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 |
|---|---|---|---|---|
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $147.84 | $224.00 | $7.73 – $17.39 | 16 |
| Fetal hemoglobin rosette CPT 85461 | $59.40 | $90.00 | $9.33 – $21.06 | 16 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $131.34 | $199.00 | $6.82 – $43.47 | 16 |
| Fetal non stress test CPT 59025 | $413.82 | $627.00 | $88.72 – $452.28 | 16 |
| #_fet/norfentcnfrmur CPT 80354 | $126.06 | $191.00 | $5.17 – $114.60 | 10 |
| Fibrin degradation d dimer quantitative CPT 85379 | $68.64 | $104.00 | $10.18 – $22.91 | 16 |
| Fibrin degradation products CPT 85362 | $47.52 | $72.00 | $6.89 – $15.50 | 16 |
| Fibrinogen activity CPT 85384 | $68.64 | $104.00 | $9.72 – $21.87 | 16 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $294.36 | $446.00 | $7.27 – $34.83 | 16 |
| Fibrinolytic antiplasmin CPT 85410 | $178.86 | $271.00 | $7.71 – $17.35 | 16 |
| Fibrinolytic plasminogen CPT 85415 | $220.44 | $334.00 | $17.19 – $38.68 | 16 |
| Fibrinolytic plasminogen CPT 85421 | $126.06 | $191.00 | $10.18 – $22.91 | 16 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $207.90 | $315.00 | $6.53 – $14.69 | 16 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $984.95 | $1,492.35 | $1.00 – $91.46 | 16 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $1,095.17 | $1,659.35 | $0.35 – $56.29 | 16 |
| Filleted finger/toe flap CPT 14350 | not published | not published | not published | 0 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $2,325.84 | $3,524.00 | $1,948.77 – $1,948.77 | 1 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $1,087.02 | $1,647.00 | $313.03 – $1,547.62 | 14 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $543.84 | $824.00 | $313.03 – $331.81 | 7 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $543.84 | $824.00 | $313.03 – $331.81 | 7 |
| Fixation of knee joint CPT 27570 | not published | not published | not published | 0 |
| Fix g/colon tube w/device CPT 49460 | $1,083.06 | $1,641.00 | $94.57 – $1,982.21 | 16 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | not published | 0 |
| Flecainide (tambocor)-sendout CPT 80181 | $21.78 | $33.00 | $14.91 – $41.94 | 16 |
| Fl exam g/colon tube w contrast CPT 49465 | $499.62 | $757.00 | $54.25 – $521.46 | 16 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | not published | 0 |
| Flow cytometry marker each additional CPT 88185 | $258.06 | $391.00 | $12.20 – $63.00 | 11 |
| Flow cytometry one marker technical component CPT 88184 | $416.46 | $631.00 | $67.75 – $783.38 | 16 |
| #flow interp 9 - 15 markers CPT 88188 | $263.34 | $399.00 | $12.20 – $239.40 | 11 |
| Flt3 gene CPT 81245 | $247.50 | $375.00 | $132.74 – $372.40 | 16 |
| Flt3 gene analysis CPT 81246 | $207.90 | $315.00 | $83.00 – $186.75 | 16 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $64.25 | $97.35 | $4.17 – $8.02 | 5 |
| Fluidotherapy charges pt CPT 97022 | $77.22 | $117.00 | $14.71 – $117.00 | 16 |
| Fluorescent antibody titer dna CPT 86256 | $297.00 | $450.00 | $12.05 – $27.11 | 16 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $568.92 | $862.00 | $92.68 – $495.60 | 11 |
| Fluoroguide needle placement CPT 77002 | $517.44 | $784.00 | $0.01 – $0.01 | 11 |
| Fluoro polarize fetal lung CPT 83663 | $434.94 | $659.00 | $13.65 – $42.55 | 16 |
| Fluoroscopy up to 1 hour CPT 76000 | $517.44 | $784.00 | $54.25 – $521.46 | 16 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $83.95 | $127.20 | $3.20 – $5.47 | 5 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,087.02 | $1,647.00 | $313.03 – $1,547.62 | 14 |
| Fna bx w/ct gdn ea addl CPT 10010 | $543.84 | $824.00 | $313.03 – $331.81 | 7 |
| Folic acid CPT 82746 | $89.76 | $136.00 | $14.70 – $33.08 | 16 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $0.36 | $0.54 | $0.08 – $0.09 | 4 |
| Follow-up angiography CPT 75898 | $3,161.40 | $4,790.00 | $86.90 – $6,900.67 | 16 |
| Follow-up surgery of eye CPT 66250 | not published | not published | not published | 0 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $37.42 | $56.70 | $6.43 – $37.23 | 16 |
| Fondaparinux sodium HCPCS J1652 | $29.94 | $45.37 | $1.45 – $1.84 | 5 |
| Fo nontorsion joint cf HCPCS L3935 | $170.28 | $258.00 | $249.26 – $560.83 | 9 |
| Foot drp splt w/exp heel lg HCPCS L4398 | $118.80 | $180.00 | $111.94 – $251.86 | 9 |
