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 |
|---|---|---|---|---|
| Plmt nephroureteral catheter CPT 50433 | $5,920.86 | $8,971.00 | $1,327.06 – $7,703.84 | 14 |
| Plmt ureteral stent prq CPT 50694 | $5,536.74 | $8,389.00 | $1,327.06 – $7,703.84 | 14 |
| Pm device progr eval dual CPT 93280 | $93.06 | $141.00 | $16.58 – $141.00 | 16 |
| Pm device progr eval multi CPT 93281 | $126.06 | $191.00 | $16.58 – $191.00 | 16 |
| #pnh-flow cytometry interp CPT 88187 | $209.88 | $318.00 | $12.20 – $190.80 | 11 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $117.48 | $178.00 | $26.07 – $58.66 | 16 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $250.36 | $379.34 | $136.77 – $379.17 | 16 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $4,287.36 | $6,496.00 | $362.33 – $1,876.77 | 16 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,287.36 | $6,496.00 | $181.17 – $938.39 | 16 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | not published | 0 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | not published | 0 |
| Potassium 24 hour urine CPT 84133 | $25.74 | $39.00 | $4.73 – $10.64 | 16 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $69.96 | $106.00 | $0.19 – $0.21 | 5 |
| Potassium serum/plasma/whole blood CPT 84132 | $29.04 | $44.00 | $4.76 – $10.71 | 16 |
| Pq biliary strict dil s&i CPT 74363 | $1,430.88 | $2,168.00 | $92.68 – $495.60 | 11 |
| Pq dr cath chg w cont s&i CPT 75984 | $729.30 | $1,105.00 | $92.68 – $495.60 | 11 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $8,251.32 | $12,502.00 | $1,215.09 – $15,858.44 | 16 |
| Pq thr inj ext pse CPT 36002 | $501.60 | $760.00 | $192.35 – $1,370.97 | 16 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $5,088.60 | $7,710.00 | $381.30 – $2,397.69 | 11 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $5,088.60 | $7,710.00 | $456.60 – $7,150.95 | 16 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $5,088.60 | $7,710.00 | $456.60 – $7,150.95 | 16 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $3,747.48 | $5,678.00 | $598.01 – $7,150.95 | 14 |
| Pr application of long arm splint CPT 29105 | $388.08 | $588.00 | $34.70 – $355.14 | 14 |
| Pr application splint static short arm CPT 29125 | $308.88 | $468.00 | $34.70 – $290.78 | 14 |
| Pr biopsy skin punch single lesion CPT 11104 | $401.28 | $608.00 | $192.73 – $888.44 | 14 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | not published | 0 |
| Pr correction hammertoe CPT 28285 | not published | not published | not published | 0 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $36.96 | $56.00 | $10.58 – $81.89 | 16 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $1,571.46 | $2,381.00 | $456.67 – $484.07 | 7 |
| Prcrd drg 6+yr without anomly CPT 33017 | $1,807.08 | $2,738.00 | $456.67 – $484.07 | 7 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | not published | 0 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $615.78 | $933.00 | $42.35 – $259.68 | 16 |
| Prealbumin CPT 84134 | $46.20 | $70.00 | $7.85 – $32.83 | 16 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $1.32 | $2.00 | $0.41 – $1.65 | 5 |
| Prednisone 1 mg tablet HCPCS J7512 | $2.64 | $4.00 | $0.01 – $0.02 | 5 |
| Pregabalin - sendout CPT 80366 | $102.30 | $155.00 | $5.17 – $93.00 | 10 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $2,191.20 | $3,320.00 | $442.09 – $4,193.77 | 14 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $573.54 | $869.00 | $46.16 – $521.52 | 16 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $454.74 | $689.00 | $46.16 – $521.52 | 16 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | not published | 0 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | not published | 0 |
| Pressure max expiratory/inspiratory CPT 94799 | $357.72 | $542.00 | $26.43 – $281.21 | 16 |
| Pressure velocity wire add ves CPT 93572 | $659.34 | $999.00 | $775.93 – $822.49 | 7 |
| Pretreat rbc absorption reference CPT 86978 | $100.32 | $152.00 | $38.82 – $128.93 | 16 |
| Pretreat rbc density gradient separation reference CPT 86972 | $217.14 | $329.00 | $38.82 – $372.34 | 16 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $88.44 | $134.00 | $38.82 – $128.93 | 16 |
| Pretreat rbc w enzyme reference CPT 86971 | $413.82 | $627.00 | $36.28 – $376.20 | 16 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | not published | 0 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | not published | 0 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,176.12 | $1,782.00 | $113.00 – $888.44 | 14 |
