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 |
|---|---|---|---|---|
| Amitriptyline (elavil) -sendout CPT 80335 | $62.70 | $95.00 | $5.17 – $39.00 | 10 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $40.97 | $62.07 | $22.56 – $62.07 | 16 |
| Ammonia CPT 82140 | $89.76 | $136.00 | $14.57 – $32.78 | 16 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $1,005.84 | $1,524.00 | $145.43 – $2,012.95 | 16 |
| Amphetamine confirm urine -sendout CPT 80324 | $62.70 | $95.00 | $5.17 – $39.00 | 10 |
| Amphetamines 5 or more CPT 80326 | $42.90 | $65.00 | $5.17 – $39.00 | 10 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $243.54 | $369.00 | $71.43 – $79.73 | 5 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $199.16 | $301.76 | $20.72 – $268.96 | 16 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $32.34 | $49.00 | $0.97 – $1.50 | 5 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $38.86 | $58.88 | $2.19 – $3.30 | 5 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $347.16 | $526.00 | $262.99 – $591.73 | 11 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | not published | 0 |
| Amputation thru metatarsal CPT 28805 | not published | not published | not published | 0 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | not published | 0 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | not published | 0 |
| Amylase CPT 82150 | $54.12 | $82.00 | $6.48 – $14.58 | 16 |
| Ana ds-dna CPT 86226 | $101.64 | $154.00 | $12.11 – $27.25 | 16 |
| Anal/urinary muscle study CPT 51784 | $217.14 | $329.00 | $60.77 – $281.21 | 14 |
| Anal/urinary muscle study CPT 51785 | $896.94 | $1,359.00 | $60.77 – $546.04 | 14 |
| Analysis gene f2 20210g>a variant CPT 81240 | $237.60 | $360.00 | $53.70 – $147.80 | 16 |
| Analysis gene f5 leiden variant CPT 81241 | $368.28 | $558.00 | $66.70 – $165.08 | 16 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $237.60 | $360.00 | $35.09 – $78.95 | 16 |
| Anca screen with reflex to titer -quest CPT 86021 | $108.90 | $165.00 | $15.05 – $33.86 | 16 |
| An cholangiogram percutaneous compl CPT 47531 | $3,544.20 | $5,370.00 | $132.80 – $7,824.96 | 16 |
| An fluoro guide for cvp CPT 77001 | $465.96 | $706.00 | $92.68 – $495.60 | 11 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $6,632.34 | $10,049.00 | $2,832.02 – $3,001.94 | 7 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $5,580.96 | $8,456.00 | $2,832.02 – $3,001.94 | 7 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $6,585.48 | $9,978.00 | $2,832.02 – $3,001.94 | 7 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $4,266.24 | $6,464.00 | $4,903.29 – $5,197.49 | 7 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $32.47 | $49.20 | $27.21 – $27.21 | 1 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $11,100.54 | $16,819.00 | $2,832.02 – $3,001.94 | 7 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $4,341.48 | $6,578.00 | $2,832.02 – $3,001.94 | 7 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $6,270.66 | $9,501.00 | $1,688.84 – $12,438.90 | 14 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $4,341.48 | $6,578.00 | $2,832.02 – $3,001.94 | 7 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $6,585.48 | $9,978.00 | $1,688.84 – $12,438.90 | 14 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | not published | 0 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | not published | 0 |
| Ankle X-ray CPT 73610 | $315.48 | $478.00 | $25.74 – $456.60 | 16 |
| Anora (draw only) CPT 99001 | $21.12 | $32.00 | $3.92 – $19.20 | 11 |
| Anoscopy CPT 46611 | not published | not published | not published | 0 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | not published | 0 |
| Anoscopy and biopsy CPT 46606 | not published | not published | not published | 0 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | not published | 0 |
| Anoscopy control bleeding 46614 CPT 46614 | not published | not published | not published | 0 |
| Anoscopy remove fb 46608 CPT 46608 | $1,539.12 | $2,332.00 | $451.75 – $2,032.42 | 14 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | not published | 0 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | not published | 0 |
| Antibody CPT 86744 | $36.30 | $55.00 | $8.17 – $35.98 | 16 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $31.02 | $47.00 | $8.17 – $28.98 | 16 |
| Antibody elution rbc reference CPT 86860 | $198.00 | $300.00 | $49.28 – $372.34 | 16 |
