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HSHS St. Mary's Hospital Medical Center

1726 SHAWANO AVE, GREEN BAY, WI · Hshs · · NPI 1649246877

Source: hospital's published price file ↗ · Published Mar 24, 2026 · Ingested Sep 16, 2026

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
Place duod/jej tube perc CPT 49441 $2,926.44 $4,434.00 $171.97 – $4,216.00 16
Place gastrostomy tube perc CPT 49440 $2,191.20 $3,320.00 $171.97 – $4,216.00 16
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 $1,871.10 $2,835.00 $186.92 – $3,628.70 16
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 $137.94 $209.00 $209.00 – $588.15 7
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 $1,595.22 $2,417.00 $588.15 – $1,555.83 14
Placement nephrostomy catheter (both sides) CPT 50432 $4,361.94 $6,609.00 $383.86 – $4,592.75 16
Placement occlusive device venous/arterial access site post procedure HCPCS G0269 $434.28 $658.00 $658.00 – $658.00 3
Placement of seton CPT 46020 not published not published not published 0
Placement stent(s) intravascular transcatheter artery initial CPT 37236 $13,098.36 $19,846.00 $4,729.17 – $25,363.55 14
Place non-slctv cath thoracic arta CPT 36221 $4,559.28 $6,908.00 $1,954.15 – $6,937.25 14
Place slctv cath carotd art uni CPT 36224 $5,318.94 $8,059.00 $1,954.15 – $12,225.64 14
Place slctv cath carotid/inom art excrn uni CPT 36222 $5,076.72 $7,692.00 $1,954.15 – $6,937.25 14
Place slctv cath carotid/inom art intcrn uni CPT 36223 $9,492.12 $14,382.00 $1,954.15 – $12,225.64 14
Place slctv cath subclavian art CPT 36225 $5,652.24 $8,564.00 $1,954.15 – $6,937.25 14
Place slctv cath vertebral art uni CPT 36226 $7,252.74 $10,989.00 $1,954.15 – $12,225.64 14
Platelet aggregation each agent teg CPT 85576 $196.68 $298.00 $24.91 – $56.05 16
Platelet automated CPT 85049 $34.32 $52.00 $4.48 – $10.08 16
Platelets each unit HCPCS P9019 $188.76 $286.00 $53.17 – $119.63 14
Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 $1,809.72 $2,742.00 $122.12 – $1,593.14 14
Platelets leukocytes reduced each unit HCPCS P9031 $271.26 $411.00 $122.12 – $324.59 14
Platelets leukocytes reduced irradiated each unit HCPCS P9033 $396.00 $600.00 $122.12 – $426.58 14
Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 $1,227.60 $1,860.00 $122.12 – $563.60 14
Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 $1,551.00 $2,350.00 $122.12 – $1,132.76 14
Platelets pheresis leukocytes reduced each unit HCPCS P9035 $1,206.48 $1,828.00 $122.12 – $1,151.08 14
Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 $1,259.94 $1,909.00 $122.12 – $1,531.37 14
Platelets pheresis pathogen-reduced each unit HCPCS P9073 $1,007.82 $1,527.00 $122.12 – $1,366.72 14
Plcmnt biliary drainage cath w/img ext CPT 47533 $6,031.08 $9,138.00 $456.60 – $7,866.44 16
Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 $7,735.86 $11,721.00 $2,731.45 – $2,895.34 7
Plcmnt ureteral stent pq w/img exstng trct CPT 50693 $3,940.20 $5,970.00 $381.79 – $7,744.68 16
Plcmnt ureteral stent pq w/img new w/cath CPT 50695 $17,796.90 $26,965.00 $1,279.94 – $7,744.68 14
Plcmt dlyd xtn pros 1st vsl CPT 34710 $17,216.76 $26,086.00 $7,257.52 – $7,692.97 7
Plcmt xtn pros evasc rpr per vsl CPT 34709 $2,469.72 $3,742.00 $3,742.00 – $7,257.52 7
Plc pq device breast ea addl lesion MRI guide CPT 19288 $97.02 $147.00 $147.00 – $588.15 7
Plc pq device breast ea addl lesion stereo guide CPT 19284 $137.94 $209.00 $209.00 – $588.15 7
Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 $120.12 $182.00 $182.00 – $588.15 7
Plethysmography lung volumes/airway resistance CPT 94726 $476.52 $722.00 $45.62 – $819.86 16
Plmt access bil tree sm bwl CPT 47541 $7,207.20 $10,920.00 $2,397.03 – $14,223.53 14
Plmt biliary drainage cath CPT 47534 $6,328.08 $9,588.00 $456.60 – $7,866.44 16
Plmt nephroureteral catheter CPT 50433 $5,920.86 $8,971.00 $1,279.94 – $7,744.68 14
Plmt ureteral stent prq CPT 50694 $5,536.74 $8,389.00 $1,279.94 – $7,744.68 14
Pm device progr eval dual CPT 93280 $93.06 $141.00 $15.99 – $141.00 16
Pm device progr eval multi CPT 93281 $126.06 $191.00 $15.99 – $191.00 16
#pnh-flow cytometry interp CPT 88187 $209.88 $318.00 $11.76 – $190.80 11
Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 $117.48 $178.00 $26.07 – $58.66 16
Post non-seg/spine instrumentation 22840 CPT 22840 not published not published not published 0
Post seg spine instrument/3-6 seg 22842 CPT 22842 not published not published not published 0
Potassium 24 hour urine CPT 84133 $25.74 $39.00 $4.73 – $10.64 16
