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 |
|---|---|---|---|---|
| Trim nail(s) HCPCS G0127 | $108.90 | $165.00 | $30.48 – $128.93 | 14 |
| Trim nondyst nails CPT 11719 | $118.14 | $179.00 | $30.48 – $128.93 | 14 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $5,088.60 | $7,710.00 | $6,444.65 – $6,831.33 | 7 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $7,128.66 | $10,801.00 | $6,444.65 – $6,831.33 | 7 |
| Trnscath plc stnt ante carotid art CPT 37218 | $823.02 | $1,247.00 | $456.60 – $1,321.82 | 11 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $4,891.26 | $7,411.00 | $4,903.29 – $5,197.49 | 7 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $3,367.98 | $5,103.00 | $4,903.29 – $5,197.49 | 7 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $13,098.36 | $19,846.00 | $4,903.29 – $25,229.80 | 14 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $2,682.90 | $4,065.00 | $1,688.84 – $6,900.67 | 14 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $6,243.60 | $9,460.00 | $1,688.84 – $12,161.17 | 14 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $3,635.28 | $5,508.00 | $1,688.84 – $6,900.67 | 14 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $3,635.28 | $5,508.00 | $1,688.84 – $6,900.67 | 14 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $3,635.28 | $5,508.00 | $1,688.84 – $6,900.67 | 14 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | not published | 0 |
| Troponin quantitative CPT 84484 | $84.48 | $128.00 | $12.47 – $28.06 | 16 |
| Tte w or without fol w/con,stres HCPCS C8928 | $1,657.92 | $2,512.00 | $99.26 – $856.63 | 16 |
| Tx atrial fib pulm vein isol CPT 93656 | $17,666.22 | $26,767.00 | $8,011.46 – $57,124.24 | 14 |
| Tx closed hip disl traumatic without anes CPT 27250 | $662.64 | $1,004.00 | $210.86 – $539.09 | 14 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $6,407.94 | $9,709.00 | $210.86 – $7,150.95 | 14 |
| Tx closed tib shaft fx without manip CPT 27750 | $277.20 | $420.00 | $210.86 – $539.09 | 14 |
| Tx l/r atrial fib addl CPT 93657 | $3,003.00 | $4,550.00 | $4,550.00 – $4,823.00 | 7 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | not published | 0 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | not published | 0 |
| Tympanic membrane repair CPT 69610 | not published | not published | not published | 0 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | not published | 0 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $143.72 | $217.76 | $70.18 – $217.76 | 16 |
| Ugt1a1 gene analy common variants CPT 81350 | $619.08 | $938.00 | $234.00 – $526.50 | 16 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $386.76 | $586.00 | $40.62 – $521.52 | 16 |
| Ultrasound breast complete CPT 76641 | $546.48 | $828.00 | $50.10 – $521.52 | 16 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $392.70 | $595.00 | $50.10 – $521.52 | 16 |
| Ultrasound chest CPT 76604 | $405.24 | $614.00 | $40.62 – $521.52 | 16 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $292.38 | $443.00 | $41.37 – $443.00 | 16 |
| Ultrasound dx ophth b-scan CPT 76512 | $222.42 | $337.00 | $34.85 – $337.00 | 16 |
| Ultrasound encephalogram CPT 76506 | $629.64 | $954.00 | $50.10 – $521.52 | 16 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $573.54 | $869.00 | $50.10 – $521.52 | 16 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $398.64 | $604.00 | $46.16 – $521.52 | 16 |
| Ultrasound guidance for vascular access CPT 76937 | $370.26 | $561.00 | $47.89 – $561.00 | 11 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $699.60 | $1,060.00 | $51.53 – $574.00 | 11 |
| Ultrasound guide intraoperative CPT 76998 | $839.52 | $1,272.00 | $51.53 – $574.00 | 11 |
| Ultrasound guide tissue ablation CPT 76940 | $552.42 | $837.00 | $51.53 – $574.00 | 11 |
| Ultrasound hips infant dynamic CPT 76885 | $377.52 | $572.00 | $50.10 – $521.52 | 16 |
| Ultrasound joint complete left CPT 76881 | $566.28 | $858.00 | $21.12 – $521.52 | 16 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $384.78 | $583.00 | $40.62 – $521.52 | 16 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $307.56 | $466.00 | $46.16 – $466.00 | 11 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $251.46 | $381.00 | $41.14 – $381.00 | 11 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $650.10 | $985.00 | $46.16 – $521.52 | 16 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $321.42 | $487.00 | $46.16 – $487.00 | 16 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $335.28 | $508.00 | $46.16 – $508.00 | 16 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $440.22 | $667.00 | $46.16 – $521.52 | 16 |
