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 |
|---|---|---|---|---|
| Ghs closed reduction ankle dislocation CPT 27840 | $543.84 | $824.00 | $210.86 – $539.09 | 14 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,607.10 | $2,435.00 | $210.86 – $3,514.26 | 14 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $593.34 | $899.00 | $210.86 – $539.09 | 14 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $3,861.00 | $5,850.00 | $210.86 – $3,514.26 | 14 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | not published | 0 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $4,391.64 | $6,654.00 | $210.86 – $3,514.26 | 14 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $4,012.14 | $6,079.00 | $210.86 – $3,514.26 | 14 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $549.78 | $833.00 | $210.86 – $539.09 | 14 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $701.58 | $1,063.00 | $210.86 – $539.09 | 14 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $460.68 | $698.00 | $34.53 – $976.31 | 14 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $352.44 | $534.00 | $17.26 – $145.39 | 14 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $460.68 | $698.00 | $34.53 – $976.31 | 14 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $372.90 | $565.00 | $34.53 – $290.78 | 14 |
| Ghs cricothyroidotomy CPT 31605 | $1,202.52 | $1,822.00 | $230.06 – $998.92 | 14 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $79.86 | $121.00 | $8.17 – $34.22 | 16 |
| Ghs dislocation elbow closed treatment CPT 24600 | $529.32 | $802.00 | $105.43 – $269.55 | 14 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $892.32 | $1,352.00 | $330.73 – $1,982.21 | 14 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,186.68 | $1,798.00 | $350.17 – $1,542.70 | 14 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $2,522.52 | $3,822.00 | $151.90 – $471.90 | 16 |
| Ghs excision ingrown nail CPT 11765 | $461.34 | $699.00 | $30.48 – $888.44 | 14 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $486.42 | $737.00 | $132.45 – $693.69 | 14 |
| Ghs fb removal - incisional CPT 10121 | $3,562.68 | $5,398.00 | $554.36 – $3,609.56 | 14 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $38.28 | $58.00 | $6.98 – $15.71 | 16 |
| Ghs fish cytogen CPT 88271 | $607.20 | $920.00 | $20.36 – $48.20 | 16 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $477.84 | $724.00 | $51.19 – $115.18 | 16 |
| Ghs gastric intub aspiration lavage CPT 43753 | $583.44 | $884.00 | $209.73 – $471.90 | 9 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $144.54 | $219.00 | $15.49 – $34.85 | 16 |
| Ghs hgb stability-thal CPT 83068 | $97.02 | $147.00 | $9.47 – $21.31 | 16 |
| Ghs histoplasma antigen CPT 87385 | $129.36 | $196.00 | $13.25 – $29.81 | 16 |
| Ghs HIV antibody CPT 86703 | $89.10 | $135.00 | $13.71 – $30.85 | 16 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $2,366.10 | $3,585.00 | $1,084.66 – $4,568.53 | 14 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $2,471.04 | $3,744.00 | $659.22 – $2,615.26 | 14 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $2,373.36 | $3,596.00 | $491.72 – $1,547.62 | 14 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $706.86 | $1,071.00 | $75.67 – $1,547.62 | 14 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $434.28 | $658.00 | $242.69 – $658.00 | 14 |
| Ghs inf midline insertion CPT 36140 | $1,344.42 | $2,037.00 | $313.47 – $332.28 | 7 |
| Ghs inhibitor screen CPT 85335 | $441.54 | $669.00 | $12.87 – $28.96 | 16 |
| Ghs init tx 1st degree burn CPT 16000 | $229.68 | $348.00 | $83.55 – $438.49 | 14 |
| Ghs inj tendon origin/insertion CPT 20551 | $395.34 | $599.00 | $73.45 – $670.84 | 16 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $721.38 | $1,093.00 | $350.17 – $371.18 | 7 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,413.72 | $2,142.00 | $350.17 – $1,933.01 | 14 |
| Ghs insertion of needle - bone CPT 36680 | $533.94 | $809.00 | $112.84 – $976.31 | 14 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $840.18 | $1,273.00 | $174.99 – $888.44 | 14 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $898.92 | $1,362.00 | $174.99 – $1,615.24 | 14 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $1,186.68 | $1,798.00 | $174.99 – $4,509.30 | 14 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $97.02 | $147.00 | $17.30 – $147.00 | 11 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $413.82 | $627.00 | $39.48 – $546.04 | 14 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $107.58 | $163.00 | $18.19 – $102.34 | 14 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $606.54 | $919.00 | $450.00 – $477.00 | 7 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $651.42 | $987.00 | $450.00 – $477.00 | 7 