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 |
|---|---|---|---|---|
| Apply intrcav radiat compl CPT 77763 | $1,509.42 | $2,287.00 | $652.19 – $2,025.50 | 16 |
| Apply intrcav radiat interm CPT 77762 | $1,358.28 | $2,058.00 | $536.70 – $2,025.50 | 16 |
| Apply intrcav radiat simple CPT 77761 | $1,207.14 | $1,829.00 | $216.69 – $1,829.00 | 16 |
| Apply of finger splint 29131 CPT 29131 | $246.18 | $373.00 | $34.70 – $128.93 | 14 |
| Apply rigid leg cast 29445 CPT 29445 | $919.38 | $1,393.00 | $82.42 – $611.27 | 14 |
| Apply surf ldr radionuclide CPT 77789 | $414.48 | $628.00 | $82.42 – $628.00 | 16 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $16.70 | $25.30 | $1.71 – $25.30 | 16 |
| #aptt mix-1:1 incubated CPT 87532 | $139.92 | $212.00 | $35.09 – $78.95 | 16 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $320.10 | $485.00 | $12.05 – $84.89 | 16 |
| Aquaporin-4 antibody cba each CPT 86052 | $296.34 | $449.00 | $12.05 – $27.11 | 16 |
| Aquaporin-4 antibody elisa CPT 86051 | $431.64 | $654.00 | $11.53 – $25.94 | 16 |
| Aquatic exercise - group charge CPT 97150 | $69.96 | $106.00 | $6.38 – $106.00 | 16 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $6.71 | $10.16 | $0.61 – $5.61 | 16 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $132.75 | $201.13 | $12.19 – $60.38 | 11 |
| Art bypass femoral-femoral 35661 CPT 35661 | $706.20 | $1,070.00 | $1,070.00 – $1,134.20 | 7 |
| Arterial blood draw/perc 36620 CPT 36620 | $486.42 | $737.00 | $313.47 – $332.28 | 7 |
| Artery transpose/endovas taa CPT 33889 | $7,485.72 | $11,342.00 | $4,367.34 – $4,629.38 | 7 |
| Artery-vein nonautograft CPT 36830 | $7,013.82 | $10,627.00 | $1,612.87 – $12,161.17 | 14 |
| Artery xray each vessel 7577426 CPT 75774 | $1,036.20 | $1,570.00 | $99.49 – $1,664.20 | 11 |
| Artery xray of abdomen 75726-26 CPT 75726 | $5,429.16 | $8,226.00 | $151.31 – $12,161.17 | 16 |
| Artery x-rays adrenal gland CPT 75731 | $3,635.28 | $5,508.00 | $194.63 – $6,900.67 | 16 |
| Artery x-rays adrenals CPT 75733 | $5,283.96 | $8,006.00 | $218.37 – $6,900.67 | 16 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $3,161.40 | $4,790.00 | $134.34 – $6,900.67 | 16 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $3,635.28 | $5,508.00 | $140.22 – $6,900.67 | 16 |
| Artery x-rays chest CPT 75756 | $3,635.28 | $5,508.00 | $216.83 – $6,900.67 | 16 |
| Artery x-rays lung CPT 75741 | $3,635.28 | $5,508.00 | $137.58 – $6,900.67 | 16 |
| Artery x-rays lung CPT 75746 | $3,635.28 | $5,508.00 | $161.77 – $6,900.67 | 16 |
| Artery x-rays lungs CPT 75743 | $3,635.28 | $5,508.00 | $140.20 – $6,900.67 | 16 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $6,243.60 | $9,460.00 | $179.60 – $12,161.17 | 16 |
| Artery x-rays spine CPT 75705 | $6,243.60 | $9,460.00 | $264.51 – $12,161.17 | 16 |
| Arthrd ant ntrbdy cervical CPT 22551 | not published | not published | not published | 0 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | not published | not published | not published | 0 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | not published | not published | not published | 0 |
| Arthrd si jt prq wo tfxj dev CPT 27278 | not published | not published | not published | 0 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $738.54 | $1,119.00 | $112.84 – $670.84 | 14 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $880.44 | $1,334.00 | $210.33 – $1,542.70 | 14 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $1,087.02 | $1,647.00 | $210.33 – $670.84 | 14 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $499.62 | $757.00 | $112.84 – $670.84 | 14 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $1,416.36 | $2,146.00 | $112.84 – $670.84 | 14 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $850.74 | $1,289.00 | $210.33 – $670.84 | 14 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | not published | not published | not published | 0 |
| Arthrodesis/combine app/ea add 22634 CPT 22634 | not published | not published | not published | 0 |
| Arthrodesis/post interbdy/ea add 22632 CPT 22632 | not published | not published | not published | 0 |
| Arthrodesis/sng lev/ea add ver seg 22614 CPT 22614 | not published | not published | not published | 0 |
| Arthrodesis subtalar CPT 28725 | not published | not published | not published | 0 |
| Asp core fat pad CPT 17999 | $199.32 | $302.00 | $75.67 – $438.49 | 14 |
| Asp & inj bone cyst CPT 20615 | $909.48 | $1,378.00 | $210.33 – $1,547.62 | 16 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $3,162.72 | $4,792.00 | $713.73 – $4,568.53 | 16 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $483.78 | $733.00 | $112.84 – $670.84 | 14 |
