HSHS St. Vincent Hospital
835 S. Van Buren St., Green Bay, WI · Hshs · · NPI 1114908001
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 |
|---|---|---|---|---|
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | not published | 0 |
| Cystoscopy removal of clots CPT 52001 | $6,252.84 | $9,474.00 | $713.73 – $7,703.84 | 14 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | not published | 0 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | not published | 0 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | not published | 0 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | not published | 0 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | not published | 0 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | not published | 0 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | not published | 0 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | not published | 0 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | not published | 0 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | not published | 0 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | not published | 0 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $3,641.22 | $5,517.00 | $713.73 – $4,568.53 | 14 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | not published | 0 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $61.41 | $93.05 | $1.29 – $1.50 | 5 |
| Cytogenetics 25-99 CPT 88274 | $173.58 | $263.00 | $42.38 – $95.36 | 16 |
| Cytogenetics 3-5 CPT 88272 | $262.68 | $398.00 | $35.62 – $91.58 | 16 |
| Cytogenomic neo microra alys CPT 81277 | $3,093.42 | $4,687.00 | $928.00 – $2,610.00 | 16 |
| Cytogenom microarray copy nmbr var CPT 81228 | $2,001.78 | $3,033.00 | $516.91 – $2,025.00 | 16 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $99.00 | $150.00 | $14.39 – $32.38 | 16 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $89.10 | $135.00 | $8.17 – $37.91 | 16 |
| Cytopath c/v index add-on CPT 88155 | $40.26 | $61.00 | $8.42 – $32.96 | 16 |
| Cytopath c/v manual CPT 88150 | $71.94 | $109.00 | $14.86 – $41.72 | 16 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $168.30 | $255.00 | $12.20 – $153.00 | 16 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $139.26 | $211.00 | $20.26 – $45.59 | 16 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $217.80 | $330.00 | $12.20 – $198.00 | 16 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $148.50 | $225.00 | $12.20 – $135.00 | 16 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $89.76 | $136.00 | $9.76 – $81.60 | 11 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $198.00 | $300.00 | $64.25 – $372.34 | 16 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $357.72 | $542.00 | $38.30 – $325.20 | 16 |
| Cytopath smear other source CPT 88160 | $168.30 | $255.00 | $12.20 – $153.00 | 16 |
| Cytopath smear other source CPT 88162 | $248.16 | $376.00 | $12.20 – $225.60 | 16 |
| Cytopath smear oth prep screen & interp CPT 88161 | $124.08 | $188.00 | $12.20 – $112.80 | 16 |
| Cytopath tbs c/v manual CPT 88164 | $61.38 | $93.00 | $14.86 – $41.72 | 16 |
| Cytotoxic antibody screening CPT 86807 | $357.72 | $542.00 | $55.65 – $176.96 | 16 |
| Cytotoxic antibody screening CPT 86808 | $76.56 | $116.00 | $29.68 – $66.78 | 16 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $522.06 | $791.00 | $67.75 – $474.60 | 16 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $81.05 | $122.80 | $6.12 – $7.37 | 5 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $2.22 | $3.37 | $0.03 – $0.05 | 5 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $110.70 | $167.73 | $55.06 – $167.73 | 16 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $9,654.88 | $14,628.60 | $3.02 – $220.74 | 16 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $470.32 | $712.61 | $260.49 – $712.61 | 16 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $238.19 | $360.90 | $43.44 – $60.38 | 11 |
| D&c after delivery 59160 CPT 59160 | not published | not published | not published | 0 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $6,195.42 | $9,387.00 | $1,065.36 – $7,074.73 | 14 |
| Dch glucoscan CPT 82948 | $13.86 | $21.00 | $4.45 – $11.34 | 16 |
| Dch pulmonary stress test CPT 94621 | $1,145.10 | $1,735.00 | $47.30 – $815.54 | 16 |
| Deamidated gliadin antibody iga CPT 86258 | $28.38 | $43.00 | $11.53 – $27.11 | 16 |
| Debridement (>20 cm) charge pt CPT 97598 | $180.84 | $274.00 | $35.14 – $274.00 | 16 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,175.36 | $3,296.00 | $113.00 – $3,609.56 | 14 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $721.38 | $1,093.00 | $113.00 – $493.46 | 9 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,373.46 | $2,081.00 | $113.00 – $493.46 | 9 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $533.28 | $808.00 | $113.00 – $888.44 | 14 |
| Debride nail1-5 11720 CPT 11720 | $89.10 | $135.00 | $30.48 – $128.93 | 14 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | not published | 0 |
| Debride skin bone at fx site CPT 11012 | not published | not published | not published | 0 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | not published | 0 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $114.84 | $174.00 | $113.00 – $184.44 | 9 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | not published | 0 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $988.02 | $1,497.00 | $113.00 – $1,615.24 | 14 |
| Decalcification CPT 88311 | $79.86 | $121.00 | $10.16 – $72.60 | 11 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $23.39 | $35.44 | $1.07 – $11.11 | 11 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $583.44 | $884.00 | $113.00 – $721.88 | 14 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | not published | 0 |
| Decompression of tibia nerve CPT 28035 | not published | not published | not published | 0 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | not published | 0 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $6.14 | $9.31 | $4.45 – $10.01 | 16 |
| Delivery of placenta 59414 CPT 59414 | $3,672.24 | $5,564.00 | $776.38 – $7,074.73 | 14 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $748.44 | $1,134.00 | $1,134.00 – $1,202.04 | 7 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $234.96 | $356.00 | $26.43 – $478.57 | 16 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $60.65 | $91.90 | $29.46 – $84.52 | 16 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $384.78 | $583.00 | $77.65 – $290.78 | 14 |
| Dermagraft HCPCS Q4106 | $64.68 | $98.00 | $76.40 – $84.05 | 5 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $17,216.76 | $26,086.00 | $7,524.72 – $7,976.20 | 7 |
| Design mlc device for imrt CPT 77338 | $2,045.34 | $3,099.00 | $85.50 – $2,025.50 | 16 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $185.10 | $280.45 | $5.63 – $56.29 | 11 |
| Desoxycorticosterone CPT 82633 | $184.14 | $279.00 | $30.98 – $69.71 | 16 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | $2,769.36 | $4,196.00 | $4,196.00 – $4,447.76 | 7 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $17,216.76 | $26,086.00 | $7,524.72 – $7,976.20 | 7 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | $2,469.72 | $3,742.00 | $3,742.00 – $3,966.52 | 7 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | not published | 0 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | not published | 0 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | not published | 0 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | not published | 0 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | not published | 0 |
| Destruction benign lesions < 14 lesions CPT 17110 | $229.68 | $348.00 | $75.67 – $438.49 | 14 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | not published | 0 |
| Devel tst phys/qhp 1st hr CPT 96112 | $234.30 | $355.00 | $124.98 – $283.71 | 14 |
| Device ablt adv novasure HCPCS C1886 | $3,335.64 | $5,054.00 | $246.09 – $246.09 | 1 |
| Device intraute mirena HCPCS J7298 | $2,190.05 | $3,318.25 | $208.24 – $2,519.43 | 9 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $2.64 | $4.00 | $0.02 – $0.11 | 5 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $8.09 | $12.25 | $0.18 – $0.20 | 5 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $858.00 | $1,300.00 | $58.01 – $282.37 | 16 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $69.96 | $106.00 | $9.98 – $12.75 | 2 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $69.96 | $106.00 | $2.86 – $3.13 | 5 |
| Dextrose 5 % IV bolus HCPCS J7070 | $69.96 | $106.00 | $4.85 – $5.71 | 5 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $134.64 | $204.00 | $22.23 – $50.02 | 16 |
| Diabetes (HbA1c) Test CPT 83036 | $62.70 | $95.00 | $9.71 – $21.85 | 16 |
| Diag laparo separate proc 49320 CPT 49320 | 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.