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 |
|---|---|---|---|---|
| Ureteral embolization/occl CPT 50705 | $369.60 | $560.00 | $560.00 – $593.60 | 7 |
| Ureteral reflux study CPT 78740 | $1,023.66 | $1,551.00 | $168.45 – $1,246.46 | 16 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $747.78 | $1,133.00 | $54.25 – $521.46 | 16 |
| Urethrocystography void s&i CPT 74455 | $747.78 | $1,133.00 | $54.25 – $521.46 | 16 |
| Uric acid blood CPT 84550 | $31.02 | $47.00 | $4.52 – $10.17 | 16 |
| Uric acid urine CPT 84560 | $31.02 | $47.00 | $5.08 – $11.43 | 16 |
| Urinalysis microscopic only CPT 81015 | $21.78 | $33.00 | $3.05 – $6.86 | 16 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $64.68 | $98.00 | $2.17 – $4.88 | 16 |
| Urinalysis (with microscopy) CPT 81001 | $38.28 | $58.00 | $3.17 – $7.13 | 16 |
| Urinalysis (without microscopy) CPT 81003 | $35.64 | $54.00 | $2.25 – $5.06 | 16 |
| Urine Culture Test CPT 87086 | $59.40 | $90.00 | $8.07 – $18.16 | 16 |
| Urine pregnancy test CPT 81025 | $59.40 | $90.00 | $8.61 – $19.37 | 16 |
| Urography, antegrade CPT 74425 | $616.44 | $934.00 | $54.25 – $762.46 | 16 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $48.42 | $73.37 | $12.49 – $73.37 | 16 |
| Vaccine dtap < 7 years im CPT 90700 | $142.33 | $215.65 | $9.76 – $61.12 | 9 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $338.55 | $512.95 | $9.76 – $218.96 | 9 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $88.24 | $133.70 | $9.76 – $26.93 | 9 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $141.90 | $215.00 | $9.76 – $106.43 | 16 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $101.11 | $153.20 | $9.76 – $75.83 | 16 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $670.66 | $1,016.15 | $51.60 – $349.64 | 9 |
| Vaccine mmr live subcutaneous CPT 90707 | $320.86 | $486.15 | $9.76 – $193.28 | 9 |
| Vaccine rabies im CPT 90675 | $1,084.28 | $1,642.85 | $51.60 – $719.43 | 16 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,387.45 | $2,102.20 | $443.32 – $1,178.22 | 9 |
| Vaccine tdap >=7 years im CPT 90715 | $158.99 | $240.90 | $9.76 – $71.05 | 11 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $138.04 | $209.15 | $9.76 – $69.76 | 11 |
| Vaccine varicella live subcutaneous CPT 90716 | $631.06 | $956.15 | $51.60 – $380.14 | 9 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | not published | 0 |
| Vag hyst including t/o CPT 58262 | not published | not published | not published | 0 |
| Vaginal bx CPT 58999 | not published | not published | not published | 0 |
| Valproic acid total therapeutic drug level CPT 80164 | $77.88 | $118.00 | $13.54 – $30.47 | 16 |
| Valvuloplasty aortic CPT 92986 | $6,585.48 | $9,978.00 | $3,759.01 – $12,438.90 | 14 |
| Valvuloplasty mitral CPT 92987 | $13,098.36 | $19,846.00 | $3,759.01 – $25,229.80 | 14 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $38.60 | $58.48 | $0.05 – $0.05 | 4 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $0.63 | $0.95 | $0.17 – $0.18 | 4 |
| Vancomycin peak therapeutic drug level CPT 80202 | $95.70 | $145.00 | $13.54 – $30.47 | 16 |
| Varicella zoster antibody igg CPT 86787 | $68.64 | $104.00 | $8.17 – $28.98 | 16 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $17.27 | $26.17 | $0.87 – $3.28 | 5 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $60.54 | $91.73 | $21.37 – $91.73 | 16 |
| Veeg cont 2-12 hrs CPT 95713 | $3,153.48 | $4,778.00 | $151.90 – $815.54 | 16 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $4,224.00 | $6,400.00 | $205.42 – $1,876.77 | 16 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $2,702.70 | $4,095.00 | $151.90 – $815.54 | 16 |
| Veeg unmon 12-26 hrs CPT 95714 | $4,505.16 | $6,826.00 | $205.42 – $815.54 | 16 |
| Veeg unmon 2-12 hrs CPT 95711 | $2,432.76 | $3,686.00 | $151.90 – $471.90 | 16 |
| Vein x-ray adrenal gland CPT 75840 | $3,635.28 | $5,508.00 | $146.08 – $6,900.67 | 16 |
| Vein x-ray adrenal glands CPT 75842 | $6,243.60 | $9,460.00 | $172.86 – $2,147.66 | 11 |
| Vein x-ray eye socket CPT 75880 | $1,346.40 | $2,040.00 | $145.43 – $1,370.97 | 16 |
| Vein x-ray kidney CPT 75831 | $3,635.28 | $5,508.00 | $133.66 – $6,900.67 | 16 |
| Vein x-ray liver CPT 75891 | $5,139.42 | $7,787.00 | $142.17 – $6,900.67 | 16 |
| Vein x-ray liver w/hemodynam CPT 75885 | $3,635.28 | $5,508.00 | $140.86 – $6,900.67 | 16 |
| Vein x-ray liver w/hemodynam CPT 75889 | $6,076.62 | $9,207.00 | $140.88 – $6,900.67 | 16 |
| Vein x-ray skull CPT 75870 | $3,635.28 | $5,508.00 | $191.14 – $6,900.67 | 16 |
