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 |
|---|---|---|---|---|
| Release wrist/forearm tendon CPT 25295 | not published | not published | not published | 0 |
| Relocation skin pocket aicd CPT 33223 | $2,112.66 | $3,201.00 | $693.47 – $4,533.20 | 14 |
| Relocation skin pocket pm CPT 33222 | $2,395.14 | $3,629.00 | $693.47 – $4,533.20 | 14 |
| Rem/biv cast full arm/leg CPT 29705 | $434.28 | $658.00 | $79.49 – $614.51 | 14 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $12.63 | $19.13 | $6.35 – $15.52 | 16 |
| Rem endovas vena cava filter CPT 37193 | $4,117.08 | $6,238.00 | $1,628.87 – $6,937.25 | 14 |
| Removal biliary drg cath CPT 47537 | $1,387.32 | $2,102.00 | $171.97 – $1,992.72 | 14 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $1,052.04 | $1,594.00 | $325.87 – $1,378.24 | 14 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $2,198.46 | $3,331.00 | $325.87 – $3,458.55 | 14 |
| Removal cerumen impacted (both sides) CPT 69210 | $99.66 | $151.00 | $57.60 – $129.61 | 9 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $229.68 | $348.00 | $178.90 – $331.00 | 6 |
| Removal duct glbldr calculi CPT 47544 | $3,295.38 | $4,993.00 | $290.51 – $2,540.86 | 11 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $1,440.78 | $2,183.00 | $528.96 – $1,992.72 | 14 |
| Removal foreign body foot subcutaneous right CPT 28190 | $830.28 | $1,258.00 | $185.89 – $1,555.83 | 14 |
| Removal implant superficial separate procedure CPT 20670 | $3,065.04 | $4,644.00 | $279.76 – $3,628.70 | 16 |
| Removal of anal fissure CPT 46200 | not published | not published | not published | 0 |
| Removal of anal tags CPT 46230 | not published | not published | not published | 0 |
| Removal of ankle implant CPT 27704 | not published | not published | not published | 0 |
| Removal of bladder stone CPT 51050 | not published | not published | not published | 0 |
| Removal of bone for graft CPT 20900 | not published | not published | not published | 0 |
| Removal of bone for graft CPT 20902 | not published | not published | not published | 0 |
| Removal of breast lesion CPT 19120 | not published | not published | not published | 0 |
| Removal of face wrinkles CPT 15828 | not published | not published | not published | 0 |
| Removal of finger lesion CPT 26210 | not published | not published | not published | 0 |
| Removal of foot joint lining CPT 28070 | not published | not published | not published | 0 |
| Removal of foot lesion CPT 28080 | not published | not published | not published | 0 |
| Removal of foot lesion CPT 28090 | not published | not published | not published | 0 |
| Removal of foot lesion CPT 28104 | not published | not published | not published | 0 |
| Removal of heel bone CPT 28118 | not published | not published | not published | 0 |
| Removal of heel spur CPT 28119 | not published | not published | not published | 0 |
| Removal of hydrocele CPT 55040 | not published | not published | not published | 0 |
| Removal of implant deep CPT 20680 | not published | not published | not published | 0 |
| Removal of ischial bursa CPT 27060 | not published | not published | not published | 0 |
| Removal of kneecap bursa CPT 27340 | not published | not published | not published | 0 |
| Removal of metatarsal CPT 28140 | not published | not published | not published | 0 |
| Removal of metatarsal heads CPT 28114 | not published | not published | not published | 0 |
| Removal of sesamoid bone CPT 28315 | not published | not published | not published | 0 |
| Removal of sperm cord lesion CPT 55520 | not published | not published | not published | 0 |
| Removal of testis CPT 54530 | not published | not published | not published | 0 |
| Removal of toe lesions CPT 28092 | not published | not published | not published | 0 |
| Removal of wrist lesion CPT 25130 | not published | not published | not published | 0 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $5,210.70 | $7,895.00 | $3,478.75 – $22,963.91 | 14 |
| Removal sutr/staple req anes CPT 15851 | not published | not published | not published | 0 |
| Removal tunnled intprtnl cath CPT 49422 | $4,350.06 | $6,591.00 | $318.99 – $6,937.25 | 14 |
| Remove anal fist subq CPT 46270 | not published | not published | not published | 0 |
| Remove armpit lymph nodes CPT 38745 | not published | not published | not published | 0 |
| Remove bladder stone CPT 52317 | not published | not published | not published | 0 |
| Remove bladder stone CPT 52318 | not published | not published | not published | 0 |
| Remove cva lumen obstruct CPT 75902 | $621.72 | $942.00 | $89.39 – $495.60 | 11 |
| Remove epididymis lesion CPT 54840 | not published | not published | not published | 0 |
