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 |
|---|---|---|---|---|
| Insert pm/icd lead dual CPT 33217 | $9,769.32 | $14,802.00 | $719.00 – $18,085.85 | 14 |
| Insert/repl sq defib w/eltrd CPT 33270 | $20,743.80 | $31,430.00 | $10,159.82 – $68,600.30 | 14 |
| Insert sq defib electrode CPT 33271 | $10,827.96 | $16,406.00 | $719.00 – $18,085.85 | 14 |
| Insert swan-ganz cath CPT 93503 | $1,871.10 | $2,835.00 | $502.95 – $3,440.31 | 14 |
| Insert tunneled cv 2cath 2sits without port/pmp 36565 CPT 36565 | $5,840.34 | $8,849.00 | $971.33 – $6,900.67 | 14 |
| Insert tunneled cv cath CPT 36560 | $4,350.06 | $6,591.00 | $971.33 – $6,900.67 | 14 |
| Insert tunneled cv cath CPT 36563 | $3,954.06 | $5,991.00 | $971.33 – $12,161.17 | 14 |
| Insert uro/ves nck sphincter CPT 53445 | not published | not published | not published | 0 |
| Insert uteri tandem/ovoids CPT 57155 | $9,383.22 | $14,217.00 | $1,065.36 – $10,932.84 | 14 |
| Insert vad art access left hrt arterial access CPT 33990 | $8,277.06 | $12,541.00 | $12,541.00 – $13,293.46 | 7 |
| Ins icd gen exist mlt leads CPT 33231 | $11,388.96 | $17,256.00 | $10,159.82 – $68,600.30 | 14 |
| Ins icd gen exist sgl lead CPT 33240 | $25,925.46 | $39,281.00 | $10,159.82 – $48,613.29 | 14 |
| Insitu hybridization (fish) CPT 88366 | $493.68 | $748.00 | $60.31 – $448.80 | 16 |
| Insitu hybridization manual CPT 88368 | $894.30 | $1,355.00 | $60.31 – $783.38 | 16 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $493.68 | $748.00 | $14.77 – $448.80 | 11 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $493.68 | $748.00 | $60.31 – $372.34 | 16 |
| Insj biomechanical device CPT 22859 | not published | not published | not published | 0 |
| Insj biomechanical device 22853 CPT 22853 | not published | not published | not published | 0 |
| Ins lv lead exist pm/icd CPT 33224 | $12,087.24 | $18,314.00 | $3,606.83 – $22,842.82 | 14 |
| Ins mark abd/pel for right perq CPT 49411 | $3,070.32 | $4,652.00 | $487.89 – $3,025.01 | 16 |
| Ins picad w subq port 5yr> CPT 36571 | $6,688.44 | $10,134.00 | $502.95 – $6,900.67 | 14 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $2,620.86 | $3,971.00 | $502.95 – $1,370.97 | 14 |
| Ins pm gen exist dual lead CPT 33230 | $10,565.94 | $16,009.00 | $10,159.82 – $48,613.29 | 14 |
| Ins pq tunnld ip cath w/img CPT 49418 | $6,031.08 | $9,138.00 | $1,675.50 – $7,824.96 | 14 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | not published | not published | not published | 0 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $6,978.18 | $10,573.00 | $422.82 – $42,096.39 | 14 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $12,087.24 | $18,314.00 | $3,606.83 – $22,842.82 | 14 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $9,558.78 | $14,483.00 | $3,606.83 – $18,085.85 | 14 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | not published | 0 |
| Insrt/redo neurostim 1 array CPT 61885 | not published | not published | not published | 0 |
| Inst fibrinolysis agent ini day CPT 32561 | $714.12 | $1,082.00 | $126.55 – $1,370.97 | 16 |
| Inst fibrinolysis agent sbsq d CPT 32562 | $714.12 | $1,082.00 | $113.24 – $1,370.97 | 16 |
| Instillation anticarcinogenic agent bladder CPT 51720 | not published | not published | not published | 0 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | $8,823.54 | $13,369.00 | $971.33 – $12,161.17 | 14 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $4,125.00 | $6,250.00 | $971.33 – $12,161.17 | 14 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $4,888.62 | $7,407.00 | $971.33 – $6,900.67 | 14 |
| Ins tun intraperit dia cath CPT 49421 | $4,306.50 | $6,525.00 | $1,675.50 – $7,824.96 | 14 |
| Insulin total CPT 83525 | $62.70 | $95.00 | $11.43 – $25.72 | 16 |
| Ins vag brachytx device CPT 57156 | $1,358.28 | $2,058.00 | $243.74 – $2,025.50 | 16 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $4,457.29 | $6,753.47 | $2,540.50 – $4,670.36 | 5 |
| Integra meshed bil wound mat HCPCS C9363 | $6,651.32 | $10,077.75 | $120.88 – $271.97 | 9 |
| Interdiscal perq aspir dx CPT 62267 | $1,384.02 | $2,097.00 | $350.17 – $1,547.62 | 14 |
| Interrogate subq defib CPT 93261 | $78.54 | $119.00 | $16.58 – $119.00 | 16 |
| Interrog evl pm/ldls pm ip CPT 93288 | $113.52 | $172.00 | $16.58 – $81.57 | 14 |
| Interstitial brachy inter CPT 77799 | $1,358.28 | $2,058.00 | $82.42 – $389.00 | 16 |
| Intra-atrial recording CPT 93602 | $8,764.14 | $13,279.00 | $2,920.40 – $17,046.15 | 14 |
| Intracard echo interv w/s&i CPT 93662 | $3,218.82 | $4,877.00 | $198.51 – $210.42 | 7 |
| Intracran angioplsty w/stent CPT 61635 | $14,803.80 | $22,430.00 | $6,444.65 – $6,831.33 | 7 |
