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 |
|---|---|---|---|---|
| Bebtelovimab injection HCPCS M0222 | $404.58 | $613.00 | $21.23 – $22.50 | 7 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $9.68 | $14.66 | $3.89 – $14.66 | 16 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $131.95 | $199.93 | $57.16 – $199.93 | 16 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $46.62 | $70.64 | $12.83 – $70.64 | 16 |
| Benign lesion paring 2-4 CPT 11056 | $227.04 | $344.00 | $75.67 – $438.49 | 14 |
| Benign lesion paring 4+ CPT 11057 | $229.68 | $348.00 | $75.67 – $438.49 | 14 |
| #_benzodiazconfur CPT 80346 | $131.34 | $199.00 | $5.17 – $39.00 | 10 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $152.22 | $230.63 | $22.80 – $27.69 | 5 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $74.58 | $113.00 | $8.17 – $57.26 | 16 |
| Beta-2 microglobulin CPT 82232 | $99.00 | $150.00 | $16.18 – $36.41 | 16 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $53.63 | $81.25 | $11.40 – $12.38 | 5 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $247.08 | $374.37 | $73.63 – $369.90 | 16 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $191.12 | $289.58 | $25.80 – $283.78 | 16 |
| B-hexosaminidase ea assay CPT 83080 | $172.92 | $262.00 | $16.87 – $37.96 | 16 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $1,235.52 | $1,872.00 | $586.55 – $1,933.01 | 16 |
| Bilateral n block inj occipital 64405 CPT 64405 | $919.38 | $1,393.00 | $182.86 – $670.84 | 14 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $742.50 | $1,125.00 | $182.86 – $670.84 | 14 |
| Bilicheck CPT 88720 | $31.02 | $47.00 | $3.63 – $11.30 | 16 |
| Bilirubin direct CPT 82248 | $35.64 | $54.00 | $4.70 – $11.30 | 16 |
| Bilirubin total CPT 82247 | $35.64 | $54.00 | $4.24 – $11.30 | 16 |
| Biopsy abdominal mass CPT 49180 | $1,627.56 | $2,466.00 | $330.73 – $3,609.56 | 14 |
| Biopsy, bone open deep CPT 20245 | not published | not published | not published | 0 |
| Biopsy bone trocar/needle superficial CPT 20220 | $1,871.10 | $2,835.00 | $313.03 – $3,609.56 | 14 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $1,087.02 | $1,647.00 | $113.00 – $2,012.95 | 14 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $2,874.30 | $4,355.00 | $759.39 – $6,348.25 | 14 |
| Biopsy lower leg soft tissue CPT 27613 | not published | not published | not published | 0 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,871.10 | $2,835.00 | $313.03 – $3,609.56 | 14 |
| Biopsy needle liver percutaneous CPT 47000 | $1,627.56 | $2,466.00 | $330.73 – $3,609.56 | 16 |
| Biopsy needle lymph node superficial CPT 38505 | $2,046.00 | $3,100.00 | $554.36 – $3,609.56 | 14 |
| Biopsy of nail unit 11755 CPT 11755 | not published | not published | not published | 0 |
| Biopsy of prostate CPT 55700 | $2,366.10 | $3,585.00 | $780.37 – $827.19 | 7 |
| Biopsy of salivary gland 42400 CPT 42400 | $1,087.02 | $1,647.00 | $102.05 – $1,547.62 | 16 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | not published | not published | not published | 0 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | not published | 0 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,627.56 | $2,466.00 | $671.16 – $3,609.56 | 16 |
| Biopsy roof of mouth CPT 42100 | not published | not published | not published | 0 |
| Biopsy skin incisional single lesion CPT 11106 | $706.86 | $1,071.00 | $192.73 – $1,615.24 | 14 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $2,175.36 | $3,296.00 | $1,061.36 – $3,609.56 | 14 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | not published | 0 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | not published | 0 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | not published | 0 |
| Biospy of bladder CPT 53899 | $1,082.40 | $1,640.00 | $242.69 – $711.43 | 14 |
| Biotinidase - quest CPT 82261 | $102.30 | $155.00 | $16.87 – $37.96 | 16 |
| Bivalirudin HCPCS J0583 | $7.36 | $11.15 | $0.26 – $1.34 | 11 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $474.54 | $719.00 | $39.48 – $546.04 | 14 |
| Bld prd mix CPT 86965 | $198.00 | $300.00 | $38.82 – $372.34 | 16 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $182.16 | $276.00 | $37.98 – $42.74 | 5 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $9,812.29 | $14,867.10 | $163.68 – $2,153.99 | 16 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $3,620.10 | $5,485.00 | $24.58 – $24.58 | 1 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $2,445.30 | $3,705.00 | $214.01 – $214.01 | 1 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $2,269.08 | $3,438.00 | $586.55 – $1,933.01 | 14 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $1,028.28 | $1,558.00 | $586.55 – $1,933.01 | 14 |