| Remove femur lesion/bursa CPT 27062 | not published | not published | not published | 0 |
| Remove forearm bone lesion CPT 25145 | not published | not published | not published | 0 |
| Remove foreign body from eye CPT 65235 | $2,634.06 | $3,991.00 | $445.53 – $5,070.48 | 14 |
| Remove foreign body from eye CPT 65260 | $2,634.06 | $3,991.00 | $453.50 – $5,070.48 | 14 |
| Remove foreign body from eye CPT 65265 | $5,758.50 | $8,725.00 | $453.50 – $5,070.48 | 14 |
| Remove hand bone lesion CPT 26200 | not published | not published | not published | 0 |
| Remove in/ex hem grps w/fist CPT 46262 | not published | not published | not published | 0 |
| Remove intact mammary implant CPT 19328 | $4,422.66 | $6,701.00 | $1,438.20 – $8,602.54 | 14 |
| Remove lower leg bone lesion CPT 27635 | not published | not published | not published | 0 |
| Remove nerve lesion CPT 64784 | not published | not published | not published | 0 |
| Remove pilonidal cyst exten CPT 11771 | not published | not published | not published | 0 |
| Remove prostate regrowth CPT 52630 | not published | not published | not published | 0 |
| Remove renal tube w/fluoro CPT 50389 | $925.32 | $1,402.00 | $99.98 – $1,532.02 | 16 |
| Remove/replace penis prosth CPT 54410 | not published | not published | not published | 0 |
| Remove/replace ur sphincter CPT 53447 | not published | not published | not published | 0 |
| Remove/revise male sling CPT 53442 | not published | not published | not published | 0 |
| Remove spinal lamina add-on 63048 CPT 63048 | not published | not published | not published | 0 |
| Remove spine eltrd perq aray CPT 63661 | not published | not published | not published | 0 |
| Remove stent via transureth CPT 50386 | $2,366.10 | $3,585.00 | $305.96 – $4,592.75 | 16 |
| Remove thyroid lesion 60200 CPT 60200 | not published | not published | not published | 0 |
| Remove ureter stent percut CPT 50384 | $2,570.04 | $3,894.00 | $423.82 – $4,592.75 | 16 |
| Remove uro sphincter CPT 53446 | not published | not published | not published | 0 |
| Remove wrist/forearm lesion CPT 25116 | not published | not published | not published | 0 |
| Remove wrist tendon lesion CPT 25111 | not published | not published | not published | 0 |
| Renal cyst study s&i CPT 74470 | $633.60 | $960.00 | $52.32 – $1,200.52 | 16 |
| Renal function panel CPT 80069 | $113.52 | $172.00 | $8.68 – $19.53 | 16 |
| Renal venogram bil s&i CPT 75833 | $3,635.28 | $5,508.00 | $154.57 – $6,937.25 | 16 |
| Repair achilles tendon CPT 27650 | not published | not published | not published | 0 |
| Repair biceps tendon CPT 23430 | not published | not published | not published | 0 |
| Repair bladder defect CPT 57288 | not published | not published | not published | 0 |
| Repair blood vessel direct hand finger CPT 35207 | $3,635.28 | $5,508.00 | $926.02 – $6,937.25 | 14 |
| Repair blood vessel dir lower extr CPT 35226 | $1,312.08 | $1,988.00 | $691.48 – $1,555.83 | 14 |
| Repair blood vessel dir upper extr CPT 35206 | $3,635.28 | $5,508.00 | $926.02 – $6,937.25 | 14 |
| Repair brow defect CPT 67900 | not published | not published | not published | 0 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $1,186.68 | $1,798.00 | $185.89 – $893.15 | 14 |
| Repair corporeal tear CPT 54437 | not published | not published | not published | 0 |
| Repair degenerated kneecap CPT 27418 | not published | not published | not published | 0 |
| Repair dental ellis ii fx CPT 41899 | $542.52 | $822.00 | $231.28 – $560.70 | 14 |
| Repair elbow deb/attch open CPT 24359 | not published | not published | not published | 0 |
| Repair elbow perc CPT 24357 | not published | not published | not published | 0 |
| Repair elbow w/deb open CPT 24358 | not published | not published | not published | 0 |
| Repair extns tendon finger without grft ea CPT 26418 | $1,878.36 | $2,846.00 | $576.77 – $3,532.89 | 14 |
| Repair finger/hand tendon CPT 26350 | not published | not published | not published | 0 |
| Repair finger/hand tendon CPT 26356 | not published | not published | not published | 0 |
| Repair forearm tendon/muscle sec 25263 CPT 25263 | not published | not published | not published | 0 |
| Repair forearm tendon sheath CPT 25275 | not published | not published | not published | 0 |
| Repair/graft achilles tendon CPT 27652 | not published | not published | not published | 0 |
| Repair/graft of foot tendon CPT 28202 | not published | not published | not published | 0 |
| Repair/graft of thigh muscle CPT 27386 | not published | not published | not published | 0 |
| Repair/graft wrist bone CPT 25440 | not published | not published | not published | 0 |
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.