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 |
|---|---|---|---|---|
| Open aortofemor prosth repr CPT 34832 | $29,942.88 | $45,368.00 | $4,367.34 – $4,629.38 | 7 |
| Open aortoiliac prosth repr 34831 CPT 34831 | $29,942.88 | $45,368.00 | $4,367.34 – $4,629.38 | 7 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | not published | 0 |
| Open skull for drainage 61312 CPT 61312 | $3,441.90 | $5,215.00 | $1,714.96 – $1,817.86 | 7 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | $6,243.60 | $9,460.00 | $1,612.87 – $12,161.17 | 14 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | not published | 0 |
| Opioids & opiate analogs 3/4 CPT 80363 | $23.10 | $35.00 | $5.17 – $35.00 | 10 |
| Opn ax/subcla art expos CPT 34715 | $5,988.18 | $9,073.00 | $1,831.68 – $1,941.58 | 7 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | not published | 0 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | not published | 0 |
| Opn tx complx malar fx CPT 21365 | not published | not published | not published | 0 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | not published | 0 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | not published | 0 |
| Opps service,sched team conf HCPCS G0175 | $491.70 | $745.00 | $52.84 – $911.93 | 12 |
| Opscpy extnd on/mac draw CPT 92202 | $199.32 | $302.00 | $25.66 – $302.00 | 16 |
| Opscpy extnd rta draw uni/bi CPT 92201 | $117.48 | $178.00 | $25.66 – $178.00 | 16 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | not published | 0 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | not published | 0 |
| Optx medial ankle fx CPT 27766 | not published | not published | not published | 0 |
| Optx post ankle fx CPT 27769 | not published | not published | not published | 0 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | not published | 0 |
| Optx radial shaft fracture CPT 25515 | not published | not published | not published | 0 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | not published | 0 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | not published | 0 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | not published | 0 |
| Oral aprepitant HCPCS J8501 | $29.03 | $43.98 | $4.57 – $5.78 | 5 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | not published | 0 |
| Organic acids total quant ea spec CPT 83918 | $531.30 | $805.00 | $23.14 – $53.10 | 16 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $56.31 | $85.32 | $28.47 – $85.32 | 16 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $76.00 | $115.15 | $10.54 – $15.45 | 5 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $349.80 | $530.00 | $364.38 – $819.85 | 9 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $552.42 | $837.00 | $836.99 – $1,883.23 | 9 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $371.58 | $563.00 | $354.92 – $798.57 | 9 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $283.80 | $430.00 | $232.21 – $840.20 | 14 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $208.56 | $316.00 | $305.52 – $687.42 | 9 |
| Orthopantogram CPT 70355 | $315.48 | $478.00 | $16.54 – $456.60 | 16 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $485.76 | $736.00 | $465.94 – $1,048.37 | 9 |
| Oscillation chest wall mechanical per session CPT 94669 | $526.02 | $797.00 | $26.43 – $478.57 | 16 |
| Osmolality blood CPT 83930 | $40.26 | $61.00 | $6.61 – $14.87 | 16 |
| Osmolality urine CPT 83935 | $42.90 | $65.00 | $6.82 – $15.35 | 16 |
| Ot evaluation high complexity patient/family CPT 97167 | $155.76 | $236.00 | $62.66 – $221.09 | 16 |
| Ot evaluation low complexity patient/family CPT 97165 | $155.76 | $236.00 | $62.66 – $221.09 | 16 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $155.76 | $236.00 | $62.66 – $221.09 | 16 |
| Oth resp proc, group HCPCS G0239 | $167.64 | $254.00 | $15.65 – $90.89 | 16 |
| Oth resp proc, indiv HCPCS G0238 | $84.48 | $128.00 | $15.65 – $90.89 | 16 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $80.52 | $122.00 | $28.15 – $122.00 | 16 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $85.14 | $129.00 | $17.51 – $129.00 | 16 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $80.52 | $122.00 | $17.51 – $122.00 | 16 |