| Foot X-ray CPT 73630 | $335.94 | $509.00 | $25.74 – $456.60 | 16 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $711.48 | $1,078.00 | $184.96 – $546.04 | 14 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $6.28 | $9.51 | $0.18 – $0.29 | 5 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $56.96 | $86.30 | $1.34 – $3.02 | 11 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | not published | 0 |
| Frenectomy 41115 CPT 41115 | not published | not published | not published | 0 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $1,226.28 | $1,858.00 | $57.42 – $165.98 | 14 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $188.76 | $286.00 | $38.65 – $193.46 | 14 |
| Fresh frozen plasma thawing ea un CPT 86927 | $198.00 | $300.00 | $30.87 – $372.34 | 16 |
| Fructosamine glycated protein CPT 82985 | $72.60 | $110.00 | $16.62 – $37.71 | 16 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | not published | 0 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $3,930.30 | $5,955.00 | $890.03 – $4,509.30 | 14 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $3,976.50 | $6,025.00 | $890.03 – $4,509.30 | 14 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $16.17 | $24.50 | $0.03 – $0.04 | 4 |
| Fusion of ankle joint open CPT 27870 | not published | not published | not published | 0 |
| Fusion of big toe joint CPT 28750 | not published | not published | not published | 0 |
| Fusion of big toe joint CPT 28755 | not published | not published | not published | 0 |
| Fusion of foot bones CPT 28730 | not published | not published | not published | 0 |
| Fusion of foot bones CPT 28740 | not published | not published | not published | 0 |
| Gabapentin non-blood CPT 80355 | $36.30 | $55.00 | $5.17 – $39.00 | 10 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $24.18 | $36.63 | $24.34 – $26.40 | 5 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $224.40 | $340.00 | $21.07 – $47.41 | 16 |
| Galectin-3 CPT 82777 | $147.84 | $224.00 | $24.14 – $99.56 | 16 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | not published | 0 |
| Gammaglobulin iga CPT 82784 | $54.12 | $82.00 | $9.30 – $20.93 | 16 |
| Gammaglobulin ige CPT 82785 | $99.00 | $150.00 | $16.46 – $37.04 | 16 |
| Gamma glutamyltransferase CPT 82977 | $44.22 | $67.00 | $7.20 – $16.20 | 16 |
| Gamunex-c/gammaked HCPCS J1561 | $135.48 | $205.27 | $49.08 – $201.48 | 16 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $333.17 | $504.80 | $54.42 – $60.00 | 5 |
| Gastroesophageal reflux study CPT 78262 | $731.28 | $1,108.00 | $168.45 – $1,108.00 | 16 |
| Gastroesophageal reflux test CPT 91034 | $790.68 | $1,198.00 | $178.30 – $815.54 | 14 |
| Gastro/jejuno tube, std HCPCS B4087 | $40.92 | $62.00 | $32.74 – $34.29 | 2 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $71.12 | $107.75 | $5.61 – $6.43 | 5 |
| General health panel CPT 80050 | $300.30 | $455.00 | $3.37 – $273.00 | 11 |
| Genetic tstg severe inh cond CPT 81443 | $3,915.78 | $5,933.00 | $2,448.56 – $5,509.26 | 16 |
| Genome sequence analysis CPT 81425 | $5,811.30 | $8,805.00 | $866.06 – $11,320.20 | 16 |
| Genome sequence analysis CPT 81426 | $3,129.72 | $4,742.00 | $866.06 – $6,097.39 | 16 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $32.34 | $49.00 | $3.52 – $3.88 | 5 |
| Gentamicin peak therapeutic drug level CPT 80170 | $138.60 | $210.00 | $16.38 – $36.86 | 16 |
| Ghs abscess perianal iandd CPT 46050 | $1,087.02 | $1,647.00 | $659.22 – $2,032.42 | 14 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $554.40 | $840.00 | $102.26 – $230.09 | 16 |
| Ghs antibodies (torch) igm CPT 86694 | $97.68 | $148.00 | $14.39 – $32.38 | 16 |
| Ghs aspiration bladder - needle CPT 51100 | $365.64 | $554.00 | $73.78 – $546.04 | 16 |
| Ghs bladder cath - complex-foley CPT 51703 | $335.94 | $509.00 | $39.48 – $281.21 | 14 |
| Ghs bleeding time (ivy) CPT 85002 | $114.18 | $173.00 | $4.77 – $10.85 | 16 |
| Ghs central line insert < age 5, failed CPT 36555 | $3,635.28 | $5,508.00 | $502.95 – $6,900.67 | 14 |
| Ghs change cysto/gastrost CPT 43762 | $701.58 | $1,063.00 | $178.30 – $546.04 | 14 |
| Ghs chemo >8 hrs CPT 96416 | $772.20 | $1,170.00 | $128.33 – $1,170.00 | 16 |
| Ghs chemo IV push, ea addtl CPT 96411 | $287.76 | $436.00 | $21.23 – $436.00 | 16 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $198.66 | $301.00 | $35.09 – $78.95 | 16 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $780.78 | $1,183.00 | $210.86 – $539.09 | 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.