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 |
|---|---|---|---|---|
| Mycophenolic acid HCPCS J7518 | $10.26 | $15.55 | $0.53 – $0.63 | 5 |
| Mycoplasma antibody igm CPT 86738 | $68.64 | $104.00 | $13.24 – $29.79 | 16 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $679.80 | $1,030.00 | $140.32 – $394.65 | 16 |
| Myelography l-s spine CPT 72265 | $1,922.58 | $2,913.00 | $136.08 – $1,713.26 | 16 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $3,280.20 | $4,970.00 | $232.59 – $1,713.26 | 16 |
| Myelography via inj w/s&i cervical CPT 62302 | $2,624.82 | $3,977.00 | $226.55 – $1,713.26 | 16 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $2,100.12 | $3,182.00 | $223.82 – $1,713.26 | 16 |
| Myelography via inj w/s&i thoracic CPT 62303 | $1,679.70 | $2,545.00 | $226.98 – $1,713.26 | 16 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $82.50 | $125.00 | $11.53 – $25.94 | 16 |
| Myringoplasty CPT 69620 | not published | not published | not published | 0 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $1.17 | $1.78 | $0.10 – $0.11 | 4 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $45.28 | $68.60 | $5.49 – $6.18 | 5 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $1.93 | $2.92 | $0.12 – $0.13 | 4 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | not published | not published | not published | 0 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | not published | not published | not published | 0 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | not published | 0 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | not published | 0 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | not published | 0 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | not published | 0 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | not published | 0 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $248.82 | $377.00 | $77.65 – $436.24 | 14 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $57.43 | $87.02 | $24.51 – $87.02 | 16 |
| Natriuretic peptide CPT 83880 | $207.24 | $314.00 | $39.26 – $88.34 | 16 |
| Natural killer cells total count CPT 86357 | $256.74 | $389.00 | $37.73 – $84.89 | 16 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $207.24 | $314.00 | $60.77 – $314.00 | 16 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,818.96 | $2,756.00 | $139.35 – $1,215.09 | 16 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,539.12 | $2,332.00 | $139.35 – $1,215.09 | 16 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,357.62 | $2,057.00 | $48.92 – $1,215.09 | 16 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $2,001.12 | $3,032.00 | $135.55 – $1,444.47 | 16 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $1,906.08 | $2,888.00 | $186.59 – $1,444.47 | 16 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,815.00 | $2,750.00 | $55.30 – $1,444.47 | 16 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,080.98 | $3,153.00 | $225.39 – $1,444.47 | 16 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $1,801.80 | $2,730.00 | $225.39 – $1,444.47 | 16 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,716.00 | $2,600.00 | $225.39 – $1,444.47 | 16 |
| Neck spine disk surgery CPT 63020 | not published | not published | not published | 0 |
| Neck spine disk surgery 63075 CPT 63075 | not published | not published | not published | 0 |
| Neck spine disk surgery 63076 CPT 63076 | not published | not published | not published | 0 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $8.09 | $12.25 | $1.19 – $2.33 | 2 |
| Nerve conduction 7-8 studies CPT 95910 | $1,049.40 | $1,590.00 | $60.77 – $885.08 | 16 |
| Nerve conduction studies 11-12 CPT 95912 | $2,577.30 | $3,905.00 | $60.77 – $885.08 | 16 |
| Nerve conduction studies 1-2 CPT 95907 | $343.20 | $520.00 | $60.77 – $520.00 | 16 |
| Nerve conduction studies 13+ CPT 95913 | $2,290.86 | $3,471.00 | $60.77 – $885.08 | 16 |
| Nerve conduction studies 3-4 CPT 95908 | $543.18 | $823.00 | $60.77 – $823.00 | 16 |
| Nerve conduction studies 5-6 CPT 95909 | $753.72 | $1,142.00 | $60.77 – $885.08 | 16 |
| Nerve conduction studies 9-10 CPT 95911 | $1,908.72 | $2,892.00 | $60.77 – $885.08 | 16 |
| Neurolysis celiac plexus CPT 64680 | $1,582.02 | $2,397.00 | $586.55 – $1,933.01 | 16 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $458.70 | $695.00 | $60.77 – $455.52 | 16 |
| New Patient Office Visit (level 2) CPT 99202 | $208.56 | $316.00 | $113.00 – $154.00 | 3 |
| New Patient Office Visit (level 3) CPT 99203 | $252.12 | $382.00 | $113.00 – $154.00 | 3 |
| New Patient Office Visit (level 4) CPT 99204 | $287.10 | $435.00 | $113.00 – $154.00 | 3 |
