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 |
|---|---|---|---|---|
| Implant cochlear device CPT 69930 | not published | not published | not published | 0 |
| Implant neuroelectrodes CPT 63655 | not published | not published | not published | 0 |
| Implant neuroelectrodes CPT 64561 | not published | not published | not published | 0 |
| Implant neurostim arrays CPT 61886 | not published | not published | not published | 0 |
| Implant spine infusion pump CPT 62362 | not published | not published | not published | 0 |
| Implant ureth bulk agent HCPCS L8606 | $1,442.10 | $2,185.00 | $158.03 – $167.51 | 7 |
| Impl neurostim electr perc CPT 63650 | not published | not published | not published | 0 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | not published | 0 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | not published | 0 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | not published | 0 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $2,046.00 | $3,100.00 | $113.00 – $3,609.56 | 14 |
| Incision of achilles tendon CPT 27605 | not published | not published | not published | 0 |
| Incision of achilles tendon CPT 27606 | not published | not published | not published | 0 |
| Incision of anal sphincter CPT 46080 | not published | not published | not published | 0 |
| Incision of breast lesion CPT 19020 | $2,460.48 | $3,728.00 | $609.80 – $3,609.56 | 14 |
| Incision of burn scab initi CPT 16035 | $461.34 | $699.00 | $174.99 – $888.44 | 14 |
| Incision of eardrum CPT 69420 | $584.10 | $885.00 | $77.65 – $517.64 | 14 |
| Incision of eardrum CPT 69421 | not published | not published | not published | 0 |
| Incision of foot fascia CPT 28008 | not published | not published | not published | 0 |
| Incision of metatarsal CPT 28308 | not published | not published | not published | 0 |
| Incision of prostate CPT 52450 | not published | not published | not published | 0 |
| Incision of rectal abscess CPT 46060 | not published | not published | not published | 0 |
| Incision of tibia & fibula CPT 27709 | not published | not published | not published | 0 |
| Incision of tongue fold CPT 41010 | not published | not published | not published | 0 |
| Incision of urethra CPT 53020 | not published | not published | not published | 0 |
| Incision secondary cataract CPT 66820 | not published | not published | not published | 0 |
| Incision tendon sheath CPT 26055 | not published | not published | not published | 0 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | $48.71 | $73.80 | $9.30 – $20.93 | 9 |
| Infect ag drug suscept pheno predict CPT 87900 | $143.22 | $217.00 | $130.35 – $293.29 | 16 |
| Infect ag eia influenza a or b ea CPT 87400 | $71.94 | $109.00 | $8.66 – $31.79 | 16 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $86.46 | $131.00 | $131.00 – $294.75 | 16 |
| Infect ag ia optc obs influenza CPT 87804 | $85.14 | $129.00 | $16.55 – $37.24 | 16 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $75.24 | $114.00 | $8.66 – $26.96 | 16 |
| Infect ag if influenza a CPT 87276 | $96.36 | $146.00 | $16.07 – $36.16 | 16 |
| Infect ag if influenza b CPT 87275 | $96.36 | $146.00 | $12.25 – $27.56 | 16 |
| Infect ag if legionella pneumophila CPT 87278 | $59.40 | $90.00 | $15.60 – $35.10 | 16 |
| Infect ag if pneumocystis carinii CPT 87281 | $99.00 | $150.00 | $11.98 – $26.96 | 16 |
| Infect ag if varicella zoster CPT 87290 | $96.36 | $146.00 | $13.42 – $30.20 | 16 |
| Infect ag na herpes simplex quant CPT 87530 | $178.86 | $271.00 | $42.84 – $96.39 | 16 |
| Infect ag na hpv high-risk types CPT 87624 | $138.60 | $210.00 | $35.09 – $78.95 | 16 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $87.12 | $132.00 | $15.93 – $115.45 | 16 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $911.46 | $1,381.00 | $416.78 – $937.76 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $96.36 | $146.00 | $11.98 – $26.96 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $96.36 | $146.00 | $13.42 – $30.20 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $42.90 | $65.00 | $13.82 – $31.10 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $59.40 | $90.00 | $11.98 – $26.96 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $118.14 | $179.00 | $14.38 – $32.36 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $68.64 | $104.00 | $10.33 – $23.24 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $68.64 | $104.00 | $10.33 – $23.24 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $99.00 | $150.00 | $24.08 – $54.18 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $316.80 | $480.00 | $11.98 – $26.96 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $68.64 | $104.00 | $11.98 – $26.96 | 16 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $495.00 | $750.00 | $35.09 – $78.95 | 16 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $217.14 | $329.00 | $35.09 – $78.95 | 16 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $237.60 | $360.00 | $37.27 – $83.86 | 16 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,684.32 | $2,552.00 | $333.42 – $937.76 | 16 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $158.40 | $240.00 | $35.09 – $78.95 | 16 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $199.32 | $302.00 | $35.09 – $78.95 | 16 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $198.00 | $300.00 | $41.68 – $93.78 | 16 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $237.60 | $360.00 | $35.09 – $78.95 | 16 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $126.06 | $191.00 | $51.31 – $115.45 | 16 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $317.46 | $481.00 | $142.63 – $320.92 | 16 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $363.00 | $550.00 | $142.63 – $320.92 | 16 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $219.12 | $332.00 | $35.09 – $78.95 | 16 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $150.48 | $228.00 | $35.09 – $78.95 | 16 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $198.00 | $300.00 | $76.77 – $172.73 | 11 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $833.58 | $1,263.00 | $416.78 – $937.76 | 16 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $388.08 | $588.00 | $128.29 – $288.65 | 16 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $535.26 | $811.00 | $232.94 – $591.73 | 16 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $287.76 | $436.00 | $42.84 – $96.39 | 16 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $327.36 | $496.00 | $42.84 – $96.39 | 16 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $287.76 | $436.00 | $42.84 – $96.39 | 16 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $287.76 | $436.00 | $85.10 – $191.48 | 16 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $425.70 | $645.00 | $140.78 – $320.92 | 16 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $226.60 | $343.34 | $32.42 – $343.34 | 16 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $97.02 | $147.00 | $23.81 – $147.00 | 16 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $183.62 | $278.21 | $18.12 – $278.21 | 16 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $234.96 | $356.00 | $26.43 – $478.57 | 16 |
| Initiation & management bipap/cpap initial day CPT 94660 | $428.34 | $649.00 | $60.95 – $478.57 | 16 |
| Inj, acetaminophen (b braun) HCPCS J0136 | $0.40 | $0.60 | $0.08 – $0.09 | 5 |
| Inj acetaminophen -fresenius HCPCS J0134 | $0.47 | $0.71 | $0.08 – $0.11 | 5 |
| Inj, acetaminophen (hikma) HCPCS J0137 | $0.59 | $0.89 | $0.08 – $0.09 | 5 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $35.19 | $53.32 | $18.34 – $53.32 | 16 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | $100.10 | $151.66 | $56.18 – $151.66 | 16 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | $58.24 | $88.24 | $32.10 – $72.23 | 11 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | $151.15 | $229.01 | $81.30 – $229.01 | 16 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $486.24 | $736.73 | $163.97 – $736.73 | 16 |
| Inj, bupivacaine liposome HCPCS J0666 | $7.30 | $11.06 | $1.44 – $3.24 | 11 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $7.13 | $10.80 | $1.45 – $1.80 | 5 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $5.39 | $8.17 | $1.45 – $1.58 | 4 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | $56.96 | $86.30 | $9.67 – $10.69 | 5 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $6.27 | $9.50 | $2.42 – $9.50 | 16 |
| Inj ceftolozane tazobactam HCPCS J0695 | $28.66 | $43.42 | $8.95 – $43.42 | 16 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $583.44 | $884.00 | $76.14 – $495.60 | 11 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | $9.67 | $14.65 | $3.84 – $8.64 | 11 |
| Inj disk cerv-thor ea lev CPT 62291 | $1,087.68 | $1,648.00 | $150.14 – $495.60 | 11 |
| Inj dx for sinogram CPT 20501 | $413.82 | $627.00 | $69.13 – $495.60 | 11 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $611.16 | $926.00 | $128.68 – $495.60 | 11 |
| Injection, cangrelor HCPCS C9460 | $49.96 | $75.69 | $19.94 – $75.69 | 16 |
| Injection, daratumumab 10 mg HCPCS J9145 | $238.55 | $361.44 | $70.79 – $340.24 | 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.