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 |
|---|---|---|---|---|
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $14.51 | $21.99 | $1.29 – $1.58 | 5 |
| Penile injection CPT 54235 | $711.48 | $1,078.00 | $39.48 – $546.04 | 14 |
| Penis plastic surgery CPT 54360 | not published | not published | not published | 0 |
| Pentobarbital sodium inj HCPCS J2515 | $294.74 | $446.58 | $36.26 – $81.59 | 16 |
| Perc cryo ablate renal tum CPT 50593 | $12,025.20 | $18,220.00 | $3,123.41 – $23,231.48 | 14 |
| Perc d-e cor revasc chro add HCPCS C9608 | $8,915.28 | $13,508.00 | $3,759.01 – $3,984.55 | 7 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $13,249.50 | $20,075.00 | $3,759.01 – $40,063.76 | 14 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $5,539.38 | $8,393.00 | $3,759.01 – $3,984.55 | 7 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $11,482.68 | $17,398.00 | $3,759.01 – $25,229.80 | 14 |
| Perc d-e cor stent ather br HCPCS C9603 | $10,730.28 | $16,258.00 | $3,759.01 – $3,984.55 | 7 |
| Perc d-e cor stent ather s HCPCS C9602 | $20,739.84 | $31,424.00 | $3,759.01 – $40,063.76 | 14 |
| Perc drug-el cor stent bran HCPCS C9601 | $8,234.16 | $12,476.00 | $3,759.01 – $3,984.55 | 7 |
| Perc drug-el cor stent sing HCPCS C9600 | $9,716.52 | $14,722.00 | $3,759.01 – $25,229.80 | 14 |
| Perc rf ablate renal tumor CPT 50592 | $6,945.18 | $10,523.00 | $1,327.06 – $13,212.49 | 14 |
| Percut ablate liver rf CPT 47382 | $6,738.60 | $10,210.00 | $1,215.09 – $13,212.49 | 16 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $315.66 | $478.28 | $66.35 – $71.98 | 5 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $1,571.46 | $2,381.00 | $456.67 – $484.07 | 7 |
| Pericardiocentesis wwo imaging CPT 33016 | $1,794.54 | $2,719.00 | $456.67 – $3,440.31 | 14 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | not published | 0 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | not published | 0 |
| Peri-proc device eval icd CPT 93287 | $204.60 | $310.00 | $16.58 – $17.57 | 7 |
| Peri-proc device eval pm CPT 93286 | $181.50 | $275.00 | $16.58 – $17.57 | 7 |
| Peritoneal cath sub q resv per CPT 49419 | $6,243.60 | $9,460.00 | $1,675.50 – $12,161.17 | 14 |
| Peritoneogram rs&i CPT 74190 | $551.76 | $836.00 | $54.25 – $1,194.19 | 16 |
| Perq art m-thrombect &/nfs CPT 61645 | $13,878.48 | $21,028.00 | $6,444.65 – $6,831.33 | 7 |
| Perq clsr tcat l atr apndge CPT 33340 | $10,479.48 | $15,878.00 | $6,613.46 – $7,010.27 | 7 |
| Perq dev breast 1st mr guide CPT 19287 | $2,034.78 | $3,083.00 | $476.00 – $1,547.62 | 16 |
| Perq dev breast 1st strtctc CPT 19283 | $1,202.52 | $1,822.00 | $187.60 – $1,547.62 | 16 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | not published | 0 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | not published | 0 |
| Perq plmt bile duct stent CPT 47538 | $7,612.44 | $11,534.00 | $1,015.38 – $13,212.49 | 14 |
| Perq plmt bile duct stent CPT 47539 | $6,738.60 | $10,210.00 | $456.60 – $13,212.49 | 16 |
| Perq plmt bile duct stent CPT 47540 | $9,251.88 | $14,018.00 | $2,485.28 – $13,212.49 | 14 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $924.66 | $1,401.00 | $178.30 – $546.04 | 14 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $30.64 | $46.43 | $17.01 – $46.43 | 16 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $145.76 | $220.85 | $60.96 – $220.69 | 16 |
| Pet CT skull-mid thgh initial CPT 78815 | $5,121.60 | $7,760.00 | $611.58 – $3,928.74 | 16 |
| Pet CT whole body initial CPT 78816 | $5,121.60 | $7,760.00 | $611.58 – $3,928.74 | 16 |
| Pet fdg brain metoblic eval sb CPT 78608 | $4,901.82 | $7,427.00 | $611.58 – $3,928.74 | 16 |
| Pet image ltd area CPT 78811 | $5,155.92 | $7,812.00 | $611.58 – $3,928.74 | 16 |
| Pet image w/ct lmtd CPT 78814 | $4,901.82 | $7,427.00 | $611.58 – $3,928.74 | 16 |
| Ph body fluid CPT 83986 | $25.08 | $38.00 | $3.58 – $8.06 | 16 |
| Phencyclidine (pcp) CPT 83992 | $89.76 | $136.00 | $20.67 – $59.57 | 11 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $166.58 | $252.40 | $47.98 – $55.71 | 5 |
| Phenobarbital therapeutic drug level CPT 80184 | $77.88 | $118.00 | $15.30 – $34.43 | 16 |
| Phentolaine mesylate inj HCPCS J2760 | $1,047.32 | $1,586.85 | $53.10 – $946.26 | 16 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $32.34 | $49.00 | $0.02 – $0.02 | 2 |
| Phenytoin total therapeutic drug level CPT 80185 | $77.88 | $118.00 | $13.25 – $29.81 | 16 |
| Phlebotomy therapeutic CPT 99195 | $227.70 | $345.00 | $34.44 – $290.78 | 16 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | not published | 0 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | not published | 0 |
