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 |
|---|---|---|---|---|
| Screening hepatitis c antibody high risk HCPCS G0472 | $99.66 | $151.00 | $15.17 – $104.29 | 16 |
| Screening Mammogram CPT 77067 | $310.20 | $470.00 | $10.93 – $196.07 | 14 |
| Screening prostate cancer PSA HCPCS G0103 | $117.48 | $178.00 | $19.31 – $43.45 | 16 |
| Screen pap by tech w md supv HCPCS P3000 | $53.46 | $81.00 | $14.86 – $41.72 | 16 |
| Sc ther infusion reset pump CPT 96371 | $143.88 | $218.00 | $69.94 – $157.36 | 14 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $3,237.96 | $4,906.00 | $4,903.29 – $5,197.49 | 7 |
| Sedimentation rate erythrocyte automated CPT 85652 | $36.96 | $56.00 | $2.70 – $6.08 | 16 |
| Semen analysis presence/motility CPT 89321 | $207.90 | $315.00 | $12.05 – $27.11 | 16 |
| Semen analysis w/count CPT 89310 | $229.68 | $348.00 | $8.61 – $19.37 | 16 |
| Serpina1 gene CPT 81332 | $663.30 | $1,005.00 | $17.32 – $98.21 | 16 |
| Sertraline (zoloft) - sendout CPT 80332 | $97.02 | $147.00 | $25.92 – $88.20 | 10 |
| Set radiation therapy field CPT 77280 | $867.24 | $1,314.00 | $52.22 – $1,314.00 | 16 |
| Set radiation therapy field CPT 77285 | $1,056.00 | $1,600.00 | $85.50 – $1,600.00 | 16 |
| Set radiation therapy field CPT 77290 | $2,221.56 | $3,366.00 | $85.50 – $2,025.50 | 16 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | $14.69 | $22.25 | $12.30 – $22.25 | 3 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | not published | 0 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,669.70 | $4,045.00 | $186.59 – $1,444.47 | 16 |
| Shoulder MRI (with contrast) CPT 73222 | $2,542.32 | $3,852.00 | $186.59 – $1,713.26 | 16 |
| Shoulder MRI (without contrast) CPT 73221 | $2,420.88 | $3,668.00 | $110.60 – $1,444.47 | 16 |
| Shoulder X-ray CPT 73030 | $315.48 | $478.00 | $25.74 – $456.60 | 16 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $522.72 | $792.00 | $54.25 – $456.60 | 16 |
| Sialography s&i CPT 70390 | $519.42 | $787.00 | $54.25 – $521.46 | 16 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | not published | 0 |
| Sickling rbc CPT 85660 | $59.40 | $90.00 | $5.51 – $12.40 | 16 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | not published | 0 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $449.10 | $680.45 | $44.45 – $242.28 | 11 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,679.04 | $2,544.00 | $139.35 – $1,215.09 | 16 |
| Sinus CT scan (with contrast) CPT 70487 | $1,624.92 | $2,462.00 | $139.35 – $1,215.09 | 16 |
| Sinus CT scan (without contrast) CPT 70486 | $1,271.16 | $1,926.00 | $48.92 – $1,215.09 | 16 |
| Sinus/juglr venogram s&i CPT 75860 | $3,635.28 | $5,508.00 | $142.17 – $6,900.67 | 16 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | not published | 0 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | not published | 0 |
| Sirolimus, oral HCPCS J7520 | $38.84 | $58.85 | $1.60 – $2.28 | 5 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | $154.80 | $234.54 | $87.11 – $234.54 | 16 |
| Skin Biopsy CPT 11102 | $306.24 | $464.00 | $192.73 – $888.44 | 14 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | not published | 0 |
| Sleep study attended CPT 95807 | $1,648.68 | $2,498.00 | $362.33 – $815.54 | 16 |
| Sleep Study (Polysomnography) CPT 95810 | $4,039.86 | $6,121.00 | $181.17 – $938.39 | 16 |
| Sleep study unattended CPT 95806 | $518.76 | $786.00 | $69.60 – $471.90 | 16 |
| Sleeve fing rolyan med HCPCS L3933 | $296.34 | $449.00 | $280.71 – $631.60 | 9 |
| Slitting of prepuce CPT 54001 | $4,781.04 | $7,244.00 | $903.42 – $4,568.53 | 14 |
| Slp stdy unatnd w/anal CPT 95801 | $296.34 | $449.00 | $57.30 – $449.00 | 16 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $118.14 | $179.00 | $5.39 – $12.13 | 16 |
| Smear gram stain CPT 87205 | $65.34 | $99.00 | $4.27 – $9.61 | 16 |
| Smear nasal eosinophil CPT 89190 | $33.00 | $50.00 | $5.79 – $13.03 | 16 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $129.36 | $196.00 | $5.99 – $13.48 | 16 |
| Smear wet mount CPT 87210 | $39.60 | $60.00 | $5.82 – $13.10 | 16 |
| Snrpn/ube3a gene CPT 81331 | $327.36 | $496.00 | $51.07 – $114.91 | 16 |
