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 |
|---|---|---|---|---|
| Prq trluml c athrc 1 art&/br CPT 92924 | $10,479.48 | $15,878.00 | $3,759.01 – $25,229.80 | 14 |
| Prq trluml revsc ch occ ant CPT 92943 | $13,098.36 | $19,846.00 | $3,759.01 – $25,229.80 | 14 |
| Pr removal drug delivery implant CPT 11982 | $744.48 | $1,128.00 | $75.67 – $976.31 | 14 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $197.34 | $299.00 | $129.23 – $290.78 | 9 |
| Pr removal intrauterine device CPT 58301 | $351.12 | $532.00 | $96.84 – $665.99 | 14 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $711.48 | $1,078.00 | $174.99 – $888.44 | 14 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $622.38 | $943.00 | $83.55 – $438.49 | 14 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $681.12 | $1,032.00 | $83.55 – $438.49 | 14 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $503.58 | $763.00 | $83.55 – $438.49 | 14 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $553.08 | $838.00 | $83.55 – $438.49 | 14 |
| Pr robotic surgical system HCPCS S2900 | not published | not published | not published | 0 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $3,668.28 | $5,558.00 | $113.00 – $4,509.30 | 14 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,700.82 | $2,577.00 | $286.04 – $3,440.31 | 16 |
| PSA (Prostate) Test CPT 84153 | $117.48 | $178.00 | $18.39 – $41.38 | 16 |
| Psychotherapy group therapy CPT 90853 | $232.32 | $352.00 | $98.68 – $222.02 | 14 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $185.46 | $281.00 | $59.28 – $387.92 | 14 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $217.80 | $330.00 | $70.84 – $387.92 | 14 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $217.80 | $330.00 | $70.84 – $387.92 | 14 |
| Psytx complex interactive CPT 90785 | $44.22 | $67.00 | $59.28 – $67.00 | 8 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $62.70 | $95.00 | $14.21 – $95.00 | 16 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $77.22 | $117.00 | $14.71 – $117.00 | 16 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $62.70 | $95.00 | $13.84 – $95.00 | 16 |
| Pt application of modality traction mechanical CPT 97012 | $69.96 | $106.00 | $13.88 – $106.00 | 16 |
| Pten gene full sequence CPT 81321 | $1,306.80 | $1,980.00 | $480.56 – $1,350.00 | 16 |
| Pt evaluation high complexity patient/family CPT 97163 | $155.10 | $235.00 | $92.06 – $215.33 | 12 |
| Pt evaluation low complexity patient/family CPT 97161 | $155.10 | $235.00 | $92.06 – $215.33 | 12 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $155.10 | $235.00 | $62.66 – $215.33 | 16 |
| Pt prgrm for implt neurostim HCPCS L8681 | $1,448.37 | $2,194.50 | $1,562.40 – $3,515.41 | 9 |
| Pt re-evaluation patient/family CPT 97164 | $89.10 | $135.00 | $65.77 – $147.98 | 12 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $130.02 | $197.00 | $17.51 – $197.00 | 12 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $108.90 | $165.00 | $12.19 – $165.00 | 16 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $80.52 | $122.00 | $14.71 – $122.00 | 16 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $69.96 | $106.00 | $14.71 – $106.00 | 16 |
| Pt wheelchair management each 15 minutes CPT 97542 | $56.10 | $85.00 | $17.51 – $85.00 | 16 |
| Pulse ox continuous overnight monitoring CPT 94762 | $263.34 | $399.00 | $26.43 – $399.00 | 16 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $623.70 | $945.00 | $63.18 – $142.16 | 9 |
| Punc of shunt for asp or inj CPT 61070 | $801.24 | $1,214.00 | $105.49 – $1,542.70 | 16 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $129.36 | $196.00 | $23.90 – $290.78 | 16 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $487.74 | $739.00 | $75.67 – $888.44 | 14 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,019.04 | $1,544.00 | $350.17 – $1,542.70 | 14 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $197.34 | $299.00 | $299.00 – $316.94 | 7 |
| Pvb thoracic cont infusion CPT 64463 | $1,430.22 | $2,167.00 | $350.17 – $1,542.70 | 14 |
| Pvb thoracic single inj site CPT 64461 | $1,321.98 | $2,003.00 | $350.17 – $1,542.70 | 14 |
| Pyruvate CPT 84210 | $89.76 | $136.00 | $14.48 – $32.58 | 16 |
| Pyruvate kinase CPT 84220 | $182.16 | $276.00 | $9.44 – $21.24 | 16 |
| Quant diff pulm perf w/imaging CPT 78597 | $841.50 | $1,275.00 | $388.31 – $1,246.46 | 16 |
| Quest t3 uptake CPT 84479 | $54.12 | $82.00 | $6.47 – $14.56 | 16 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $660.23 | $1,000.35 | $279.95 – $629.89 | 16 |
| Radiation handling CPT 77790 | $339.90 | $515.00 | $55.06 – $515.00 | 10 |