| Prgrmg dev eval impltbl sys CPT 93260 | $78.54 | $119.00 | $16.58 – $119.00 | 16 |
| Prgrmg dev eval scrms ip CPT 93285 | $95.04 | $144.00 | $16.58 – $144.00 | 16 |
| Prgr stim/pace a/iv drug CPT 93623 | $2,296.14 | $3,479.00 | $2,920.40 – $3,095.63 | 7 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $17,576.46 | $26,631.00 | $2,832.02 – $40,063.76 | 14 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $3,237.96 | $4,906.00 | $2,832.02 – $3,001.94 | 7 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $770.22 | $1,167.00 | $75.67 – $888.44 | 14 |
| Pr incision & drainage abscess simple/single CPT 10060 | $306.90 | $465.00 | $75.67 – $438.49 | 14 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $543.84 | $824.00 | $96.84 – $665.99 | 14 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $461.34 | $699.00 | $75.67 – $888.44 | 14 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $247.50 | $375.00 | $49.85 – $290.97 | 14 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $189.42 | $287.00 | $49.85 – $290.97 | 14 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $351.12 | $532.00 | $10.42 – $294.20 | 8 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | not published | 0 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $5,092.56 | $7,716.00 | $3,247.77 – $3,247.77 | 1 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $414.02 | $627.30 | $344.53 – $775.19 | 11 |
| Procalcitonin CPT 84145 | $184.80 | $280.00 | $27.22 – $61.25 | 16 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $32.34 | $49.00 | $4.16 – $6.19 | 5 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | not published | 0 |
| Progesterone CPT 84144 | $117.48 | $178.00 | $20.86 – $46.94 | 16 |
| Prolactin CPT 84146 | $117.48 | $178.00 | $19.38 – $43.61 | 16 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | not published | 0 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $2.48 | $3.76 | $0.15 – $0.16 | 5 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $55.92 | $84.73 | $5.64 – $18.13 | 5 |
| Prostate biopsy, any mthd HCPCS G0416 | $462.66 | $701.00 | $60.31 – $783.38 | 16 |
| Prostatectomy (turp) CPT 52601 | not published | not published | not published | 0 |
| Prostate laser enucleation CPT 52649 | not published | not published | not published | 0 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $15.08 | $22.85 | $1.51 – $2.81 | 5 |
| Protein c activity CPT 85303 | $108.90 | $165.00 | $13.84 – $31.14 | 16 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $71.94 | $109.00 | $10.74 – $24.17 | 16 |
| Protein s total CPT 85305 | $129.36 | $196.00 | $11.61 – $26.12 | 16 |
| Protein total 24 hour urine CPT 84156 | $27.06 | $41.00 | $3.67 – $8.26 | 16 |
| Protein total body fluid CPT 84157 | $42.90 | $65.00 | $4.00 – $9.00 | 16 |
| Protein total serum plasma whole blood CPT 84155 | $23.76 | $36.00 | $3.67 – $8.26 | 16 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $42.90 | $65.00 | $3.94 – $8.87 | 16 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | not published | 0 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | not published | 0 |
| Prq av fstl crt uxtr sep acs CPT 36837 | $20,739.84 | $31,424.00 | $1,612.87 – $40,063.76 | 14 |
| Prq card angio/athrect addl CPT 92925 | $6,190.14 | $9,379.00 | $3,759.01 – $3,984.55 | 7 |
| Prq cardiac angio addl art CPT 92921 | $4,239.84 | $6,424.00 | $3,759.01 – $3,984.55 | 7 |
| Prq card revasc chronic addl CPT 92944 | $8,982.60 | $13,610.00 | $3,759.01 – $3,984.55 | 7 |
| Prq card revasc mi 1 vsl CPT 92941 | $10,479.48 | $15,878.00 | $3,759.01 – $3,984.55 | 7 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $10,479.48 | $15,878.00 | $3,759.01 – $3,984.55 | 7 |
| Prq card stent/ath/angio CPT 92934 | $10,730.28 | $16,258.00 | $3,759.01 – $3,984.55 | 7 |
| Prq card stent w/angio addl CPT 92929 | $8,234.16 | $12,476.00 | $3,759.01 – $3,984.55 | 7 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $13,098.36 | $19,846.00 | $3,759.01 – $25,229.80 | 14 |
| Prq revasc byp graft addl CPT 92938 | $5,539.38 | $8,393.00 | $3,759.01 – $3,984.55 | 7 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | not published | 0 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $13,098.36 | $19,846.00 | $3,759.01 – $25,229.80 | 14 |
| Prq trlml c athrc st angiop1 CPT 92933 | $20,739.84 | $31,424.00 | $3,759.01 – $40,063.76 | 14 |
| Prq trluml c angiop 1art&/br CPT 92920 | $6,270.66 | $9,501.00 | $3,759.01 – $12,438.90 | 14 |
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.