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 $69.96 $106.00 $0.19 – $0.21 5
Potassium serum/plasma/whole blood CPT 84132 $29.04 $44.00 $4.76 – $10.71 16
Pq biliary strict dil s&i CPT 74363 $1,430.88 $2,168.00 $89.39 – $495.60 11
Pq dr cath chg w cont s&i CPT 75984 $729.30 $1,105.00 $89.39 – $495.60 11
Pq kyphplsty 1 bdy lumb w/img CPT 22514 $8,251.32 $12,502.00 $1,215.09 – $15,942.51 16
Pq thr inj ext pse CPT 36002 $501.60 $760.00 $192.35 – $1,378.24 16
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 $5,088.60 $7,710.00 $381.30 – $2,312.55 11
Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 $5,088.60 $7,710.00 $456.60 – $7,188.86 16
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 $5,088.60 $7,710.00 $456.60 – $7,188.86 16
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 $3,747.48 $5,678.00 $576.77 – $7,188.86 14
Pr application of long arm splint CPT 29105 $388.08 $588.00 $33.47 – $357.03 14
Pr application splint static short arm CPT 29125 $308.88 $468.00 $33.47 – $292.32 14
Pr biopsy skin punch single lesion CPT 11104 not published not published not published 0
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 not published not published not published 0
Pr correction hammertoe CPT 28285 not published not published not published 0
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 $36.96 $56.00 $10.20 – $82.32 16
Prcrd drg 6+yr without anomly CPT 33017 $1,807.08 $2,738.00 $440.45 – $466.88 7
Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 not published not published not published 0
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 $615.78 $933.00 $42.35 – $259.68 16
Prealbumin CPT 84134 $46.20 $70.00 $7.85 – $32.83 16
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 $1.17 $1.77 $0.41 – $1.65 5
Prednisone 1 mg tablet HCPCS J7512 $5.28 $8.00 $0.01 – $0.02 5
Pregabalin - sendout CPT 80366 $102.30 $155.00 $4.99 – $93.00 10
Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 $2,191.20 $3,320.00 $426.39 – $4,216.00 14
Pregnancy Ultrasound (complete, after first trimester) CPT 76805 $573.54 $869.00 $44.52 – $521.52 16
Pregnancy Ultrasound (first trimester) CPT 76801 $454.74 $689.00 $44.52 – $521.52 16
Prep skin to 100cm2 other CPT 15004 not published not published not published 0
Prep skin to 100cm2 trk/ext CPT 15002 not published not published not published 0
Prep skn trk/ext adl 100cm2 CPT 15003 not published not published not published 0
Pressure max expiratory/inspiratory CPT 94799 $357.72 $542.00 $25.49 – $282.71 16
Pressure velocity wire add ves CPT 93572 $659.34 $999.00 $748.38 – $793.28 7
Pretreat rbc w chem/drugs reference CPT 86970 $88.44 $134.00 $37.44 – $129.61 16
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 not published not published not published 0
Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 $1,176.12 $1,782.00 $95.40 – $893.15 14
Prgrmg dev eval impltbl sys CPT 93260 $78.54 $119.00 $15.99 – $119.00 16
Prgrmg dev eval scrms ip CPT 93285 $95.04 $144.00 $15.99 – $144.00 16
Prgr stim/pace a/iv drug CPT 93623 $2,296.14 $3,479.00 $2,816.70 – $2,985.70 7
Prim art mech thrmbc non-intracranial CPT 37184 $17,576.46 $26,631.00 $2,731.45 – $40,276.14 14
Prim art mech thrmbc non-intracranial add-on CPT 37185 $3,237.96 $4,906.00 $2,731.45 – $2,895.34 7
Pr incision & drainage abscess complicated/multiple CPT 10061 $770.22 $1,167.00 $72.99 – $893.15 14
Pr incision & drainage abscess simple/single CPT 10060 $306.90 $465.00 $72.99 – $440.81 14
Pr incision & drainage abscess vulva/perineal CPT 56405 $543.84 $824.00 $93.40 – $669.52 14
Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 $461.34 $699.00 $72.99 – $893.15 14
Pr management transitional care high w/in 7 days of discharge CPT 99496 $247.50 $375.00 $48.08 – $292.51 14
Pr management transitional care moderate w/in 14 days of discharge CPT 99495 $189.42 $287.00 $48.08 – $292.51 14
Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 $351.12 $532.00 $10.05 – $292.60 8
Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 not published not published not published 0
Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 $414.02 $627.30 $344.53 – $775.19 11
Procalcitonin CPT 84145 $184.80 $280.00 $27.22 – $61.25 16
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 $35.34 $53.55 $4.16 – $6.19 5
Progesterone CPT 84144 $117.48 $178.00 $20.86 – $46.94 16
Prolactin CPT 84146 $117.48 $178.00 $19.38 – $43.61 16
Propofol infusion 10 mg/ml HCPCS J2704 $2.48 $3.76 $0.15 – $0.16 5

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.