$194 - $284
from 3 insurers · median $232
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$88 - $1,107
from 4 insurers · median $856
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 10 | 458% | 9 | 1 |
| Insurer B* | 24 | 319% | 10 | 9 |
| Insurer C* | 15 | 279% | 2 | 13 |
| Insurer D* | 21 | 83% | 0 | 16 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Ne Wisconsin - St. Elizabeth Campus.
1506 South Oneida Street, Appleton, WI 54915
(920) 738-2000
The nearest hospitals of similar type and size. Their rates are compared with Ne Wisconsin - St. Elizabeth Campus for the same insurers and services above.
Thedacare Regional Medical Center - Neenah
Rates about the same as Ne Wisconsin - St. Elizabeth Campus (21 services)
St. Vincent Hospital
▲ Rates typically 27% higher than Ne Wisconsin - St. Elizabeth Campus (21 services)
Bellin Hospital
Rates about the same as Ne Wisconsin - St. Elizabeth Campus (21 services)
Aurora Baycare Medical Center
▲ Rates typically 30% higher than Ne Wisconsin - St. Elizabeth Campus (21 services)
Holy Family Memorial Medical Center
▲ Rates typically 17% higher than Ne Wisconsin - St. Elizabeth Campus (21 services)
St. Nicholas Hospital
▲ Rates typically 31% higher than Ne Wisconsin - St. Elizabeth Campus (21 services)
Thedacare Regional Medical Center Appleton
St Marys Milwauke
Ascension Wisconsin Hospital - Waukesha
Ascension Ne Wisconsin - Mercy Campus
About Ne Wisconsin - St. Elizabeth Campus's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Ne Wisconsin - St. Elizabeth Campus range from $115 to $2,804 across 4 insurers. Aetna's rate is $2,804. The median at nearby comparable hospitals is $1,369. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Ne Wisconsin - St. Elizabeth Campus range from $92 to $1,979 across 4 insurers. Aetna's rate is $1,979. The median at nearby comparable hospitals is $1,187. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Ne Wisconsin - St. Elizabeth Campus range from $1,616 to $2,967 across 3 insurers. UnitedHealthcare's rate is $2,960. The median at nearby comparable hospitals is $3,977. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Ne Wisconsin - St. Elizabeth Campus range from $5,300 to $9,788 across 2 insurers. Blue Cross Blue Shield's rate is $5,300. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Ne Wisconsin - St. Elizabeth Campus range from $38 to $485 across 4 insurers. Blue Cross Blue Shield's rate is $38. The median at nearby comparable hospitals is $350. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Ne Wisconsin - St. Elizabeth Campus range from $24,534 to $39,051 across 2 insurers. Blue Cross Blue Shield's rate is $24,534. The median at nearby comparable hospitals is $33,669. What a patient pays depends on their plan's deductible, coinsurance and network status.
Ne Wisconsin - St. Elizabeth Campus has 332 beds. Facility type: Short Term Acute Care Hospital.
Ne Wisconsin - St. Elizabeth Campus is located at 1506 South Oneida Street, Appleton, WI 54915. Its main phone number is (920) 738-2000.
Ne Wisconsin - St. Elizabeth Campus's CMS Certification Number (CCN), also called its Medicare provider number, is 520009.
The National Provider Identifier (NPI) on file for Ne Wisconsin - St. Elizabeth Campus is 1407803638.
Ne Wisconsin - St. Elizabeth Campus is affiliated with Ascension Health.
Ne Wisconsin - St. Elizabeth Campus lists 46 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
288 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers