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 |
|---|---|---|---|---|
| Endovasc visc aorta 3 graft CPT 34843 | $28,445.34 | $43,099.00 | $7,524.72 – $7,976.20 | 7 |
| Endovasc visc aorta 4 graft CPT 34844 | $30,691.32 | $46,502.00 | $7,524.72 – $7,976.20 | 7 |
| Endovas iliac a device addon CPT 34808 | $336.60 | $510.00 | $510.00 – $540.60 | 7 |
| Endovenous laser vein addon 36479 CPT 36479 | not published | not published | not published | 0 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | not published | 0 |
| Endovenous rf abl vein addl CPT 36476 | not published | not published | not published | 0 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $10.78 | $16.33 | $0.87 – $0.99 | 5 |
| Enzyme histochemistry CPT 88319 | $943.80 | $1,430.00 | $60.31 – $1,760.81 | 16 |
| Ep & ablate supravent arrhyt CPT 93653 | $17,666.22 | $26,767.00 | $8,011.46 – $57,124.24 | 14 |
| Ep & ablate ventric tachy CPT 93654 | $17,666.22 | $26,767.00 | $8,011.46 – $57,124.24 | 14 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $1,665.18 | $2,523.00 | $113.00 – $4,509.30 | 14 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | $180.18 | $273.00 | $113.00 – $289.38 | 9 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | $2,220.24 | $3,364.00 | $113.00 – $4,509.30 | 14 |
| Epidrm autogrft t/a/l add-on CPT 15111 | $180.18 | $273.00 | $113.00 – $289.38 | 9 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $829.62 | $1,257.00 | $350.17 – $371.18 | 7 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $6.70 | $10.15 | $4.95 – $5.37 | 4 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $7.29 | $11.05 | $2.28 – $2.47 | 4 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $10.78 | $16.33 | $0.71 – $0.77 | 4 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $7.10 | $10.76 | $1.83 – $1.99 | 4 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $6,502.98 | $9,853.00 | $776.38 – $7,074.73 | 14 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $72.51 | $109.86 | $7.57 – $41.69 | 16 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $54.50 | $82.57 | $7.74 – $56.29 | 16 |
| Epstein barr early antigen antibody CPT 86663 | $89.10 | $135.00 | $13.12 – $29.52 | 16 |
| Epstein barr nuclear antigen antibody CPT 86664 | $99.00 | $150.00 | $15.29 – $34.40 | 16 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $118.14 | $179.00 | $18.14 – $40.82 | 16 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $190.31 | $288.35 | $3.52 – $17.44 | 16 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $37.65 | $57.04 | $20.50 – $57.04 | 16 |
| Ercp biliary & pancreas CPT 74330 | $1,215.06 | $1,841.00 | $46.34 – $495.60 | 11 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $6,875.22 | $10,417.00 | $456.60 – $13,267.94 | 16 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $228.12 | $345.63 | $15.11 – $18.26 | 5 |
| ER Visit (level 1, minor) CPT 99281 | $136.62 | $207.00 | $81.91 – $184.29 | 9 |
| ER Visit (level 2) CPT 99282 | $273.24 | $414.00 | $149.14 – $335.57 | 9 |
| ER Visit (level 3) CPT 99283 | $839.52 | $1,272.00 | $265.15 – $596.59 | 9 |
| ER Visit (level 4) CPT 99284 | $1,259.28 | $1,908.00 | $405.30 – $911.93 | 9 |
| ER Visit (level 5, high severity) CPT 99285 | $1,723.92 | $2,612.00 | $578.46 – $1,301.53 | 9 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $360.72 | $546.55 | $33.26 – $118.64 | 5 |
| Escharotomy ea addl incision CPT 16036 | $207.24 | $314.00 | $174.99 – $185.49 | 7 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $3.25 | $4.93 | $0.68 – $0.73 | 5 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $16.17 | $24.50 | $0.35 – $0.44 | 5 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | not published | 0 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | not published | 0 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | not published | 0 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | not published | 0 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | not published | 0 |
| Establish access to aorta CPT 36160 | $374.22 | $567.00 | $313.47 – $332.28 | 7 |
| Establish access to artery CPT 36100 | $1,450.68 | $2,198.00 | $313.47 – $332.28 | 7 |
| Established Patient Office Visit (level 1) CPT 99211 | $321.42 | $487.00 | $113.00 – $154.00 | 3 |
