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 |
|---|---|---|---|---|
| Injection during cath supravalvular aortography CPT 93567 | $696.96 | $1,056.00 | $150.14 – $159.15 | 7 |
| Injection epidural blood patch or clot CPT 62273 | $1,087.02 | $1,647.00 | $350.17 – $1,542.70 | 14 |
| Injection for arthrography wrist (both sides) CPT 25246 | $611.16 | $926.00 | $138.91 – $495.60 | 11 |
| Injection for bladder x-ray CPT 51600 | $557.04 | $844.00 | $82.33 – $495.60 | 11 |
| Injection for hip x-ray CPT 27095 | $611.16 | $926.00 | $150.14 – $495.60 | 11 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $611.16 | $926.00 | $94.67 – $495.60 | 11 |
| Injection for tear sac x-ray CPT 68850 | $609.18 | $923.00 | $99.28 – $495.60 | 11 |
| Injection for ureter x-ray CPT 50690 | $568.92 | $862.00 | $133.46 – $495.60 | 11 |
| Injection, fulvestrant HCPCS J9395 | $29.70 | $45.00 | $9.44 – $47.70 | 11 |
| Injection, glucarpidase HCPCS C9293 | $838.89 | $1,271.05 | $448.69 – $1,271.05 | 14 |
| Injection, isavuconazonium HCPCS J1833 | $3.32 | $5.03 | $1.01 – $5.03 | 16 |
| Injection,onabotulinumtoxina HCPCS J0585 | $23.61 | $35.78 | $6.51 – $24.61 | 16 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | not published | not published | not published | 0 |
| Injection, renflexis HCPCS Q5104 | $146.19 | $221.50 | $27.75 – $221.50 | 16 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $1,679.70 | $2,545.00 | $210.33 – $1,542.70 | 16 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $739.86 | $1,121.00 | $586.55 – $1,542.70 | 14 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $799.92 | $1,212.00 | $182.86 – $1,542.70 | 14 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,779.36 | $2,696.00 | $350.17 – $1,933.01 | 14 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $395.34 | $599.00 | $350.17 – $371.18 | 7 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $2,273.70 | $3,445.00 | $350.17 – $1,933.01 | 14 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $454.74 | $689.00 | $350.17 – $371.18 | 7 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $2,281.62 | $3,457.00 | $350.17 – $1,933.01 | 14 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,878.36 | $2,846.00 | $350.17 – $1,542.70 | 14 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,704.78 | $2,583.00 | $350.17 – $1,542.70 | 14 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $341.22 | $517.00 | $73.68 – $670.84 | 16 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $355.08 | $538.00 | $70.36 – $670.84 | 16 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $395.34 | $599.00 | $79.99 – $670.84 | 16 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $143.88 | $218.00 | $18.19 – $102.34 | 14 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $143.88 | $218.00 | $21.23 – $22.50 | 7 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $205.92 | $312.00 | $21.23 – $464.86 | 14 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $105.60 | $160.00 | $21.23 – $157.36 | 14 |
| Injection treatment of eye CPT 66020 | not published | not published | not published | 0 |
| Inject sacroiliac joint CPT 27096 | $1,318.02 | $1,997.00 | $210.33 – $222.95 | 7 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $61.94 | $93.85 | $34.12 – $93.85 | 16 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,186.68 | $1,798.00 | $350.17 – $1,542.70 | 14 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,186.68 | $1,798.00 | $350.17 – $1,933.01 | 14 |
| Inj for ext venography CPT 36005 | $576.18 | $873.00 | $86.74 – $495.60 | 11 |
| Inj for mammo ductogram CPT 19030 | $290.40 | $440.00 | $150.14 – $159.15 | 7 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | $18.80 | $28.49 | $5.45 – $6.65 | 5 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | $147.25 | $223.10 | $61.07 – $223.10 | 16 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $1,028.94 | $1,559.00 | $150.14 – $159.15 | 7 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $7,695.60 | $11,660.00 | $150.14 – $159.15 | 7 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $793.32 | $1,202.00 | $150.14 – $159.15 | 7 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $856.68 | $1,298.00 | $150.14 – $159.15 | 7 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | $907.13 | $1,374.44 | $495.55 – $1,374.44 | 16 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $229.68 | $348.00 | $75.67 – $438.49 | 14 |
| Inj ivig privigen 500 mg HCPCS J1459 | $284.92 | $431.69 | $50.28 – $431.68 | 16 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | $1.70 | $2.58 | $1.80 – $2.58 | 5 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | $3.52 | $5.33 | $1.33 – $5.33 | 16 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $10.78 | $16.33 | $0.07 – $0.07 | 1 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $30.13 | $45.65 | $5.75 – $6.71 | 5 |