| New Patient Office Visit (level 5) CPT 99205 | $347.82 | $527.00 | $113.00 – $154.00 | 3 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $2.09 | $3.16 | $0.12 – $1.64 | 11 |
| N-invas est c ffr sw aly cta CPT 75580 | $3,977.16 | $6,026.00 | $829.56 – $1,876.77 | 16 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $13.00 | $19.70 | $2.28 – $2.72 | 5 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $94.53 | $143.23 | $33.57 – $140.17 | 16 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | $362.86 | $549.79 | $201.65 – $549.79 | 16 |
| Njx interlaminar lmbr/sac CPT 62326 | $1,186.68 | $1,798.00 | $350.17 – $1,933.01 | 14 |
| Njx interlaminar lmbr/sac CPT 62327 | $1,482.36 | $2,246.00 | $350.17 – $1,933.01 | 14 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $1,865.16 | $2,826.00 | $184.96 – $1,523.94 | 14 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,665.18 | $2,523.00 | $168.45 – $1,246.46 | 16 |
| Nm imaging bone/joint whole body CPT 78306 | $1,389.96 | $2,106.00 | $168.45 – $1,246.46 | 16 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,620.96 | $2,456.00 | $168.45 – $1,246.46 | 16 |
| Nm imaging gastric emptying study CPT 78264 | $1,302.84 | $1,974.00 | $168.45 – $1,246.46 | 16 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,316.70 | $1,995.00 | $388.31 – $1,246.46 | 16 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $1,587.96 | $2,406.00 | $168.45 – $1,246.46 | 16 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,722.60 | $2,610.00 | $168.45 – $1,246.46 | 16 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,097.58 | $1,663.00 | $168.45 – $1,246.46 | 16 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $951.06 | $1,441.00 | $124.58 – $1,246.46 | 16 |
| Noninv pace analysis CPT 93724 | $1,801.80 | $2,730.00 | $65.29 – $671.25 | 14 |
| Non-ophthalmic fva HCPCS C9733 | $734.58 | $1,113.00 | $150.14 – $762.46 | 16 |
| Npm1 gene CPT 81310 | $507.54 | $769.00 | $197.71 – $554.67 | 16 |
| Nps surg dilat eust tube uni CPT 69705 | not published | not published | not published | 0 |
| Nras gene variants exon 2&3 CPT 81311 | $673.86 | $1,021.00 | $175.10 – $665.53 | 16 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $7,421.70 | $11,245.00 | $652.19 – $3,907.78 | 16 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | not published | 0 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | not published | 0 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | not published | 0 |
| Ntrk translocation analysis CPT 81194 | $1,342.44 | $2,034.00 | $414.62 – $1,166.13 | 16 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $2,904.66 | $4,401.00 | $216.69 – $2,143.50 | 10 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $2,533.08 | $3,838.00 | $216.69 – $2,143.50 | 10 |
| Nuclear exam of tear flow CPT 78660 | $1,316.70 | $1,995.00 | $168.45 – $1,246.46 | 16 |
| Nuclear rx intra-arterial CPT 79445 | $669.24 | $1,014.00 | $124.58 – $509.96 | 14 |
| Nuclear rx IV admin CPT 79101 | $1,097.58 | $1,663.00 | $124.58 – $1,246.46 | 16 |
| Nuclear Stress Test (Heart) CPT 78452 | $3,365.34 | $5,099.00 | $403.45 – $2,829.45 | 16 |
| Nushield 1 square cm HCPCS Q4160 | $508.86 | $771.00 | $120.88 – $771.00 | 11 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | $2,365.65 | $3,584.32 | $1,286.15 – $3,584.32 | 14 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $257.02 | $389.43 | $81.63 – $389.43 | 16 |
| Observation direct referral from physician office for admission HCPCS G0379 | $643.50 | $975.00 | not published | 0 |
| Observation per hour HCPCS G0378 | $182.82 | $277.00 | not published | 0 |
| Obstetric panel inc HIV tstg CPT 80081 | $356.40 | $540.00 | $74.86 – $168.44 | 16 |
| Obstetrics panel CPT 80055 | $256.74 | $389.00 | $18.84 – $107.57 | 16 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $293.70 | $445.00 | $46.16 – $445.00 | 16 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $230.34 | $349.00 | $46.16 – $349.00 | 11 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $133.50 | $202.28 | $59.32 – $202.28 | 16 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $242.06 | $366.75 | $1.09 – $1.53 | 5 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $447.88 | $678.60 | $199.17 – $677.43 | 16 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $5.32 | $8.06 | $1.34 – $1.67 | 5 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $122.48 | $185.57 | $45.50 – $185.57 | 16 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $8.09 | $12.25 | $0.15 – $0.16 | 5 |
| Open aortic tube prosth repair 34830 CPT 34830 | $29,942.88 | $45,368.00 | $4,367.34 – $4,629.38 | 7 |
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.