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 |
|---|---|---|---|---|
| Revision of calf tendon CPT 27687 | not published | not published | not published | 0 |
| Revision of cervix CPT 59320 | not published | not published | not published | 0 |
| Revision of collar bone CPT 23485 | not published | not published | not published | 0 |
| Revision of femur epiphysis CPT 27185 | not published | not published | not published | 0 |
| Revision of foot bones CPT 28737 | not published | not published | not published | 0 |
| Revision of foot tendon CPT 28238 | not published | not published | not published | 0 |
| Revision of foot tendon CPT 28261 | not published | not published | not published | 0 |
| Revision of knee joint CPT 27446 | not published | not published | not published | 0 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | not published | 0 |
| Revision of nose CPT 30460 | not published | not published | not published | 0 |
| Revision of nose CPT 30462 | not published | not published | not published | 0 |
| Revision of penis CPT 54300 | not published | not published | not published | 0 |
| Revision of scrotum CPT 55175 | not published | not published | not published | 0 |
| Revision of urethra CPT 53450 | not published | not published | not published | 0 |
| Revision open av fistula without thromb CPT 36832 | $6,243.60 | $9,460.00 | $1,612.87 – $12,161.17 | 14 |
| Revision tips CPT 37183 | $10,876.14 | $16,479.00 | $2,832.02 – $12,438.90 | 14 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | not published | 0 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | not published | 0 |
| Revj prior hypspad repair CPT 54352 | not published | not published | not published | 0 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | not published | 0 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | not published | 0 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | not published | 0 |
| Revsc opn/prq tib/pero stent CPT 37234 | $6,666.00 | $10,100.00 | $4,903.29 – $5,197.49 | 7 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $3,262.38 | $4,943.00 | $617.20 – $4,267.68 | 14 |
| Rheumatoid factor qualitative CPT 86430 | $42.24 | $64.00 | $6.14 – $13.82 | 16 |
| Rheumatoid factor quantitative CPT 86431 | $38.94 | $59.00 | $5.67 – $12.76 | 16 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $37.28 | $56.49 | $7.97 – $47.12 | 11 |
| Rho d immune globulin inj HCPCS J2790 | $94.94 | $143.85 | $44.45 – $131.44 | 10 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $0.84 | $1.27 | $0.25 – $0.27 | 4 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $34.39 | $52.10 | $14.93 – $52.10 | 16 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $290.56 | $440.24 | $74.77 – $434.68 | 16 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $88.65 | $134.32 | $36.87 – $134.27 | 16 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $261.91 | $396.83 | $30.15 – $391.88 | 16 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $236.84 | $358.85 | $13.27 – $353.90 | 16 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $1,223.64 | $1,854.00 | $113.00 – $1,547.62 | 14 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | not published | 0 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $2,226.18 | $3,373.00 | $659.22 – $2,615.26 | 14 |
| Rmvl icd by tv extr CPT 33244 | $4,203.54 | $6,369.00 | $719.00 – $8,167.12 | 14 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $11,482.68 | $17,398.00 | $10,159.82 – $48,613.29 | 14 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $15,016.32 | $22,752.00 | $10,159.82 – $68,600.30 | 14 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $11,482.68 | $17,398.00 | $10,159.82 – $48,613.29 | 14 |
| Rmvl icd pulse gen only CPT 33241 | $4,203.54 | $6,369.00 | $3,312.01 – $8,167.12 | 14 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $1,285.02 | $1,947.00 | $456.67 – $1,370.97 | 14 |
| Rmvl perm pm pulse gen CPT 33233 | $2,544.96 | $3,856.00 | $3,312.01 – $18,085.85 | 14 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $7,155.06 | $10,841.00 | $3,606.83 – $42,096.39 | 14 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $4,592.28 | $6,958.00 | $3,606.83 – $18,085.85 | 14 |
| Rmvl pq iabp CPT 33968 | $2,075.70 | $3,145.00 | $3,145.00 – $3,333.70 | 7 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $4,422.00 | $6,700.00 | $3,312.01 – $3,510.73 | 7 |
