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 |
|---|---|---|---|---|
| X-ray exam of perineum CPT 74775 | $747.78 | $1,133.00 | $54.25 – $521.46 | 16 |
| X-ray exam of sinuses CPT 70210 | $315.48 | $478.00 | $25.74 – $456.60 | 16 |
| X-ray exam of tear duct CPT 70170 | $576.84 | $874.00 | $54.25 – $521.46 | 16 |
| X-ray exam thorac spine4/>vw CPT 72074 | $347.82 | $527.00 | $25.74 – $456.60 | 16 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $268.62 | $407.00 | $25.74 – $407.00 | 16 |
| X-ray facial bones complete > 3 views CPT 70150 | $391.38 | $593.00 | $25.74 – $456.60 | 16 |
| X-ray fallopian tube CPT 74742 | $626.34 | $949.00 | $92.68 – $495.60 | 11 |
| X-ray femur >=2 views (both sides) CPT 73552 | $322.74 | $489.00 | $25.74 – $456.60 | 16 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $315.48 | $478.00 | $12.87 – $456.60 | 16 |
| X-ray foot 2 views (both sides) CPT 73620 | $319.44 | $484.00 | $12.87 – $456.60 | 16 |
| X-ray forearm 2 views (both sides) CPT 73090 | $315.48 | $478.00 | $25.74 – $456.60 | 16 |
| X-ray hand 2 views (both sides) CPT 73120 | $310.20 | $470.00 | $12.87 – $456.60 | 16 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $316.80 | $480.00 | $12.87 – $456.60 | 16 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $391.38 | $593.00 | $25.74 – $456.60 | 16 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $391.38 | $593.00 | $25.74 – $456.60 | 16 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $494.34 | $749.00 | $25.74 – $456.60 | 16 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $515.46 | $781.00 | $25.74 – $456.60 | 16 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $363.00 | $550.00 | $25.74 – $456.60 | 16 |
| X-ray humerus >= 2 views left CPT 73060 | $315.48 | $478.00 | $12.87 – $456.60 | 16 |
| X-ray joint survey 1 view CPT 77077 | $151.14 | $229.00 | $25.74 – $229.00 | 16 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $315.48 | $478.00 | $25.74 – $456.60 | 16 |
| X-ray knee 3 views (both sides) CPT 73562 | $327.36 | $496.00 | $25.74 – $456.60 | 16 |
| X-ray knee ap standing bilateral CPT 73565 | $315.48 | $478.00 | $25.74 – $456.60 | 16 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $315.48 | $478.00 | $25.74 – $456.60 | 16 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $582.78 | $883.00 | $25.74 – $456.60 | 16 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $582.78 | $883.00 | $25.74 – $456.60 | 16 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $582.78 | $883.00 | $25.74 – $456.60 | 16 |
| X-ray mandible complete > 4 views CPT 70110 | $391.38 | $593.00 | $25.74 – $456.60 | 16 |
| X-ray mandible ltd <4 views CPT 70100 | $315.48 | $478.00 | $25.74 – $456.60 | 16 |
| X-ray nasal bones complete > 3 views CPT 70160 | $315.48 | $478.00 | $12.87 – $456.60 | 16 |
| X-ray neck soft tissue CPT 70360 | $316.80 | $480.00 | $25.74 – $456.60 | 16 |
| X-ray nose to rectum for foreign body child CPT 76010 | $279.84 | $424.00 | $25.74 – $424.00 | 16 |
| X-ray of mammary ducts CPT 77054 | $691.68 | $1,048.00 | $54.25 – $521.46 | 16 |
| X-ray optic foramina CPT 70190 | $315.48 | $478.00 | $25.74 – $456.60 | 16 |
| X-ray pelvis 1-2 views CPT 72170 | $326.04 | $494.00 | $25.74 – $456.60 | 16 |
| X-ray pelvis complete > 3 views CPT 72190 | $394.68 | $598.00 | $25.74 – $456.60 | 16 |
| Xray place dist ext thor ao CPT 75959 | $3,833.94 | $5,809.00 | $92.68 – $495.60 | 10 |
| Xray place prox ext thor ao CPT 75958 | $3,833.94 | $5,809.00 | $92.68 – $495.60 | 10 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $708.84 | $1,074.00 | $54.25 – $762.46 | 16 |
| X-ray ribs 2 views left CPT 71100 | $322.74 | $489.00 | $25.74 – $456.60 | 16 |
| X-ray ribs 3 views bilateral CPT 71110 | $391.38 | $593.00 | $25.74 – $456.60 | 16 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $477.18 | $723.00 | $25.74 – $456.60 | 16 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $498.30 | $755.00 | $25.74 – $456.60 | 16 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $363.00 | $550.00 | $25.74 – $456.60 | 16 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $330.00 | $500.00 | $25.74 – $456.60 | 16 |
| X-ray scapula complete (both sides) CPT 73010 | $353.10 | $535.00 | $25.74 – $456.60 | 16 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $315.48 | $478.00 | $25.74 – $456.60 | 16 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $391.38 | $593.00 | $25.74 – $456.60 | 16 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $687.72 | $1,042.00 | $54.25 – $1,194.19 | 16 |
| X-ray skull < 4 views CPT 70250 | $326.70 | $495.00 | $25.74 – $456.60 | 16 |
| X-ray skull > 4 views complete CPT 70260 | $391.38 | $593.00 | $25.74 – $456.60 | 16 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $597.96 | $906.00 | $54.25 – $456.60 | 16 |
| X-ray small intestine follow-through study CPT 74248 | $139.92 | $212.00 | $54.25 – $212.00 | 11 |
| X-ray spine single view CPT 72020 | $333.96 | $506.00 | $25.74 – $456.60 | 16 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $315.48 | $478.00 | $25.74 – $456.60 | 16 |
| X-ray sternum > 2 views CPT 71120 | $333.96 | $506.00 | $25.74 – $456.60 | 16 |
| X-ray surgical specimen CPT 76098 | $397.98 | $603.00 | $53.77 – $1,194.19 | 16 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $523.38 | $793.00 | $54.25 – $456.60 | 16 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $315.48 | $478.00 | $25.74 – $456.60 | 16 |
| X-ray thoracic spine 2 views CPT 72070 | $329.34 | $499.00 | $25.74 – $456.60 | 16 |
| X-ray thoracic spine 3 views CPT 72072 | $380.82 | $577.00 | $25.74 – $456.60 | 16 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $432.96 | $656.00 | $25.74 – $456.60 | 16 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $315.48 | $478.00 | $25.74 – $456.60 | 16 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $380.82 | $577.00 | $25.74 – $456.60 | 16 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $330.00 | $500.00 | $12.87 – $456.60 | 16 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $478.00 | $478.00 | $25.74 – $456.60 | 16 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $798.60 | $1,210.00 | $54.25 – $456.60 | 16 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $514.14 | $779.00 | $54.25 – $456.60 | 16 |
| X-ray wrist 2 views (both sides) CPT 73100 | $315.48 | $478.00 | $12.87 – $456.60 | 16 |
| Xylose absorption test blood &/or urine CPT 84620 | $124.74 | $189.00 | $12.91 – $29.05 | 16 |
| Zika virus dna/rna amp probe CPT 87662 | $495.00 | $750.00 | $50.68 – $115.45 | 16 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $114.48 | $173.45 | $13.74 – $16.38 | 5 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | $62.09 | $94.08 | $33.67 – $75.75 | 11 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $815.38 | $1,235.42 | $8.38 – $9.74 | 5 |
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.