| Established Patient Office Visit (level 2) CPT 99212 | $199.32 | $302.00 | $113.00 – $154.00 | 3 |
| Established Patient Office Visit (level 3) CPT 99213 | $243.54 | $369.00 | $113.00 – $154.00 | 3 |
| Established Patient Office Visit (level 4) CPT 99214 | $268.62 | $407.00 | $113.00 – $154.00 | 3 |
| Established Patient Office Visit (level 5) CPT 99215 | $339.24 | $514.00 | $113.00 – $154.00 | 3 |
| Estradiol total CPT 82670 | $170.94 | $259.00 | $27.94 – $62.87 | 16 |
| Estrogens total-sendout CPT 82672 | $134.64 | $204.00 | $21.70 – $48.83 | 16 |
| Ethylene glycol -sendout CPT 82693 | $321.42 | $487.00 | $7.95 – $33.53 | 16 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $6.12 | $9.27 | $1.72 – $1.92 | 5 |
| Evacuate mole of uterus CPT 59870 | not published | not published | not published | 0 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $396.00 | $600.00 | $90.57 – $220.75 | 16 |
| Evaluation heart device CPT 93640 | $2,523.84 | $3,824.00 | $1,308.14 – $3,095.63 | 10 |
| Evaluation of speech fluency 92521 CPT 92521 | $181.50 | $275.00 | $103.44 – $293.85 | 16 |
| Evaluation psychiatric diagnostic CPT 90791 | $232.32 | $352.00 | $113.84 – $387.92 | 14 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $1,701.48 | $2,578.00 | $2,578.00 – $2,732.68 | 7 |
| Evasc prlng admn rx agnt add CPT 61651 | $866.58 | $1,313.00 | $1,313.00 – $1,391.78 | 7 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $17,216.76 | $26,086.00 | $7,524.72 – $7,976.20 | 7 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $17,216.76 | $26,086.00 | $7,524.72 – $7,976.20 | 7 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $23,954.04 | $36,294.00 | $7,524.72 – $7,976.20 | 7 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $23,954.04 | $36,294.00 | $7,524.72 – $7,976.20 | 7 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $7,485.72 | $11,342.00 | $7,524.72 – $7,976.20 | 7 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $17,216.76 | $26,086.00 | $7,524.72 – $7,976.20 | 7 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $23,954.04 | $36,294.00 | $7,524.72 – $7,976.20 | 7 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $17,216.76 | $26,086.00 | $7,524.72 – $7,976.20 | 7 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $23,954.04 | $36,294.00 | $7,524.72 – $7,976.20 | 7 |
| Event monitor CPT 93270 | $231.00 | $350.00 | $19.12 – $350.00 | 16 |
| Evoked oa emissions ltd CPT 92587 | $359.70 | $545.00 | $36.61 – $471.90 | 16 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $174.90 | $265.00 | $14.00 – $83.70 | 10 |
| Evoked potentials upper limbs CPT 95925 | $906.18 | $1,373.00 | $60.77 – $885.08 | 16 |
| Evoked potential visual not glaucoma CPT 95930 | $1,431.54 | $2,169.00 | $60.77 – $885.08 | 16 |
| Ewho w/joint(s) cf HCPCS L3764 | $573.54 | $869.00 | $869.00 – $1,967.74 | 9 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | not published | 0 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | not published | 0 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | not published | 0 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | not published | 0 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | not published | 0 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | not published | not published | not published | 0 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | not published | 0 |
| Exc face tum deep < 2 cm CPT 21013 | not published | not published | not published | 0 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | not published | not published | not published | 0 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | not published | not published | not published | 0 |
| Exchange biliary drg cath CPT 47536 | $3,544.20 | $5,370.00 | $246.25 – $7,824.96 | 16 |
| Exchange drainage catheter CPT 49423 | $2,191.20 | $3,320.00 | $131.98 – $4,193.77 | 16 |
| Exchange lens prosthesis CPT 66986 | not published | not published | not published | 0 |
| Exchange nephrostomy cath CPT 50435 | $2,955.48 | $4,478.00 | $187.92 – $4,568.53 | 16 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | not published | not published | not published | 0 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | 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.