Hospital · CCN 520009

Ascension Ne Wisconsin - St Elizabeth Campus

1506 S Oneida St, Appleton, WI 54915 · Calumet County
Part of Ascension Health · 287 beds · 2
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

28 admission types 56 outpatient services price file: ok 1 Medicare-file findings

Billed per dollar paid, all admissions

2.72×

$21.6M billed against $7.9M paid across 665 Medicare discharges; the national figure is 5.03×.

3.0%

of adults in Calumet County have medical debt in collections

4.2%

uninsured in the county · state 6.3%

$87K

median household income

2.7×

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ

33.3%

obesity in the countyⓘ

10.3%

diagnosed diabetes (PLACES)

6.1%

coronary heart disease (PLACES)

—

median age · — below poverty (ACS)

01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG

Admission

Discharges

Charge

Paid

Billed ÷ paid

291

Heart failure and shock with mcc

$20,282

$9,574

2.1× st 3.6×

871

Septicemia or severe sepsis without mv >96 hours with mcc

$35,086

$14,601

2.4× st 3.6×

885

Psychoses

$13,054

$10,586

1.2× st 2.1×

274

Percutaneous and other intracardiac procedures without mcc

$100,012

$23,490

4.3× st 4.3×

193

Simple pneumonia and pleurisy with mcc

$26,236

$9,963

2.6× st 3.6×

309

Cardiac arrhythmia and conduction disorders with cc

$11,663

$6,459

1.8× st 3.6×

177

Respiratory infections and inflammations with mcc

$35,985

$12,962

2.8× st 3.6×

280

Acute myocardial infarction, discharged alive with mcc

$28,650

$12,040

2.4× st 3.7×

872

Septicemia or severe sepsis without mv >96 hours without mcc

$18,692

$8,422

2.2× st 3.9×

641

Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc

$13,152

$6,669

2.0× st 3.9×

065

Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours

$24,175

$7,766

3.1× st 4.7×

310

Cardiac arrhythmia and conduction disorders without cc/mcc

$9,133

$4,788

1.9× st 3.8×

690

Kidney and urinary tract infections without mcc

$19,598

$6,559

3.0× st 4.0×

683

Renal failure with cc

$16,230

$7,057

2.3× st 3.7×

698

Other kidney and urinary tract diagnoses with mcc

$26,499

$11,845

2.2× st 3.3×

378

Gastrointestinal hemorrhage with cc

$25,317

$7,901

3.2× st 4.0×

189

Pulmonary edema and respiratory failure

$19,244

$9,639

2.0× st 3.8×

322

Percutaneous cardiovascular procedures with intraluminal device without mcc

$95,225

$15,402

6.2× st 5.0×

689

Kidney and urinary tract infections with mcc

$17,622

$8,838

2.0× st 3.7×

064

Intracranial hemorrhage or cerebral infarction with mcc

$31,716

$11,993

2.6× st 4.1×

682

Renal failure with mcc

$35,179

$12,530

2.8× st 3.6×

895

Alcohol, drug abuse or dependence with rehabilitation therapy

$11,123

$11,968

0.9× st 0.9×

267

Endovascular cardiac valve replacement and supplement procedures without mcc

$129,559

$35,062

3.7× st 4.0×

266

Endovascular cardiac valve replacement and supplement procedures with mcc

$150,669

$44,451

3.4× st 3.8×

194

Simple pneumonia and pleurisy with cc

$14,558

$6,692

2.2× st 3.9×

392

Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc

$14,168

$6,453

2.2× st 4.2×

699

Other kidney and urinary tract diagnoses with cc

$17,603

$9,342

1.9× st 3.6×

377

Gastrointestinal hemorrhage with mcc

$36,200

$11,166

3.2× st 3.8×

02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC

Service

Services

Charge

Allowed

Billed ÷ allowed

5491

Level 1 Intraocular Procedures

174

$5,956

$2,100

2.8×

5191

Level 1 Endovascular Procedures

138

$22,274

$2,940

7.6×

8011

Comprehensive Observation Services

114

$12,056

$2,447

4.9×

5115

Level 5 Musculoskeletal Procedures

$38,261

$11,825

3.2×

5302

Level 2 Upper GI Procedures

$7,045

$1,666

4.2×

5361

Level 1 Laparoscopy and Related Services

$20,560

