HSHS St. Mary's Hospital Medical Center
1726 SHAWANO AVE, GREEN BAY, WI · Hshs · · NPI 1649246877
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 |
|---|---|---|---|---|
| Ana ds-dna CPT 86226 | $101.64 | $154.00 | $12.11 – $27.25 | 16 |
| Anal/urinary muscle study CPT 51784 | $217.14 | $329.00 | $58.61 – $282.71 | 14 |
| Anal/urinary muscle study CPT 51785 | $896.94 | $1,359.00 | $58.61 – $548.94 | 14 |
| Analysis gene f2 20210g>a variant CPT 81240 | $237.60 | $360.00 | $53.70 – $147.80 | 16 |
| Analysis gene f5 leiden variant CPT 81241 | $368.28 | $558.00 | $66.70 – $165.08 | 16 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $237.60 | $360.00 | $35.09 – $78.95 | 16 |
| Anca screen with reflex to titer -quest CPT 86021 | $108.90 | $165.00 | $15.05 – $33.86 | 16 |
| An cholangiogram percutaneous compl CPT 47531 | $3,544.20 | $5,370.00 | $132.80 – $7,866.44 | 16 |
| An fluoro guide for cvp CPT 77001 | $465.96 | $706.00 | $89.39 – $495.60 | 11 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $6,632.34 | $10,049.00 | $2,731.45 – $2,895.34 | 7 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $5,580.96 | $8,456.00 | $2,731.45 – $2,895.34 | 7 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $6,585.48 | $9,978.00 | $2,731.45 – $2,895.34 | 7 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $4,266.24 | $6,464.00 | $4,729.17 – $5,012.92 | 7 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $11,100.54 | $16,819.00 | $2,731.45 – $2,895.34 | 7 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $4,341.48 | $6,578.00 | $2,731.45 – $2,895.34 | 7 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $6,270.66 | $9,501.00 | $1,628.87 – $12,504.84 | 14 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $4,341.48 | $6,578.00 | $2,731.45 – $2,895.34 | 7 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $6,585.48 | $9,978.00 | $1,628.87 – $12,504.84 | 14 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | not published | 0 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | not published | 0 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | not published | 0 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | not published | 0 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | not published | 0 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | not published | 0 |
| Ankle X-ray CPT 73610 | $315.48 | $478.00 | $24.82 – $456.60 | 16 |
| Anora (draw only) CPT 99001 | $21.12 | $32.00 | $3.92 – $19.20 | 11 |
| Anoscopy and biopsy CPT 46606 | not published | not published | not published | 0 |
| Anoscopy control bleeding 46614 CPT 46614 | not published | not published | not published | 0 |
| Anoscopy remove fb 46608 CPT 46608 | $1,539.12 | $2,332.00 | $435.70 – $2,043.19 | 14 |
| Antibody CPT 86744 | $36.30 | $55.00 | $8.17 – $35.98 | 16 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $31.02 | $47.00 | $8.17 – $28.98 | 16 |
| Antibody elution rbc reference CPT 86860 | $198.00 | $300.00 | $49.28 – $374.32 | 16 |
| Antibody htlv/hiv confirm test CPT 86689 | $312.18 | $473.00 | $19.35 – $43.54 | 16 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $386.10 | $585.00 | $18.37 – $41.33 | 16 |
| Antibody id rbc panel CPT 86870 | $415.80 | $630.00 | $58.11 – $787.54 | 16 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $73.92 | $112.00 | $8.17 – $28.96 | 16 |
| Antibody screen rbc CPT 86850 | $75.24 | $114.00 | $5.38 – $114.49 | 16 |
| Antibody tetanus CPT 86774 | $99.00 | $150.00 | $14.80 – $33.30 | 16 |
| Antidepressant not specified CPT 80338 | $42.24 | $64.00 | $4.99 – $38.40 | 10 |
| Antiepileptics nos 4-6 CPT 80340 | $73.26 | $111.00 | $4.99 – $66.60 | 10 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $3.00 | $4.55 | $1.49 – $1,574.21 | 16 |
| Anti mog serum - sendout CPT 86362 | $952.38 | $1,443.00 | $12.05 – $27.11 | 16 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $98.34 | $149.00 | $12.05 – $27.11 | 16 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | not published | 0 |
| Antinuclear antibodies CPT 86038 | $68.64 | $104.00 | $12.09 – $27.20 | 16 |
| Antinuclear antibodies titer CPT 86039 | $79.86 | $121.00 | $11.16 – $25.11 | 16 |
| Antipsychotics nos 7/more CPT 80344 | $15.18 | $23.00 | $4.99 – $14.03 | 10 |
| Antistreptolysin o screen CPT 86063 | $93.06 | $141.00 | $5.77 – $12.98 | 16 |
| Antistreptolysin o titer CPT 86060 | $108.90 | $165.00 | $7.30 – $16.43 | 16 |
| Antithrombin iii activity CPT 85300 | $129.36 | $196.00 | $11.85 – $26.66 | 16 |
| Aortic dysfunction/dilation CPT 81410 | $2,284.26 | $3,461.00 | $403.20 – $1,134.00 | 16 |