| Ot re-evaluation patient/family CPT 97168 | $104.94 | $159.00 | $62.66 – $150.14 | 16 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $95.70 | $145.00 | $17.51 – $145.00 | 16 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $71.94 | $109.00 | $18.01 – $109.00 | 16 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $71.94 | $109.00 | $18.86 – $109.00 | 16 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $80.52 | $122.00 | $17.51 – $122.00 | 16 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $93.72 | $142.00 | $17.51 – $142.00 | 16 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $89.10 | $135.00 | $14.71 – $135.00 | 16 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $3.25 | $4.92 | $0.08 – $0.14 | 5 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $40.64 | $61.58 | $1.29 – $4.44 | 2 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $1.83 | $2.78 | $0.15 – $0.18 | 5 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $29.88 | $45.27 | $8.18 – $42.55 | 16 |
| Palb2 gene full gene seq CPT 81307 | $892.32 | $1,352.00 | $226.30 – $1,522.13 | 16 |
| Palonosetron hcl HCPCS J2469 | $170.48 | $258.30 | $0.58 – $1.67 | 5 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $60.87 | $92.22 | $18.63 – $20.21 | 5 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $520.62 | $788.82 | $173.67 – $784.18 | 16 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $34.52 | $52.30 | $14.34 – $14.34 | 1 |
| Papaverin hcl injection HCPCS J2440 | $182.66 | $276.75 | $53.55 – $75.80 | 2 |
| Parathormone (pth) intact CPT 83970 | $252.12 | $382.00 | $41.28 – $92.88 | 16 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | not published | 0 |
| Parathyroid planar imaging CPT 78070 | $1,170.18 | $1,773.00 | $388.31 – $1,246.46 | 16 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,609.74 | $2,439.00 | $168.45 – $1,246.46 | 16 |
| Paricalcitol HCPCS J2501 | $32.34 | $49.00 | $1.60 – $1.74 | 5 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $199.98 | $303.00 | $75.67 – $438.49 | 14 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | not published | 0 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | not published | 0 |
| Partial removal finger bone CPT 26236 | $3,032.04 | $4,594.00 | $598.01 – $3,514.26 | 14 |
| Partial removal of fibula CPT 27641 | not published | not published | not published | 0 |
| Partial removal of rib CPT 21600 | not published | not published | not published | 0 |
| Partial removal of thyroid CPT 60220 | not published | not published | not published | 0 |
| Partial removal of tongue CPT 41120 | not published | not published | not published | 0 |
| Partial thyroid excision CPT 60210 | not published | not published | not published | 0 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $2,534.00 | $3,839.40 | $4.32 – $13.08 | 5 |
| Part removal of metatarsal CPT 28110 | not published | not published | not published | 0 |
| Passy muir valve metal trach HCPCS L8501 | $203.94 | $309.00 | $180.10 – $405.23 | 9 |
| Path clin consltj sf 5-20 CPT 80503 | $107.58 | $163.00 | $17.07 – $113.89 | 16 |
| Pca3/klk3 antigen CPT 81313 | $1,189.32 | $1,802.00 | $61.22 – $573.86 | 16 |
| Ped home apnea mntr dl&alys CPT 94776 | $438.90 | $665.00 | $26.43 – $455.52 | 16 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | not published | 0 |
| Pegaspargase injection HCPCS J9266 | $50,480.10 | $76,485.00 | $7,228.28 – $63,954.13 | 16 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $1,334.30 | $2,021.67 | $93.72 – $870.02 | 16 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $433.99 | $657.56 | $98.87 – $612.69 | 16 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,818.96 | $2,756.00 | $139.35 – $1,215.09 | 16 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,539.12 | $2,332.00 | $139.35 – $1,215.09 | 16 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,259.28 | $1,908.00 | $48.92 – $1,215.09 | 16 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,893.44 | $4,384.00 | $135.55 – $1,444.47 | 16 |
| Pelvic MRI (with contrast) CPT 72196 | $2,504.70 | $3,795.00 | $186.59 – $1,444.47 | 16 |
| Pelvic MRI (without contrast) CPT 72195 | $2,277.00 | $3,450.00 | $92.70 – $1,444.47 | 16 |
| Pelvic Ultrasound (complete) CPT 76856 | $615.12 | $932.00 | $77.18 – $521.52 | 16 |
| Pelvic Ultrasound (limited) CPT 76857 | $482.46 | $731.00 | $40.62 – $521.52 | 16 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $113.57 | $172.07 | $59.73 – $168.39 | 16 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $52.87 | $80.10 | $3.59 – $15.10 | 16 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $101.08 | $153.15 | $31.97 – $71.92 | 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.