$5,114

4.0×

5192

Level 2 Endovascular Procedures

$37,524

$5,149

7.3×

5072

Level 2 Excision/ Biopsy/ Incision and Drainage

$8,375

$1,436

5.8×

5193

Level 3 Endovascular Procedures

$81,171

$9,904

8.2×

5183

Level 3 Vascular Procedures

$17,888

$2,810

6.4×

5114

Level 4 Musculoskeletal Procedures

$29,789

$6,438

4.6×

5374

Level 4 Urology and Related Services

$18,932

$3,070

6.2×

5113

Level 3 Musculoskeletal Procedures

$12,181

$2,914

4.2×

5213

Level 3 Electrophysiologic Procedures

$131,008

$20,715

6.3×

5194

Level 4 Endovascular Procedures

$107,152

$15,765

6.8×

5073

Level 3 Excision/ Biopsy/ Incision and Drainage

$16,043

$2,559

6.3×

5375

Level 5 Urology and Related Services

$23,507

$4,663

5.0×

5362

Level 2 Laparoscopy and Related Services

$41,556

$9,268

4.5×

5182

Level 2 Vascular Procedures

$7,582

$1,441

5.3×

5373

Level 3 Urology and Related Services

$9,129

$1,834

5.0×

5154

Level 4 Airway Endoscopy

$19,004

$3,375

5.6×

5223

Level 3 Pacemaker and Similar Procedures

$61,169

$9,616

6.4×

5112

Level 2 Musculoskeletal Procedures

$5,807

$1,447

4.0×

5184

Level 4 Vascular Procedures

$24,141

$4,948

4.9×

5155

Level 5 Airway Endoscopy

$30,018

$6,160

4.9×

5341

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures

$15,015

$3,114

4.8×

5092

Level 2 Breast/Lymphatic Surgery and Related Procedures

$23,945

$5,876

4.1×

5503

Level 3 Extraocular, Repair, and Plastic Eye Procedures

$11,830

$2,106

5.6×

5232

Level 2 ICD and Similar Procedures

$203,640

$29,563

6.9×

5414

Level 4 Gynecologic Procedures

$12,760

$2,818

4.5×

5415

Level 5 Gynecologic Procedures

—

5376

Level 6 Urology and Related Services

—

5416

Level 6 Gynecologic Procedures

—

5504

Level 4 Extraocular, Repair, and Plastic Eye Procedures

—

5461

Level 1 Neurostimulator and Related Procedures

—

5492

Level 2 Intraocular Procedures

—

5462

Level 2 Neurostimulator and Related Procedures

—

5465

Level 5 Neurostimulator and Related Procedures

—

5431

Level 1 Nerve Procedures

—

5493

Level 3 Intraocular Procedures

—

5464

Level 4 Neurostimulator and Related Procedures

—

5091

Level 1 Breast/Lymphatic Surgery and Related Procedures

—

5094

Level 4 Breast/Lymphatic Surgery and Related Procedures

—

5164

Level 4 ENT Procedures

—

5165

Level 5 ENT Procedures

—

5153

Level 3 Airway Endoscopy

—

5116

Level 6 Musculoskeletal Procedures

—

5200

Implantation Wireless PA Pressure Monitor

—

5212

Level 2 Electrophysiologic Procedures

—

5222

Level 2 Pacemaker and Similar Procedures

—

5231

Level 1 ICD and Similar Procedures

—

5303

Level 3 Upper GI Procedures

—

5331

Complex GI Procedures

—

5224

Level 4 Pacemaker and Similar Procedures

—

5372

Level 2 Urology and Related Services

—

5163

Level 3 ENT Procedures

—

03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 01/01/2026, template 3.0.0, 1,449,950 rows scanned, 11,865 distinct code–setting items kept. No rule fires against it.

04 · Checks

Where the Medicare rows do not agree with themselves

Service

Severity

Rule

Detail

MS-DRG 895

info

inp_payment_exceeds_charge

total payment $11,968 exceeds the average charge $11,123

Sources for this hospital

the files read, as fetched — not our copy of them

Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
2020 ZCTA to County relationship file · US Census Bureau · 2020
tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
Ascension Ne Wisconsin - St Elizabeth Campus — standard charges file · WI · updated 01/01/2026
· csv-tall · 394.5M bytes · fetched 2026-08-23 · sha256 1778a89f8e86…

Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.

Source rows for this hospital as JSON: inpatient · outpatient · price file. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.