| Phosphorus CPT 84100 | $29.04 | $44.00 | $4.74 – $10.67 | 16 |
| Phosphorus 24 hour urine CPT 84105 | $31.68 | $48.00 | $5.78 – $13.01 | 16 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $120.48 | $182.55 | $4.64 – $5.03 | 5 |
| Pik3ca gene trgt seq alys CPT 81309 | $365.64 | $554.00 | $219.86 – $618.37 | 16 |
| Pinworm exam CPT 87172 | $23.76 | $36.00 | $4.27 – $9.61 | 16 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $27.96 | $42.36 | $1.80 – $2.01 | 5 |
| Place cath intracranial art CPT 36228 | $2,486.22 | $3,767.00 | $2,026.09 – $2,147.66 | 7 |
| Place cath xtrnl carotid CPT 36227 | $2,445.30 | $3,705.00 | $2,026.09 – $2,147.66 | 7 |
| Place cecostomy tube perc CPT 49442 | $2,768.04 | $4,194.00 | $392.66 – $2,615.26 | 16 |
| Place device/marker, non pro HCPCS C9728 | $1,580.04 | $2,394.00 | $487.89 – $3,025.01 | 16 |
| Place duod/jej tube perc CPT 49441 | $2,926.44 | $4,434.00 | $178.30 – $4,193.77 | 16 |
| Place gastrostomy tube perc CPT 49440 | $2,191.20 | $3,320.00 | $178.30 – $4,193.77 | 16 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,871.10 | $2,835.00 | $186.92 – $3,609.56 | 16 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $137.94 | $209.00 | $209.00 – $221.54 | 7 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,595.22 | $2,417.00 | $609.80 – $1,547.62 | 14 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $4,361.94 | $6,609.00 | $383.86 – $4,568.53 | 16 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $434.28 | $658.00 | $658.00 – $658.00 | 3 |
| Placement of seton CPT 46020 | not published | not published | not published | 0 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $13,098.36 | $19,846.00 | $4,903.29 – $25,229.80 | 14 |
| Place non-slctv cath thoracic arta CPT 36221 | $4,559.28 | $6,908.00 | $2,026.09 – $6,900.67 | 14 |
| Place right device/marker pros CPT 55876 | not published | not published | not published | 0 |
| Place slctv cath carotd art uni CPT 36224 | $5,318.94 | $8,059.00 | $2,026.09 – $12,161.17 | 14 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $5,076.72 | $7,692.00 | $2,026.09 – $6,900.67 | 14 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $9,492.12 | $14,382.00 | $2,026.09 – $12,161.17 | 14 |
| Place slctv cath subclavian art CPT 36225 | $5,652.24 | $8,564.00 | $2,026.09 – $6,900.67 | 14 |
| Place slctv cath vertebral art uni CPT 36226 | $7,252.74 | $10,989.00 | $2,026.09 – $12,161.17 | 14 |
| Platelet aggregation each agent teg CPT 85576 | $196.68 | $298.00 | $24.91 – $56.05 | 16 |
| Platelet automated CPT 85049 | $34.32 | $52.00 | $4.48 – $10.08 | 16 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $1,809.72 | $2,742.00 | $126.62 – $1,593.14 | 14 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $271.26 | $411.00 | $126.62 – $324.59 | 14 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $396.00 | $600.00 | $126.62 – $426.58 | 14 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $1,227.60 | $1,860.00 | $126.62 – $563.60 | 14 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $1,551.00 | $2,350.00 | $126.62 – $1,132.76 | 14 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,206.48 | $1,828.00 | $126.62 – $1,151.08 | 14 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,378.74 | $2,089.00 | $126.62 – $1,531.37 | 14 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,007.82 | $1,527.00 | $126.62 – $1,366.72 | 14 |
| Platelet survival CPT 78191 | $585.42 | $887.00 | $168.45 – $887.00 | 16 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $6,031.08 | $9,138.00 | $456.60 – $7,824.96 | 16 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $7,735.86 | $11,721.00 | $2,832.02 – $3,001.94 | 7 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $3,940.20 | $5,970.00 | $381.79 – $7,703.84 | 16 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $17,796.90 | $26,965.00 | $1,327.06 – $7,703.84 | 14 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $17,216.76 | $26,086.00 | $7,524.72 – $7,976.20 | 7 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $2,469.72 | $3,742.00 | $3,742.00 – $3,966.52 | 7 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $97.02 | $147.00 | $147.00 – $155.82 | 7 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $137.94 | $209.00 | $209.00 – $221.54 | 7 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $120.12 | $182.00 | $182.00 – $192.92 | 7 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $476.52 | $722.00 | $47.30 – $815.54 | 16 |
| Plmt access bil tree sm bwl CPT 47541 | $7,207.20 | $10,920.00 | $2,485.28 – $14,148.52 | 14 |
| Plmt biliary drainage cath CPT 47534 | $6,328.08 | $9,588.00 | $456.60 – $7,824.96 | 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.