| Rmvl sq defib electrode CPT 33272 | $4,203.54 | $6,369.00 | $719.00 – $8,167.12 | 14 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,197.24 | $1,814.00 | $687.83 – $1,547.62 | 14 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | not published | 0 |
| Rmvl tongs/halo anthr indiv CPT 20665 | $460.68 | $698.00 | $84.33 – $976.31 | 14 |
| Rmvl tv pm lead dual CPT 33235 | $4,203.54 | $6,369.00 | $719.00 – $8,167.12 | 14 |
| Rmvl tv pm lead sgl CPT 33234 | $4,203.54 | $6,369.00 | $719.00 – $8,167.12 | 14 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | not published | 0 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $13,736.42 | $20,812.75 | $11.05 – $24.86 | 11 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $24.29 | $36.81 | $12.11 – $36.81 | 16 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $0.73 | $1.11 | $0.08 – $0.12 | 5 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | not published | 0 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $2,373.36 | $3,596.00 | $502.95 – $3,440.31 | 14 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,535.82 | $2,327.00 | $388.31 – $1,246.46 | 16 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $1,791.90 | $2,715.00 | $403.45 – $2,829.45 | 16 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $2,026.20 | $3,070.00 | $403.45 – $3,125.15 | 16 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $2,175.36 | $3,296.00 | $502.95 – $3,440.31 | 14 |
| Rpl tun-cvad w subq port CPT 36582 | $5,536.74 | $8,389.00 | $971.33 – $6,900.67 | 14 |
| Rpl tun cvc wo subq port CPT 36581 | $3,657.72 | $5,542.00 | $971.33 – $6,900.67 | 14 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | not published | 0 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | not published | 0 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | not published | 0 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | not published | 0 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | not published | 0 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | not published | not published | not published | 0 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | not published | not published | not published | 0 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | not published | 0 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | not published | 0 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | not published | 0 |
| Rsv assay w/optic CPT 87807 | $99.00 | $150.00 | $13.10 – $29.48 | 16 |
| Rubella antibody igg CPT 86762 | $99.00 | $150.00 | $14.39 – $32.38 | 16 |
| Rubeola antibody igg CPT 86765 | $89.10 | $135.00 | $12.88 – $28.98 | 16 |
| Russell viper venom diluted CPT 85613 | $68.64 | $104.00 | $9.58 – $21.56 | 16 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $67.12 | $101.69 | $36.98 – $101.69 | 16 |
| Salivary glnd img serial img CPT 78231 | $1,023.66 | $1,551.00 | $168.45 – $1,246.46 | 16 |
| Salmonella antibody CPT 86768 | $66.00 | $100.00 | $11.50 – $29.68 | 16 |
| Sarscov coronavirus ag ia CPT 87426 | $73.92 | $112.00 | $35.33 – $79.49 | 16 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $805.20 | $1,220.00 | $77.18 – $521.52 | 16 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $699.60 | $1,060.00 | $77.18 – $521.52 | 16 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $601.26 | $911.00 | $77.18 – $521.46 | 16 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $461.34 | $699.00 | $50.10 – $521.52 | 16 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $498.30 | $755.00 | $50.10 – $472.83 | 16 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $628.32 | $952.00 | $50.10 – $472.83 | 16 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,058.64 | $1,604.00 | $77.18 – $521.46 | 16 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $592.68 | $898.00 | $50.10 – $472.83 | 16 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $531.30 | $805.00 | $50.10 – $472.83 | 16 |
| Scan proc cranial extra CPT 61782 | not published | not published | not published | 0 |
| Scan proc spinal CPT 61783 | not published | not published | not published | 0 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $2,373.36 | $3,596.00 | $330.73 – $3,609.56 | 14 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $4,152.06 | $6,291.00 | $435.21 – $435.21 | 1 |
| Screen cerv/vag thin layer HCPCS G0123 | $125.40 | $190.00 | $20.26 – $45.59 | 16 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | not published | 0 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $110.22 | $167.00 | $4.30 – $40.61 | 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.