| Block tap inj(s) w/wo img bi CPT 64488 | $962.94 | $1,459.00 | $586.55 – $621.75 | 7 |
| Block tap inj(s) w/wo img uni CPT 64486 | $869.88 | $1,318.00 | $182.86 – $193.83 | 7 |
| Blood clot lysis time CPT 85175 | $68.64 | $104.00 | $6.40 – $45.83 | 16 |
| Blood Clotting (PT/INR) Test CPT 85610 | $31.68 | $48.00 | $4.29 – $9.65 | 16 |
| Blood Clotting (PTT) Test CPT 85730 | $91.08 | $138.00 | $6.01 – $13.52 | 16 |
| Blood Count (CBC) Test CPT 85025 | $59.40 | $90.00 | $7.77 – $17.48 | 16 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $43.56 | $66.00 | $6.47 – $14.56 | 16 |
| Blood Culture Test CPT 87040 | $99.00 | $150.00 | $10.32 – $23.22 | 16 |
| Blood draw capillary 36416 CPT 36416 | $21.12 | $32.00 | $1.23 – $19.20 | 11 |
| Blood gases o2 saturation direct measurement CPT 82805 | $174.90 | $265.00 | $39.91 – $177.23 | 16 |
| Blood gases ph venous CPT 82800 | $67.32 | $102.00 | $11.00 – $24.75 | 16 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $99.00 | $150.00 | $15.92 – $35.82 | 16 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $22.44 | $34.00 | $4.23 – $9.52 | 16 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $21.12 | $32.00 | $3.66 – $9.86 | 16 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $24.42 | $37.00 | $4.26 – $11.97 | 16 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $31.02 | $47.00 | $3.80 – $8.55 | 16 |
| Blood typing abo CPT 86900 | $129.36 | $196.00 | $3.09 – $290.78 | 16 |
| Blood typing ag donor ea ag CPT 86902 | $361.02 | $547.00 | $5.37 – $783.38 | 16 |
| Blood typing patient serum CPT 86904 | $68.64 | $104.00 | $13.37 – $128.93 | 16 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $361.02 | $547.00 | $3.96 – $783.38 | 16 |
| Blood typing rh (d) CPT 86901 | $39.60 | $60.00 | $3.09 – $81.63 | 16 |
| Blood typing rh phenotype complete reference CPT 86906 | $66.00 | $100.00 | $8.01 – $81.63 | 16 |
| Bone biopsy open superficial CPT 20240 | not published | not published | not published | 0 |
| Bone Density Scan (DEXA) CPT 77080 | $592.02 | $897.00 | $36.15 – $456.60 | 16 |
| Bone imaging multiple areas CPT 78305 | $1,170.18 | $1,773.00 | $168.45 – $1,246.46 | 16 |
| Bone/joint imaging ltd area CPT 78300 | $951.06 | $1,441.00 | $168.45 – $1,246.46 | 16 |
| Bone marrow;aspiration only 38220 CPT 38220 | $1,871.10 | $2,835.00 | $759.39 – $3,609.56 | 14 |
| Bone marrow aspir bone grfg CPT 20939 | not published | not published | not published | 0 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,871.10 | $2,835.00 | $759.39 – $3,609.56 | 14 |
| Bone marrow imaging body CPT 78104 | $951.06 | $1,441.00 | $168.45 – $1,246.46 | 16 |
| Bone marrow interpretation CPT 85097 | $943.80 | $1,430.00 | $113.15 – $1,760.81 | 16 |
| Bone survey-lead poisoning CPT 77074 | $391.38 | $593.00 | $25.74 – $456.60 | 16 |
| Boot j walker l HCPCS L4386 | $237.60 | $360.00 | $227.89 – $512.75 | 9 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $382.80 | $580.00 | $370.54 – $833.72 | 9 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $118.14 | $179.00 | $17.03 – $38.32 | 16 |
| Borrelia miyamotoi amp prb CPT 87478 | $99.66 | $151.00 | $35.09 – $78.95 | 16 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $25.42 | $38.52 | $2.94 – $7.09 | 11 |
| Bowel imaging CPT 78290 | $1,243.44 | $1,884.00 | $168.45 – $1,246.46 | 16 |
| Brace ank air stirrup univ HCPCS L4350 | $145.20 | $220.00 | $139.12 – $313.02 | 9 |
| Brace m arm board HCPCS L3809 | $349.80 | $530.00 | $329.74 – $741.91 | 9 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $168.96 | $256.00 | $256.00 – $618.61 | 9 |
| Brace wrist classic lft sm HCPCS L3908 | $113.52 | $172.00 | $87.80 – $197.55 | 9 |
| Brach/thor cath 1st CPT 36215 | $714.78 | $1,083.00 | $313.47 – $332.28 | 7 |
| Brach/thor cath 2nd CPT 36216 | $1,450.68 | $2,198.00 | $313.47 – $332.28 | 7 |
| Brach/thor cath 3rd CPT 36217 | $1,553.64 | $2,354.00 | $313.47 – $332.28 | 7 |
| Brach/thor cath addl CPT 36218 | $693.66 | $1,051.00 | $313.47 – $332.28 | 7 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $109.56 | $166.00 | $36.64 – $166.00 | 16 |
| Brachy source yttrium-90 HCPCS C2616 | $23,282.16 | $35,276.00 | $5,135.60 – $39,984.77 | 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.