| Apc gene dup/delet variants CPT 81203 | $905.52 | $1,372.00 | $200.00 – $450.00 | 16 |
| Apc gene full sequence CPT 81201 | $905.52 | $1,372.00 | $599.94 – $1,755.00 | 16 |
| Apheresis immunoads slctv CPT 36516 | $5,411.34 | $8,199.00 | $1,961.67 – $9,569.40 | 14 |
| Apl(pml-rara) quant - sendout CPT 81315 | $861.96 | $1,306.00 | $207.31 – $466.45 | 16 |
| Appendectomy CPT 44950 | not published | not published | not published | 0 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | not published | 0 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | not published | not published | not published | 0 |
| Application finger splntstatic 29130 CPT 29130 | $337.26 | $511.00 | $33.47 – $292.32 | 14 |
| Application long leg splint 29505 CPT 29505 | $384.78 | $583.00 | $33.47 – $357.03 | 14 |
| Application lower leg splint 29515 CPT 29515 | $384.78 | $583.00 | $33.47 – $357.03 | 14 |
| Application multi layer compression below knee (both sides) CPT 29581 | $316.80 | $480.00 | $79.49 – $357.03 | 14 |
| Application of forearm cast 29075 CPT 29075 | $306.90 | $465.00 | $79.49 – $614.51 | 14 |
| Application of long arm cast 29065 CPT 29065 | $306.90 | $465.00 | $79.49 – $614.51 | 14 |
| Application of long leg cast 29345 CPT 29345 | $758.34 | $1,149.00 | $79.49 – $614.51 | 14 |
| Application of paste boot 29580 CPT 29580 | $454.74 | $689.00 | $79.49 – $357.03 | 14 |
| Application short leg cast 29405 CPT 29405 | $384.78 | $583.00 | $79.49 – $614.51 | 14 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | not published | not published | not published | 0 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | not published | not published | not published | 0 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $62.70 | $95.00 | $11.55 – $95.00 | 16 |
| Apply forearm splintdynamic 29126 CPT 29126 | $246.18 | $373.00 | $33.47 – $292.32 | 14 |
| Apply of finger splint 29131 CPT 29131 | $246.18 | $373.00 | $33.47 – $129.61 | 14 |
| Apply rigid leg cast 29445 CPT 29445 | $919.38 | $1,393.00 | $79.49 – $614.51 | 14 |
| #aptt mix-1:1 incubated CPT 87532 | $139.92 | $212.00 | $35.09 – $78.95 | 16 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $320.10 | $485.00 | $12.05 – $84.89 | 16 |
| Aquaporin-4 antibody cba each CPT 86052 | $296.34 | $449.00 | $12.05 – $27.11 | 16 |
| Aquaporin-4 antibody elisa CPT 86051 | $431.64 | $654.00 | $11.53 – $25.94 | 16 |
| Aquatic exercise - group charge CPT 97150 | $69.96 | $106.00 | $6.38 – $106.00 | 16 |
| Aqueous shunt eye w/graft CPT 66180 | not published | not published | not published | 0 |
| Arterial blood draw/perc 36620 CPT 36620 | $486.42 | $737.00 | $302.34 – $320.48 | 7 |
| Artery transpose/endovas taa CPT 33889 | $7,485.72 | $11,342.00 | $4,212.26 – $4,465.00 | 7 |
| Artery xray each vessel 7577426 CPT 75774 | $1,036.20 | $1,570.00 | $99.49 – $1,954.15 | 11 |
| Artery xray of abdomen 75726-26 CPT 75726 | $5,429.16 | $8,226.00 | $151.31 – $12,225.64 | 16 |
| Artery x-rays adrenal gland CPT 75731 | $3,635.28 | $5,508.00 | $194.63 – $6,937.25 | 16 |
| Artery x-rays adrenals CPT 75733 | $5,283.96 | $8,006.00 | $218.37 – $6,937.25 | 16 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $3,161.40 | $4,790.00 | $134.34 – $6,937.25 | 16 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $3,635.28 | $5,508.00 | $140.22 – $6,937.25 | 16 |
| Artery x-rays chest CPT 75756 | $3,635.28 | $5,508.00 | $216.83 – $6,937.25 | 16 |
| Artery x-rays lung CPT 75741 | $3,635.28 | $5,508.00 | $137.58 – $6,937.25 | 16 |
| Artery x-rays lung CPT 75746 | $3,635.28 | $5,508.00 | $161.77 – $6,937.25 | 16 |
| Artery x-rays lungs CPT 75743 | $3,635.28 | $5,508.00 | $140.20 – $6,937.25 | 16 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $6,243.60 | $9,460.00 | $179.60 – $12,225.64 | 16 |
| Artery x-rays spine CPT 75705 | $6,243.60 | $9,460.00 | $264.51 – $12,225.64 | 16 |
| Arthrd ant ntrbdy cervical CPT 22551 | not published | not published | not published | 0 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | not published | not published | not published | 0 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | not published | not published | not published | 0 |
| Arthrd wrist with autograft CPT 25825 | not published | not published | not published | 0 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $738.54 | $1,119.00 | $108.83 – $674.40 | 14 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $880.44 | $1,334.00 | $202.86 – $1,550.88 | 14 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $1,087.02 | $1,647.00 | $202.86 – $674.40 | 14 |
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.