| Antibody htlv/hiv confirm test CPT 86689 | $312.18 | $473.00 | $19.35 – $43.54 | 16 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $386.10 | $585.00 | $18.37 – $41.33 | 16 |
| Antibody id rbc panel CPT 86870 | $415.80 | $630.00 | $60.25 – $783.38 | 16 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $73.92 | $112.00 | $8.17 – $28.96 | 16 |
| Antibody screen rbc CPT 86850 | $75.24 | $114.00 | $5.38 – $113.89 | 16 |
| Antibody tetanus CPT 86774 | $99.00 | $150.00 | $14.80 – $33.30 | 16 |
| Antidepressant not specified CPT 80338 | $42.24 | $64.00 | $5.17 – $38.40 | 10 |
| Antiepileptics nos 4-6 CPT 80340 | $73.26 | $111.00 | $5.17 – $66.60 | 10 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $3.00 | $4.55 | $1.49 – $4.55 | 16 |
| Anti mog serum - sendout CPT 86362 | $952.38 | $1,443.00 | $12.05 – $27.11 | 16 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $98.34 | $149.00 | $12.05 – $27.11 | 16 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | not published | 0 |
| Antinuclear antibodies CPT 86038 | $68.64 | $104.00 | $12.09 – $27.20 | 16 |
| Antinuclear antibodies titer CPT 86039 | $79.86 | $121.00 | $11.16 – $25.11 | 16 |
| Antipsychotics nos 7/more CPT 80344 | $15.18 | $23.00 | $5.17 – $14.03 | 10 |
| Antistreptolysin o screen CPT 86063 | $93.06 | $141.00 | $5.77 – $12.98 | 16 |
| Antistreptolysin o titer CPT 86060 | $108.90 | $165.00 | $7.30 – $16.43 | 16 |
| Antithrombin iii activity CPT 85300 | $129.36 | $196.00 | $11.85 – $26.66 | 16 |
| Antithrombin iii injection HCPCS J7197 | $8.12 | $12.31 | $4.05 – $12.31 | 16 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | not published | 0 |
| Aortic dysfunction/dilation CPT 81410 | $2,284.26 | $3,461.00 | $403.20 – $1,134.00 | 16 |
| Apc gene dup/delet variants CPT 81203 | $905.52 | $1,372.00 | $200.00 – $450.00 | 16 |
| Apc gene full sequence CPT 81201 | $905.52 | $1,372.00 | $599.94 – $1,755.00 | 16 |
| Apheresis immunoads slctv CPT 36516 | $5,411.34 | $8,199.00 | $2,033.89 – $9,518.94 | 14 |
| Apheresis plasma CPT 36514 | $3,361.38 | $5,093.00 | $605.11 – $3,403.75 | 14 |
| Apl(pml-rara) quant - sendout CPT 81315 | $861.96 | $1,306.00 | $207.31 – $466.45 | 16 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | not published | 0 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $2,112.66 | $3,201.00 | $890.03 – $4,509.30 | 14 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $786.06 | $1,191.00 | $658.62 – $943.43 | 8 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $323.40 | $490.00 | $270.97 – $519.40 | 8 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $4,228.62 | $6,407.00 | $890.03 – $4,509.30 | 14 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $638.22 | $967.00 | $534.75 – $943.43 | 8 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $342.54 | $519.00 | $287.01 – $550.14 | 8 |
| Application clubfoot cast CPT 29450 | not published | not published | not published | 0 |
| Application finger splntstatic 29130 CPT 29130 | $337.26 | $511.00 | $34.70 – $290.78 | 14 |
| Application long leg splint 29505 CPT 29505 | $384.78 | $583.00 | $34.70 – $355.14 | 14 |
| Application lower leg splint 29515 CPT 29515 | $384.78 | $583.00 | $34.70 – $355.14 | 14 |
| Application multi layer compression below knee (both sides) CPT 29581 | $316.80 | $480.00 | $82.42 – $355.14 | 16 |
| Application of forearm cast 29075 CPT 29075 | $306.90 | $465.00 | $82.42 – $611.27 | 14 |
| Application of long arm cast 29065 CPT 29065 | $306.90 | $465.00 | $82.42 – $611.27 | 14 |
| Application of long leg cast 29345 CPT 29345 | $758.34 | $1,149.00 | $82.42 – $611.27 | 14 |
| Application of paste boot 29580 CPT 29580 | $454.74 | $689.00 | $82.42 – $355.14 | 14 |
| Application short leg cast 29405 CPT 29405 | $384.78 | $583.00 | $82.42 – $611.27 | 14 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $2,112.66 | $3,201.00 | $717.88 – $1,615.24 | 14 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $1,837.44 | $2,784.00 | $717.88 – $1,615.24 | 14 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $62.70 | $95.00 | $11.55 – $95.00 | 16 |
| Appl unipln uni ext fixj sys CPT 20690 | $8,251.32 | $12,502.00 | $1,061.18 – $15,858.44 | 14 |
| Apply forearm splintdynamic 29126 CPT 29126 | $246.18 | $373.00 | $34.70 – $290.78 | 14 |
| Apply hand/wrist cast 29085 CPT 29085 | $231.66 | $351.00 | $82.42 – $355.14 | 14 |
| Apply interstit radiat compl CPT 77778 | $4,075.50 | $6,175.00 | $652.19 – $2,025.50 | 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.