| Vein x-ray skull epidural CPT 75872 | $2,176.02 | $3,297.00 | $146.08 – $1,370.97 | 16 |
| Vein x-ray spleen/liver CPT 75810 | $3,635.28 | $5,508.00 | $456.60 – $6,900.67 | 16 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $114.84 | $174.00 | $34.44 – $36.51 | 7 |
| Venipuncture <3 yrs other vein CPT 36406 | $27.72 | $42.00 | $1.23 – $1.30 | 7 |
| Venogram ext bil s&i CPT 75822 | $1,794.54 | $2,719.00 | $128.23 – $3,440.31 | 16 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,794.54 | $2,719.00 | $115.80 – $3,440.31 | 16 |
| Venous mech thrombectomy CPT 37187 | $11,389.62 | $17,257.00 | $1,688.84 – $25,229.80 | 14 |
| Venous m-thrombectomy add-on CPT 37188 | $3,635.28 | $5,508.00 | $1,688.84 – $6,900.67 | 14 |
| Venous sampling s&i CPT 75893 | $6,243.60 | $9,460.00 | $155.88 – $12,161.17 | 16 |
| Version cephalic external CPT 59412 | $3,474.24 | $5,264.00 | $264.45 – $7,074.73 | 14 |
| Very long chain fatty acids CPT 82726 | $225.06 | $341.00 | $19.75 – $44.44 | 16 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $19.20 | $29.09 | $6.60 – $9.27 | 5 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $98.44 | $149.15 | $13.45 – $14.59 | 5 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $121.97 | $184.80 | $8.98 – $13.94 | 5 |
| Visc & infraren abd 1 prosth CPT 34845 | $23,954.04 | $36,294.00 | $7,524.72 – $7,976.20 | 7 |
| Visc & infraren abd 2 prosth CPT 34846 | $26,200.02 | $39,697.00 | $7,524.72 – $7,976.20 | 7 |
| Visc & infraren abd 3 prosth CPT 34847 | $28,445.34 | $43,099.00 | $7,524.72 – $7,976.20 | 7 |
| Visc & infraren abd 4+ prost CPT 34848 | $30,691.32 | $46,502.00 | $7,524.72 – $7,976.20 | 7 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $245.52 | $372.00 | $51.73 – $290.97 | 9 |
| Vital capacity test CPT 94150 | $180.84 | $274.00 | $26.43 – $281.21 | 16 |
| Vitamin b-12 CPT 82607 | $89.76 | $136.00 | $15.08 – $33.93 | 16 |
| Vitamin D Test CPT 82306 | $180.18 | $273.00 | $29.60 – $66.60 | 16 |
| Vit for macular hole CPT 67042 | not published | not published | not published | 0 |
| Vit for macular pucker CPT 67041 | not published | not published | not published | 0 |
| Vit for membrane dissect CPT 67043 | not published | not published | not published | 0 |
| Volume measurement urine timed CPT 81050 | $22.44 | $34.00 | $3.64 – $8.19 | 16 |
| Vonvendi inj 1 iu vwf:rco HCPCS J7179 | $3.61 | $5.47 | $1.84 – $5.47 | 16 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $20.90 | $31.66 | $1.19 – $1.34 | 5 |
| Vulvectomy simple partial CPT 56620 | not published | not published | not published | 0 |
| Vutrisiran 25 mg/0.5 ml subcutaneous syringe HCPCS J0225 | $7,719.56 | $11,696.30 | $5,009.56 – $11,271.51 | 16 |
| Warde 1003990 aldosterone CPT 82088 | $252.12 | $382.00 | $40.75 – $91.69 | 16 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $162.36 | $246.00 | $27.80 – $62.55 | 16 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $81.18 | $123.00 | $12.90 – $29.03 | 16 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $152.46 | $231.00 | $25.25 – $56.81 | 16 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $89.76 | $136.00 | $15.50 – $34.88 | 16 |
| Warde 1015200 kappa light chain free CPT 83521 | $81.18 | $123.00 | $17.27 – $38.86 | 16 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $33.00 | $50.00 | $5.90 – $18.05 | 16 |
| Warde 3008005 oligoclonal bands CPT 83916 | $117.48 | $178.00 | $27.39 – $61.63 | 16 |
| Warde 3016000 west nile virus antibody CPT 86788 | $68.64 | $104.00 | $8.17 – $37.91 | 16 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $79.86 | $121.00 | $14.39 – $32.38 | 16 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $130.02 | $197.00 | $7.15 – $27.56 | 16 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $59.40 | $90.00 | $8.90 – $20.03 | 16 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $79.86 | $121.00 | $17.98 – $40.46 | 16 |
| Warde 3400852 arsenic CPT 82175 | $72.60 | $110.00 | $18.97 – $42.68 | 16 |
| Warde 3708165 mercury urine CPT 83825 | $81.18 | $123.00 | $16.26 – $36.59 | 16 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $89.10 | $135.00 | $14.72 – $41.40 | 16 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $67.32 | $102.00 | $11.53 – $27.11 | 16 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $170.94 | $259.00 | $8.10 – $18.23 | 16 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $233.64 | $354.00 | $38.62 – $86.90 | 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.