| Intracranial angioplasty CPT 61630 | $5,181.00 | $7,850.00 | $6,444.65 – $6,831.33 | 7 |
| Intracranial complete study CPT 93886 | $900.24 | $1,364.00 | $77.18 – $521.46 | 16 |
| Intracranial limited study CPT 93888 | $439.56 | $666.00 | $50.10 – $472.83 | 16 |
| Intrapul surf admin endo tube CPT 94610 | $398.64 | $604.00 | $26.43 – $478.57 | 16 |
| Intraventricular pacing CPT 93612 | $8,764.14 | $13,279.00 | $2,920.40 – $17,046.15 | 14 |
| Intrinsic factor antibody CPT 86340 | $99.00 | $150.00 | $14.28 – $33.93 | 16 |
| Intro cath dialysis circuit CPT 36901 | $3,098.04 | $4,694.00 | $775.93 – $3,440.31 | 14 |
| Intro cath dialysis circuit w/pta CPT 36902 | $10,883.40 | $16,490.00 | $1,688.84 – $12,438.90 | 14 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $20,413.80 | $30,930.00 | $4,903.29 – $25,229.80 | 14 |
| Intro catheter aorta CPT 36200 | $1,450.68 | $2,198.00 | $313.47 – $332.28 | 7 |
| Intro cath svc/ivc CPT 36010 | $1,139.16 | $1,726.00 | $313.47 – $332.28 | 7 |
| Intro long gi tube CPT 44500 | $518.76 | $786.00 | $36.00 – $1,982.21 | 16 |
| Intro long gi tube w/mult fluo CPT 74340 | $537.24 | $814.00 | $92.68 – $495.60 | 11 |
| Intubation endotracheal emergency procedure CPT 31500 | $1,094.94 | $1,659.00 | $230.06 – $517.64 | 14 |
| Ionm in operatng room 15 min CPT 95940 | $209.22 | $317.00 | $317.00 – $317.00 | 3 |
| Ionm remote/>1 pt or per hr CPT 95941 | $591.36 | $896.00 | $455.52 – $477.70 | 3 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $9.75 | $14.77 | $0.23 – $0.27 | 4 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $341.15 | $516.89 | $186.91 – $516.74 | 16 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $50.79 | $76.95 | $2.95 – $4.61 | 5 |
| Iron CPT 83540 | $39.60 | $60.00 | $6.47 – $14.56 | 16 |
| Iron binding capacity CPT 83550 | $62.04 | $94.00 | $8.74 – $19.67 | 16 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $88.53 | $134.14 | $18.08 – $47.12 | 16 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $3.16 | $4.79 | $0.39 – $0.43 | 5 |
| Irradiation of blood product each unit reference CPT 86945 | $88.44 | $134.00 | $36.28 – $81.63 | 16 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $127.38 | $193.00 | $21.23 – $128.93 | 14 |
| Ivc venogram s&i CPT 75825 | $3,635.28 | $5,508.00 | $120.38 – $6,900.67 | 16 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $145.86 | $221.00 | $27.97 – $157.36 | 14 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $207.24 | $314.00 | $135.03 – $143.13 | 7 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $143.88 | $218.00 | $18.19 – $218.00 | 14 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $439.56 | $666.00 | $82.64 – $464.86 | 14 |
| IV njx tst vasc flo flap/grf CPT 15860 | $460.68 | $698.00 | $150.14 – $976.31 | 14 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $747.78 | $1,133.00 | $54.25 – $456.60 | 16 |
| Jak2 targeted sequence analysis CPT 81279 | $421.74 | $639.00 | $148.16 – $416.70 | 16 |
| John cunningham antibody CPT 86711 | $1,585.32 | $2,402.00 | $15.79 – $38.00 | 16 |
| Ketamine and metabolite screen - quest CPT 80357 | $44.88 | $68.00 | $5.17 – $40.80 | 10 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $44.22 | $67.00 | $8.17 – $18.38 | 16 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $32.34 | $49.00 | $0.33 – $0.75 | 11 |
| Kidney endoscopy CPT 50553 | $5,871.36 | $8,896.00 | $456.60 – $11,718.20 | 16 |
| Kidney imaging morphology CPT 78700 | $1,170.18 | $1,773.00 | $168.45 – $1,246.46 | 16 |
| Kidney imag w/bld flow multi CPT 78709 | $1,682.34 | $2,549.00 | $168.45 – $1,246.46 | 16 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,682.34 | $2,549.00 | $168.45 – $1,246.46 | 16 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $566.28 | $858.00 | $40.62 – $521.52 | 16 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $60.72 | $92.00 | $50.88 – $51.45 | 2 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $10,357.38 | $15,693.00 | $8,678.23 – $8,678.23 | 1 |
| Kit gene analys d816 variant CPT 81273 | $683.10 | $1,035.00 | $73.92 – $280.96 | 16 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | not published | 0 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | not published | 0 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | not published | 0 |
| Knee MRI (with and without contrast) CPT 73723 | $2,669.70 | $4,045.00 | $186.59 – $1,444.47 | 16 |
| Knee MRI (with contrast) CPT 73722 | $2,542.32 | $3,852.00 | $186.59 – $1,713.26 | 16 |
| Knee MRI (without contrast) CPT 73721 | $2,420.88 | $3,668.00 | $110.60 – $1,444.47 | 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.