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 |
|---|---|---|---|---|
| Knee X-ray CPT 73564 | $363.00 | $550.00 | $25.74 – $456.60 | 16 |
| Kras gene variants exon 2 CPT 81275 | $931.26 | $1,411.00 | $157.98 – $434.81 | 16 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $157.08 | $238.00 | $1.23 – $1.30 | 7 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | $41.58 | $63.00 | $1.23 – $1.30 | 7 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $32.34 | $49.00 | $0.28 – $0.63 | 5 |
| Lactate dehydrogenase (ldh) CPT 83615 | $67.32 | $102.00 | $6.04 – $13.59 | 16 |
| Lactation class HCPCS S9443 | $195.36 | $296.00 | $32.93 – $34.91 | 7 |
| Lactic acid CPT 83605 | $72.60 | $110.00 | $11.57 – $26.03 | 16 |
| Lactoferrin fecal quant CPT 83631 | $114.18 | $173.00 | $19.63 – $44.17 | 16 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | not published | 0 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | not published | 0 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | not published | 0 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | not published | 0 |
| Lam factc/frmt arthrd lum ea CPT 63053 | not published | not published | not published | 0 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $198.79 | $301.20 | $35.39 – $301.20 | 16 |
| Laparo-asst vag hysterectomy CPT 58550 | not published | not published | not published | 0 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | not published | 0 |
| Laparo-myomectomy complex CPT 58546 | not published | not published | not published | 0 |
| Laparo new ureter/bladder CPT 50947 | not published | not published | not published | 0 |
| Laparo new ureter/bladder CPT 50948 | not published | not published | not published | 0 |
| Laparo partial nephrectomy CPT 50543 | not published | not published | not published | 0 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | not published | 0 |
| Laparo radical nephrectomy CPT 50545 | not published | not published | not published | 0 |
| Laparoscopic myomectomy CPT 58545 | not published | not published | not published | 0 |
| Laparoscopic proc CPT 45400 | not published | not published | not published | 0 |
| Laparoscopic salpingostomy 58673 CPT 58673 | not published | not published | not published | 0 |
| Laparoscopy adrenalectomy CPT 60650 | not published | not published | not published | 0 |
| Laparoscopy aspiration CPT 49322 | not published | not published | not published | 0 |
| Laparoscopy biopsy CPT 49321 | not published | not published | not published | 0 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | not published | 0 |
| Laparoscopy fundoplasty CPT 43280 | not published | not published | not published | 0 |
| Laparoscopy lymphadenectomy CPT 38571 | not published | not published | not published | 0 |
| Laparoscopy lymphadenectomy CPT 38572 | not published | not published | not published | 0 |
| Laparoscopy lymph node biop CPT 38570 | not published | not published | not published | 0 |
| Laparoscopy lysis CPT 58660 | not published | not published | not published | 0 |
| Laparoscopy pyeloplasty CPT 50544 | not published | not published | not published | 0 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | not published | 0 |
| Laparoscopy splenectomy CPT 38120 | not published | not published | not published | 0 |
| Laparoscopy surg colpopexy CPT 57425 | not published | not published | not published | 0 |
| Laparo-vag hyst incl t/o CPT 58552 | not published | not published | not published | 0 |
| Laparo-vag hyst w/t/o compl CPT 58554 | not published | not published | not published | 0 |
| Lap enterolysis CPT 44180 | not published | not published | not published | 0 |
| Lap ing hernia repair init CPT 49650 | not published | not published | not published | 0 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | not published | 0 |
| Lap insert tunnel ip cath CPT 49324 | not published | not published | not published | 0 |
| Lap paraesophag hern repair CPT 43281 | not published | not published | not published | 0 |
| Lap paraesoph her rpr w/mesh CPT 43282 | not published | not published | not published | 0 |
| Laps abltj uterine fibroids CPT 58674 | not published | not published | not published | 0 |
| Lap sleeve gastrectomy CPT 43775 | $5,250.30 | $7,955.00 | $1,489.03 – $1,578.37 | 7 |
| Laps pelvic lymphadec CPT 38573 | not published | not published | not published | 0 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | not published | 0 |
| Laps surg prst8ect smpl stot CPT 55867 | not published | not published | not published | 0 |
| Laps tot hyst resj mal CPT 58575 | not published | not published | not published | 0 |
| Largsc w/laser dstrj les CPT 31572 | not published | not published | not published | 0 |
| Largsc w/njx augmentation CPT 31574 | not published | not published | not published | 0 |
| Largsc w/removal lesion CPT 31578 | not published | not published | not published | 0 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $766.92 | $1,162.00 | $276.76 – $854.79 | 14 |
| Laryngeal function studies CPT 92520 | $267.30 | $405.00 | $61.57 – $259.68 | 16 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | not published | 0 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | not published | 0 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | not published | 0 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | not published | not published | not published | 0 |
| Laryngoscopy telescopic CPT 31579 | $597.96 | $906.00 | $276.76 – $854.79 | 14 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | not published | 0 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | not published | 0 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | not published | 0 |
| Laryngoscopy w/fb removal CPT 31530 | not published | not published | not published | 0 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | not published | 0 |
| Laser surgery of prostate CPT 52648 | not published | not published | not published | 0 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | not published | 0 |
| Laser treatment of retina CPT 67039 | not published | not published | not published | 0 |
| Laser treatment of retina CPT 67040 | not published | not published | not published | 0 |
| Lead capillary CPT 83655 | $72.60 | $110.00 | $12.11 – $27.25 | 16 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,058.64 | $1,604.00 | $77.18 – $521.46 | 16 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | not published | 0 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $34.41 | $52.14 | $6.34 – $7.53 | 5 |
| Leukacyte transfusion CPT 86950 | $1,306.14 | $1,979.00 | $38.82 – $1,187.40 | 16 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $4,164.70 | $6,310.15 | $146.11 – $384.25 | 16 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $4.62 | $7.00 | $0.07 – $0.10 | 5 |
| Levetiracetam therapeutic drug level CPT 80177 | $77.22 | $117.00 | $13.25 – $29.81 | 16 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $49.63 | $75.20 | $1.60 – $3.87 | 5 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $34.70 | $52.58 | $9.87 – $10.70 | 4 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $1.62 | $2.45 | $0.08 – $0.08 | 1 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $0.03 | $0.04 | $0.02 – $0.02 | 1 |
| Lidocaine therapeutic drug level CPT 80176 | $155.76 | $236.00 | $14.69 – $33.05 | 16 |
| Ligate leg veins open CPT 37761 | not published | not published | not published | 0 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | not published | 0 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | not published | 0 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | not published | 0 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | not published | 0 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | not published | 0 |
| Ligation/major artery/extremity 37618 CPT 37618 | $7,141.86 | $10,821.00 | $960.11 – $1,017.72 | 7 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | not published | 0 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | not published | 0 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $112.33 | $170.20 | $4.45 – $4.90 | 5 |
| Lipase CPT 83690 | $143.88 | $218.00 | $6.89 – $15.50 | 16 |
| Lipoprotein blood high res frac & quant CPT 83701 | $147.84 | $224.00 | $32.56 – $76.19 | 16 |
| Lipoprotein blood quant CPT 83704 | $217.80 | $330.00 | $34.19 – $76.93 | 16 |
| Lipoprotein direct measurement hdl CPT 83718 | $54.12 | $82.00 | $8.19 – $18.43 | 16 |
| Lipoprotein direct measurement ldl CPT 83721 | $62.70 | $95.00 | $10.50 – $23.63 | 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.