| Inj moxifloxacin (fres kabi) HCPCS J2281 | $61.17 | $92.68 | $10.96 – $12.85 | 5 |
| Inj multihance HCPCS A9577 | $10.10 | $15.30 | $2.97 – $3.22 | 5 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $809.82 | $1,227.00 | $125.44 – $1,523.94 | 16 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | not published | 0 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | $189.87 | $287.68 | $99.35 – $224.94 | 16 |
| Inj peritoneal venous shunt CPT 49427 | $453.42 | $687.00 | $72.37 – $495.60 | 11 |
| Inj proc ankle arthr CPT 27648 | $611.16 | $926.00 | $96.76 – $495.60 | 11 |
| Inj proc elbow arthro CPT 24220 | $611.16 | $926.00 | $126.28 – $495.60 | 11 |
| Inj proc lumbr disk ea lvl CPT 62290 | $1,760.88 | $2,668.00 | $150.14 – $495.60 | 11 |
| Inj proc myelogram lumbar CPT 62284 | $859.98 | $1,303.00 | $150.14 – $495.60 | 11 |
| Inj proc sialogram CPT 42550 | $395.34 | $599.00 | $116.52 – $495.60 | 11 |
| Inj retro urethrocysto CPT 51610 | $528.00 | $800.00 | $122.69 – $495.60 | 11 |
| Inj scleros sol mult veins CPT 36471 | $461.34 | $699.00 | $291.10 – $888.44 | 14 |
| Inj scleros sol sgl vein CPT 36470 | $461.34 | $699.00 | $291.10 – $888.44 | 14 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | $990.57 | $1,500.87 | $540.08 – $1,500.87 | 14 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | not published | 0 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | $65.30 | $98.94 | $34.58 – $97.56 | 16 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $13.19 | $19.98 | $4.19 – $9.44 | 11 |
| Inj vancomycin (xellia) 10mg HCPCS J3375 | $0.88 | $1.34 | $0.21 – $0.23 | 4 |
| Inj w/fluor eval cv device CPT 36598 | $583.44 | $884.00 | $67.10 – $464.86 | 16 |
| Ins cath ren art 1st bi CPT 36252 | $3,635.28 | $5,508.00 | $456.60 – $6,900.67 | 16 |
| Ins cath ren art 1st uni CPT 36251 | $3,004.98 | $4,553.00 | $456.60 – $6,900.67 | 16 |
| Ins cath ren art 2nd+ uni CPT 36253 | $6,243.60 | $9,460.00 | $2,026.09 – $12,161.17 | 14 |
| Ins cerv dilator (sep proc) CPT 59200 | not published | not published | not published | 0 |
| Insert and remove bone pin CPT 20650 | $7,810.44 | $11,834.00 | $1,061.18 – $7,150.95 | 14 |
| Insert cath pleura with image CPT 32557 | $2,046.00 | $3,100.00 | $281.30 – $3,440.31 | 16 |
| Insert cath pleura without image CPT 32556 | $2,191.20 | $3,320.00 | $456.67 – $4,193.77 | 14 |
| Insert hepatic shunt (tips) CPT 37182 | $11,864.82 | $17,977.00 | $4,903.29 – $40,063.76 | 14 |
| Insert intrauterine device iud CPT 58300 | $267.30 | $405.00 | $96.84 – $116.60 | 9 |
| Insertion catheter bladder non indwelling CPT 51701 | $215.82 | $327.00 | $39.48 – $290.78 | 14 |
| Insertion catheter bladder temporary simple CPT 51702 | $215.82 | $327.00 | $39.48 – $290.78 | 14 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $4,434.54 | $6,719.00 | $456.67 – $7,824.96 | 14 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $1,571.46 | $2,381.00 | $2,381.00 – $2,523.86 | 7 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $7,679.10 | $11,635.00 | $405.43 – $12,161.17 | 16 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $3,161.40 | $4,790.00 | $502.95 – $6,900.67 | 14 |
| Insertion of catheter vein CPT 36481 | $1,367.52 | $2,072.00 | $313.47 – $332.28 | 7 |
| Insertion of catheter vein CPT 36500 | $925.32 | $1,402.00 | $313.47 – $332.28 | 7 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $7,330.62 | $11,107.00 | $3,606.83 – $22,842.82 | 14 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $12,087.24 | $18,314.00 | $3,606.83 – $22,842.82 | 14 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $5,838.36 | $8,846.00 | $3,606.83 – $3,823.24 | 7 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,560.24 | $2,364.00 | $502.95 – $3,440.31 | 14 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $3,082.86 | $4,671.00 | $502.95 – $3,440.31 | 14 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $15,899.40 | $24,090.00 | $10,159.82 – $68,600.30 | 14 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $9,558.78 | $14,483.00 | $719.00 – $18,085.85 | 14 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $9,558.78 | $14,483.00 | $719.00 – $18,085.85 | 14 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $5,034.48 | $7,628.00 | $3,955.89 – $18,085.85 | 14 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $5,794.80 | $8,780.00 | $971.33 – $6,900.67 | 14 |
| Insert lens prosthesis CPT 66985 | not published | not published | not published | 0 |
| Insert picvad cath CPT 36570 | $6,232.38 | $9,443.00 | $502.95 – $6,900.67 | 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.