| Ultrasound prostate/transrectal CPT 76872 | $228.36 | $346.00 | $50.10 – $346.00 | 16 |
| Ultrasound retroperitoneal limited CPT 76775 | $517.44 | $784.00 | $40.62 – $521.52 | 16 |
| Ultrasound scrotum and contents CPT 76870 | $578.16 | $876.00 | $40.62 – $521.52 | 16 |
| Ultrasound spinal canal and contents CPT 76800 | $349.80 | $530.00 | $50.10 – $521.52 | 16 |
| Ultrasound transabd ea addl gest CPT 76812 | $297.00 | $450.00 | $46.16 – $450.00 | 11 |
| Ultrasound transvaginal non obstetric CPT 76830 | $531.30 | $805.00 | $25.05 – $521.52 | 16 |
| Umbilical artery cath newborn 36660 CPT 36660 | $129.36 | $196.00 | $34.44 – $36.51 | 7 |
| Unlisted CT procedure CPT 76497 | $331.98 | $503.00 | $48.92 – $503.00 | 16 |
| Unlisted cytogenetic study CPT 88299 | $372.90 | $565.00 | $17.32 – $339.00 | 16 |
| Unlisted dialysis procedure CPT 90999 | $510.18 | $773.00 | $356.20 – $773.00 | 10 |
| Unlisted fluoroscopic px CPT 76496 | $704.22 | $1,067.00 | $25.74 – $456.60 | 16 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | not published | 0 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | not published | 0 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | not published | 0 |
| Unlisted laps px bladder CPT 51999 | not published | not published | not published | 0 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | not published | 0 |
| Unlisted laps px ureter CPT 50949 | not published | not published | not published | 0 |
| Unlisted mr procedure CPT 76498 | $2,233.44 | $3,384.00 | $84.53 – $1,444.47 | 16 |
| Unlisted procedure larynx CPT 31599 | $570.90 | $865.00 | $230.06 – $679.66 | 14 |
| Unlisted procedure pancreas CPT 48999 | $8,257.26 | $12,511.00 | $687.83 – $1,547.62 | 16 |
| Unlisted procedure rectum CPT 45999 | not published | not published | not published | 0 |
| Unlisted px biliary tract CPT 47999 | $2,246.64 | $3,404.00 | $880.98 – $1,982.21 | 14 |
| Unlisted px casting/strpg CPT 29799 | $285.78 | $433.00 | $34.70 – $355.14 | 14 |
| Unlisted px foot/toes CPT 28899 | $545.82 | $827.00 | $210.86 – $539.09 | 14 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | not published | 0 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | not published | 0 |
| Unlisted px male genital sys CPT 55899 | not published | not published | not published | 0 |
| Unlisted px med radj physics CPT 77399 | $196.02 | $297.00 | $55.06 – $297.00 | 16 |
| Unlisted px neck/thorax CPT 21899 | $429.66 | $651.00 | $230.06 – $651.00 | 16 |
| Unlisted px pelvis/hip joint CPT 27299 | $5,088.60 | $7,710.00 | $210.86 – $539.09 | 14 |
| Unlisted px small intestine CPT 44799 | $1,083.06 | $1,641.00 | $880.98 – $1,982.21 | 14 |
| Unlisted surgical path px CPT 88399 | $1,824.24 | $2,764.00 | $12.20 – $1,658.40 | 16 |
| Unlisted ultrasound procedure CPT 76999 | $293.70 | $445.00 | $50.10 – $445.00 | 16 |
| Unlisted urinalysis px CPT 81099 | $584.76 | $886.00 | $1.11 – $531.60 | 9 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | not published | 0 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,626.24 | $2,464.00 | $356.20 – $1,499.94 | 16 |
| Upgrade pm system CPT 33214 | $12,087.24 | $18,314.00 | $3,606.83 – $22,842.82 | 14 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,651.88 | $4,018.00 | $135.55 – $1,444.47 | 16 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,410.98 | $3,653.00 | $186.59 – $1,444.47 | 16 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,295.48 | $3,478.00 | $55.30 – $1,444.47 | 16 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | not published | 0 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | not published | 0 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | not published | 0 |
| Urea nitrogen CPT 84520 | $25.74 | $39.00 | $3.95 – $8.89 | 16 |
| Urea nitrogen 24 hour urine CPT 84540 | $54.12 | $82.00 | $5.56 – $12.51 | 16 |
| Urea nitrogen clearance CPT 84545 | $217.14 | $329.00 | $7.20 – $16.20 | 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.