| Radiation physics consult CPT 77336 | $646.80 | $980.00 | $52.22 – $980.00 | 16 |
| Radiation therapy dose plan CPT 77300 | $599.94 | $909.00 | $52.22 – $909.00 | 16 |
| Radiation treatment aid(s) CPT 77332 | $581.46 | $881.00 | $52.22 – $881.00 | 16 |
| Radiation treatment aid(s) CPT 77333 | $754.38 | $1,143.00 | $52.22 – $1,143.00 | 16 |
| Radiation treatment aid(s) CPT 77334 | $1,512.72 | $2,292.00 | $85.50 – $2,025.50 | 16 |
| Radiation treatment delivery CPT 77402 | $693.66 | $1,051.00 | $82.42 – $1,051.00 | 16 |
| Radiation treatment delivery CPT 77412 | $1,097.58 | $1,663.00 | $82.42 – $1,663.00 | 16 |
| Radiology port images(s) CPT 77417 | $399.96 | $606.00 | $25.74 – $606.00 | 10 |
| Radiotherapy dose plan imrt CPT 77301 | $4,513.08 | $6,838.00 | $487.89 – $3,025.01 | 16 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,508.10 | $2,285.00 | $403.45 – $1,246.46 | 16 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,584.00 | $2,400.00 | $403.45 – $1,246.46 | 16 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $1,791.90 | $2,715.00 | $403.45 – $2,829.45 | 16 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,682.34 | $2,549.00 | $403.45 – $1,246.46 | 16 |
| Radphm lcl tumor plr sgl day CPT 78800 | $877.80 | $1,330.00 | $388.31 – $1,246.46 | 16 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $229.22 | $347.30 | $75.58 – $346.68 | 16 |
| Rapid desensitization CPT 95180 | $460.68 | $698.00 | $21.29 – $976.31 | 16 |
| Rapid Strep Test CPT 87880 | $79.86 | $121.00 | $16.53 – $37.19 | 16 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $920.58 | $1,394.82 | $383.37 – $870.02 | 16 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $422.49 | $640.14 | $224.80 – $640.14 | 16 |
| Rbc count only automated CPT 85041 | $14.52 | $22.00 | $3.02 – $6.80 | 16 |
| Rebuild eardrum structures CPT 69632 | not published | not published | not published | 0 |
| Rebuild eardrum structures CPT 69636 | not published | not published | not published | 0 |
| Recon, cta for surg plan HCPCS G0288 | $153.78 | $233.00 | $233.00 – $233.00 | 5 |
| Reconstruct ankle joint CPT 27702 | not published | not published | not published | 0 |
| Reconstruct cleft palate CPT 42210 | not published | not published | not published | 0 |
| Reconstruct head of radius CPT 24366 | not published | not published | not published | 0 |
| Reconstruction of nail bed CPT 11762 | not published | not published | not published | 0 |
| Reconstruction of nose CPT 30410 | not published | not published | not published | 0 |
| Reconstruction of nose CPT 30420 | $12,497.10 | $18,935.00 | $2,285.71 – $12,937.78 | 14 |
| Reconstruction of urethra CPT 53410 | not published | not published | not published | 0 |
| Reconstruction of urethra CPT 54322 | not published | not published | not published | 0 |
| Reconstruction of urethra CPT 54324 | not published | not published | not published | 0 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | not published | 0 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $619.74 | $939.00 | $57.42 – $561.15 | 14 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $727.32 | $1,102.00 | $184.91 – $476.46 | 14 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $727.32 | $1,102.00 | $57.42 – $597.17 | 14 |
| Redo endovas vena cava filtr CPT 37192 | $4,311.12 | $6,532.00 | $1,688.84 – $6,900.67 | 14 |
| Reduce testis torsion CPT 54600 | not published | not published | not published | 0 |
| Re-explore parathyroids CPT 60502 | not published | not published | not published | 0 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $36.53 | $55.35 | $4.42 – $5.76 | 5 |
| Release of midfoot joint CPT 28260 | not published | not published | not published | 0 |
| Relieve bladder contracture CPT 52640 | not published | not published | not published | 0 |
| Relocation skin pocket aicd CPT 33223 | $2,112.66 | $3,201.00 | $719.00 – $4,509.30 | 14 |
| Relocation skin pocket pm CPT 33222 | $2,395.14 | $3,629.00 | $719.00 – $4,509.30 | 14 |
| Rem/biv cast full arm/leg CPT 29705 | $434.28 | $658.00 | $82.42 – $611.27 | 14 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $12.63 | $19.13 | $6.35 – $15.52 | 16 |
| Rem endovas vena cava filter CPT 37193 | $4,117.08 | $6,238.00 | $1,688.84 – $6,900.67 | 14 |
| Remote 30 day ecg tech supp CPT 93229 | $1,081.08 | $1,638.00 | $19.12 – $815.54 | 16 |
| Removal biliary drg cath CPT 47537 | $1,387.32 | $2,102.00 | $178.30 – $1,982.21 | 14 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $1,052.04 | $1,594.00 | $337.86 – $1,370.97 | 14 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $2,198.46 | $3,331.00 | $337.86 – $3,440.31 | 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.