| Sodium 24 hour urine CPT 84300 | $29.70 | $45.00 | $5.06 – $11.39 | 16 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $247.60 | $375.15 | $3.28 – $4.57 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $192.82 | $292.15 | $2.13 – $2.31 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $25.38 | $38.45 | $1.09 – $1.18 | 5 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $32.34 | $49.00 | $0.15 – $0.17 | 2 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $30.98 | $46.94 | $3.64 – $3.96 | 5 |
| Sodium serum/plasma/whole blood CPT 84295 | $20.46 | $31.00 | $4.81 – $10.82 | 16 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $3.77 | $5.71 | $0.88 – $1.98 | 9 |
| So neo gsap dna mcrstl ins CPT 81457 | $2,972.64 | $4,504.00 | $133.58 – $2,017.96 | 16 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | not published | 0 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | not published | 0 |
| Special physics consult CPT 77370 | $1,056.00 | $1,600.00 | $52.22 – $1,600.00 | 16 |
| Special radiation dosimetry CPT 77331 | $422.40 | $640.00 | $55.06 – $640.00 | 16 |
| Special radiation treatment CPT 77470 | $1,909.38 | $2,893.00 | $116.81 – $2,025.50 | 16 |
| Special teletx port plan CPT 77321 | $1,358.28 | $2,058.00 | $85.50 – $2,025.50 | 16 |
| Specific gravity body fluid CPT 84315 | $13.20 | $20.00 | $3.28 – $7.38 | 16 |
| Specimen fat stain CPT 89125 | $31.68 | $48.00 | $5.88 – $13.23 | 16 |
| Speech evaluation complex CPT 70371 | $551.76 | $836.00 | $54.25 – $521.46 | 16 |
| Sperm antibody test CPT 89325 | $55.44 | $84.00 | $1.85 – $24.01 | 16 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | not published | 0 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | not published | 0 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,364.88 | $2,068.00 | $350.17 – $1,542.70 | 14 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $654.72 | $992.00 | $47.30 – $815.54 | 16 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $684.42 | $1,037.00 | $660.83 – $1,486.87 | 9 |
| Splint finger frog med HCPCS L3927 | $48.84 | $74.00 | $46.12 – $103.77 | 9 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $4,228.62 | $6,407.00 | $113.00 – $7,744.80 | 14 |
| Split blood or products CPT 86985 | $198.00 | $300.00 | $38.82 – $372.34 | 16 |
| Sputum specimen collection CPT 89220 | $198.00 | $300.00 | $31.06 – $372.34 | 16 |
| Srs linear based CPT 77372 | $7,677.78 | $11,633.00 | $2,025.50 – $16,096.83 | 16 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $184.14 | $279.00 | $84.55 – $259.68 | 16 |
| Staph a dna amp probe CPT 87640 | $237.60 | $360.00 | $35.09 – $78.95 | 16 |
| Static or dynami afo pre ots HCPCS L4397 | $85.80 | $130.00 | $130.00 – $429.71 | 9 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $15,719.88 | $23,818.00 | $4,903.29 – $5,197.49 | 7 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $13,098.36 | $19,846.00 | $4,903.29 – $5,197.49 | 7 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $5,539.38 | $8,393.00 | $4,903.29 – $5,197.49 | 7 |
| Stent placemt retro carotid CPT 37217 | $4,540.14 | $6,879.00 | $6,444.65 – $6,831.33 | 7 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $20,739.84 | $31,424.00 | $4,903.29 – $5,197.49 | 7 |
| Stereoscopic x-ray guidance HCPCS G6002 | $254.10 | $385.00 | $92.68 – $385.00 | 10 |
| St evaluate speech sound production CPT 92522 | $181.50 | $275.00 | $86.18 – $259.68 | 16 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $345.18 | $523.00 | $110.69 – $499.77 | 16 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $282.48 | $428.00 | $57.50 – $259.68 | 16 |
| St evaluation swallow function CPT 92610 | $273.24 | $414.00 | $75.84 – $259.68 | 16 |
| Strep a ag ia CPT 87430 | $79.86 | $121.00 | $16.81 – $37.82 | 16 |
| Strep b assay w/optic CPT 87802 | $116.82 | $177.00 | $12.73 – $28.64 | 16 |
| Strep b dna amp probe CPT 87653 | $237.60 | $360.00 | $35.09 – $78.95 | 16 |
| Stress test pulmonary CPT 94618 | $447.48 | $678.00 | $26.43 – $632.97 | 16 |
| Stress tte complete CPT 93351 | $2,050.62 | $3,107.00 | $198.51 – $1,194.19 | 16 |
| St treatment speech individual CPT 92507 | $224.40 | $340.00 | $59.16 – $259.68 | 16 |
| St treatment swallow dysfunction/oral CPT 92526 | $224.40 | $340.00 | $17.51 – $259.68 | 16 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $9.21 | $13.95 | $1.21 – $2.56 | 2 |
| Sugars single quant CPT 84378 | $143.88 | $218.00 | $11.53 – $25.94 | 16 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $0.38 | $0.58 | $0.07 – $0.07 | 4 |
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.