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $904.86 | $1,371.00 | $135.03 – $143.13 | 7 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $528.00 | $800.00 | $135.03 – $721.88 | 14 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $513.48 | $778.00 | $77.65 – $976.31 | 14 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $642.18 | $973.00 | $174.99 – $888.44 | 14 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $583.44 | $884.00 | $174.99 – $888.44 | 14 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $715.44 | $1,084.00 | $174.99 – $888.44 | 14 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $783.42 | $1,187.00 | $174.99 – $888.44 | 14 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $642.18 | $973.00 | $174.99 – $888.44 | 14 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $792.66 | $1,201.00 | $174.99 – $888.44 | 14 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $770.22 | $1,167.00 | $174.99 – $888.44 | 14 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $711.48 | $1,078.00 | $174.99 – $1,615.24 | 14 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $809.82 | $1,227.00 | $174.99 – $888.44 | 14 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $840.18 | $1,273.00 | $174.99 – $1,615.24 | 14 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $865.26 | $1,311.00 | $174.99 – $888.44 | 14 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $898.92 | $1,362.00 | $174.99 – $1,615.24 | 14 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $898.92 | $1,362.00 | $174.99 – $888.44 | 14 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $2,112.66 | $3,201.00 | $174.99 – $4,509.30 | 14 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,186.68 | $1,798.00 | $174.99 – $888.44 | 14 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $123.42 | $187.00 | $8.60 – $19.35 | 16 |
| Ghs mbp CPT 83873 | $89.76 | $136.00 | $17.20 – $38.70 | 16 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $351.12 | $532.00 | $10.42 – $294.20 | 8 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $351.12 | $532.00 | $10.42 – $294.20 | 8 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $351.12 | $532.00 | $10.42 – $294.20 | 8 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $74.58 | $113.00 | $10.42 – $62.49 | 8 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $74.58 | $113.00 | $10.42 – $62.49 | 8 |
| Ghs musc test done w/n test comp CPT 95886 | $209.22 | $317.00 | $60.77 – $317.00 | 10 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $161.70 | $245.00 | $60.77 – $245.00 | 10 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $161.70 | $245.00 | $60.77 – $245.00 | 10 |
| Ghs nailbed repair/nail removal CPT 11760 | $657.36 | $996.00 | $30.48 – $1,615.24 | 14 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,028.28 | $1,558.00 | $586.55 – $1,933.01 | 14 |
| Ghs nerve blk intercostal, single level CPT 64420 | $799.92 | $1,212.00 | $182.86 – $1,542.70 | 14 |
| Ghs nerve block axillary nerve CPT 64417 | $1,028.28 | $1,558.00 | $182.86 – $1,933.01 | 14 |
| Ghs nerve block brachial plexus CPT 64415 | $949.74 | $1,439.00 | $586.55 – $1,933.01 | 14 |
| Ghs nerve block interscaline CPT 64510 | $1,314.72 | $1,992.00 | $586.55 – $1,933.01 | 16 |
| Ghs ng placement w fluoro guidance CPT 43752 | $460.68 | $698.00 | $75.17 – $976.31 | 16 |
| Ghs o2 saturation CPT 82810 | $121.44 | $184.00 | $9.77 – $21.98 | 16 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $261.36 | $396.00 | $21.23 – $221.81 | 16 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,656.60 | $2,510.00 | $337.86 – $1,370.97 | 14 |
| Ghs opcc repair cvp w subq port CPT 36576 | $3,016.86 | $4,571.00 | $337.86 – $3,440.31 | 14 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $66.00 | $100.00 | $13.88 – $47.19 | 14 |
| Ghs ot group caregiver training CPT 97552 | $43.56 | $66.00 | $21.22 – $47.75 | 14 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $67.32 | $102.00 | $17.51 – $132.05 | 16 |
| Ghs pacing - transcutaneous CPT 92953 | $1,087.02 | $1,647.00 | $284.06 – $1,444.49 | 14 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $369.60 | $560.00 | $350.17 – $371.18 | 7 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $395.34 | $599.00 | $350.17 – $371.18 | 7 |
| Ghs peritonsillar abscess i andd CPT 42700 | $583.44 | $884.00 | $77.65 – $517.64 | 14 |
| Ghs phenylketonurid CPT 84030 | $170.94 | $259.00 | $5.50 – $12.38 | 16 |
| Ghs picc line insert < 5 CPT 36568 | $1,794.54 | $2,719.00 | $502.95 – $3,440.31 | 14 |
| Ghs plngl fx pm cl CPT 26725 | $701.58 | $1,063.00 | $210.86 – $539.09 | 14 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $4,039.86 | $6,121.00 | $362.33 – $1,876.77 | 16 |
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.