| Aspirate pleura without imaging 32554 CPT 32554 | $1,087.02 | $1,647.00 | $166.81 – $1,370.97 | 16 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $1,250.04 | $1,894.00 | $313.03 – $1,547.62 | 14 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $812.46 | $1,231.00 | $91.96 – $1,547.62 | 16 |
| Assay acid phosphatase CPT 84060 | $83.82 | $127.00 | $7.64 – $17.19 | 16 |
| Assay myeloperoxidase CPT 83876 | $100.98 | $153.00 | $19.54 – $114.44 | 16 |
| Assay of glucosidase CPT 82963 | $308.88 | $468.00 | $21.48 – $48.33 | 16 |
| Assay of glutathione CPT 82978 | $208.56 | $316.00 | $15.45 – $34.76 | 16 |
| Assay of interleukin-6 (il-6) CPT 83529 | $87.12 | $132.00 | $17.27 – $38.86 | 16 |
| Assay of leflunomide CPT 80193 | $120.12 | $182.00 | $38.57 – $86.78 | 16 |
| Assay of osteocalcin CPT 83937 | $59.40 | $90.00 | $29.85 – $67.16 | 16 |
| Assay of procainamide w/metab CPT 80192 | $92.40 | $140.00 | $16.75 – $37.69 | 16 |
| Assay of prostaglandin CPT 84150 | $324.72 | $492.00 | $35.09 – $93.98 | 16 |
| Assay of tyrosine CPT 84510 | $114.18 | $173.00 | $10.63 – $23.92 | 16 |
| Assay of urine sulfate CPT 84392 | $29.04 | $44.00 | $5.49 – $12.35 | 16 |
| Assay phosphatidylglycerol CPT 84081 | $350.46 | $531.00 | $16.52 – $37.17 | 16 |
| Assay phosphohexose enzymes CPT 84087 | $346.50 | $525.00 | $10.73 – $24.14 | 16 |
| Assay toxin or antitoxin CPT 87230 | $115.50 | $175.00 | $19.74 – $44.42 | 16 |
| Assess cyst contrast inject CPT 49424 | $660.00 | $1,000.00 | $69.99 – $495.60 | 11 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $36.30 | $55.00 | $4.27 – $9.61 | 16 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | not published | 0 |
| Ast/sgot CPT 84450 | $32.34 | $49.00 | $5.18 – $11.66 | 16 |
| Asxl1 full gene sequence CPT 81175 | $1,473.12 | $2,232.00 | $565.61 – $1,522.13 | 16 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $182.00 | $275.76 | $93.91 – $275.76 | 16 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $20,739.84 | $31,424.00 | $4,903.29 – $5,197.49 | 7 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $20,739.84 | $31,424.00 | $4,903.29 – $5,197.49 | 7 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $0.84 | $1.27 | $0.14 – $0.18 | 5 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $252.12 | $382.00 | $382.00 – $382.00 | 1 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $4,810.74 | $7,289.00 | $1,215.09 – $2,397.69 | 11 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $8,251.32 | $12,502.00 | $1,215.09 – $15,858.44 | 16 |
| Autologous blood op salvage CPT 86891 | $943.80 | $1,430.00 | $38.82 – $1,760.81 | 16 |
| Autologous blood process CPT 86890 | $292.38 | $443.00 | $38.82 – $372.34 | 16 |
| Automated diff wbc count CPT 85004 | $38.28 | $58.00 | $6.47 – $14.56 | 16 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $299.03 | $453.08 | $104.99 – $453.08 | 16 |
| Av fistula revision CPT 36833 | $6,440.94 | $9,759.00 | $1,612.87 – $12,161.17 | 14 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | not published | 0 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | not published | 0 |
| Av fusion direct any site CPT 36821 | $5,894.46 | $8,931.00 | $1,612.87 – $6,900.67 | 14 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | not published | 0 |
| Avul nail plate addl CPT 11732 | $212.52 | $322.00 | $30.48 – $32.31 | 7 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $404.00 | $404.00 | $30.48 – $438.49 | 14 |
| Azacitidine injection HCPCS J9025 | $9.47 | $14.35 | $0.75 – $10.31 | 11 |
| Azathioprine 50 mg tablet HCPCS J7500 | $5.28 | $8.00 | $0.10 – $3.11 | 5 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $44.65 | $67.65 | $3.37 – $3.71 | 5 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $17.58 | $26.63 | $3.62 – $3.99 | 5 |
| Baclofen eval charges CPT 97750 | $80.52 | $122.00 | $17.51 – $122.00 | 12 |
| Bacterial meningitis antigen CPT 86403 | $82.50 | $125.00 | $11.54 – $25.97 | 16 |
| Bacterial vaginosis pcr CPT 87801 | $475.86 | $721.00 | $50.62 – $157.95 | 16 |
| Balloon dilate urtrl strix CPT 50706 | $617.10 | $935.00 | $935.00 – $991.10 | 7 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | not published | 0 |
| Bartonella dna pcr-sendout CPT 87471 | $351.12 | $532.00 | $35.09 – $78.95 | 16 |
| B cells total count CPT 86355 | $256.74 | $389.00 | $37.73 – $84.89 | 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.