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 |
|---|---|---|---|---|
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $931.92 | $1,412.00 | $117.24 – $1,412.00 | 16 |
| Brachytx isodose complex CPT 77318 | $1,283.04 | $1,944.00 | $85.50 – $1,944.00 | 16 |
| Brachytx isodose intermed CPT 77317 | $1,131.90 | $1,715.00 | $85.50 – $1,715.00 | 16 |
| Brachytx isodose plan simple CPT 77316 | $641.52 | $972.00 | $55.06 – $972.00 | 16 |
| Braf gene CPT 81210 | $475.20 | $720.00 | $143.40 – $394.65 | 16 |
| Brain image w/flow < 4 views CPT 78601 | $1,535.82 | $2,327.00 | $168.45 – $1,246.46 | 16 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,667.72 | $4,042.00 | $225.39 – $1,444.47 | 16 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,425.50 | $3,675.00 | $225.39 – $1,444.47 | 16 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,310.00 | $3,500.00 | $225.39 – $1,444.47 | 16 |
| Brain MRI (with and without contrast) CPT 70553 | $2,857.80 | $4,330.00 | $135.55 – $1,444.47 | 16 |
| Brain MRI (with contrast) CPT 70552 | $2,591.82 | $3,927.00 | $186.59 – $1,444.47 | 16 |
| Brain MRI (without contrast) CPT 70551 | $2,360.16 | $3,576.00 | $92.70 – $565.00 | 16 |
| Brcassure comprehensive panel-sendout CPT 81162 | $2,108.04 | $3,194.00 | $1,471.63 – $4,105.98 | 16 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $3,779.16 | $5,726.00 | $290.83 – $3,609.56 | 16 |
| Breast punct aspir cyst, bil CPT 19000 | $812.46 | $1,231.00 | $313.03 – $1,547.62 | 14 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | not published | 0 |
| Breast reduction CPT 19318 | not published | not published | not published | 0 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $477.68 | $723.76 | $268.45 – $723.76 | 16 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | $398.64 | $604.00 | $604.00 – $640.24 | 7 |
| Bronch ebus samplng 1/2 node CPT 31652 | $2,448.60 | $3,710.00 | $1,673.77 – $8,148.29 | 14 |
| Bronch ebus samplng 3/> node CPT 31653 | $3,457.74 | $5,239.00 | $1,673.77 – $8,148.29 | 14 |
| Bronchial allergy tests CPT 95070 | $613.14 | $929.00 | $21.29 – $815.54 | 16 |
| Bronchial challenge CPT 94070 | $925.32 | $1,402.00 | $47.30 – $815.54 | 16 |
| Bronchial valve addl insert CPT 31651 | $839.52 | $1,272.00 | $1,272.00 – $1,348.32 | 7 |
| Bronchial valve init insert CPT 31647 | $7,995.24 | $12,114.00 | $1,673.77 – $15,424.06 | 14 |
| Bronchial valve remov addl CPT 31649 | $1,991.88 | $3,018.00 | $1,673.77 – $3,889.96 | 14 |
| Bronchial valve remov init CPT 31648 | $4,258.32 | $6,452.00 | $1,673.77 – $8,148.29 | 14 |
| Bronchoscopy bronch stents CPT 31636 | $7,995.24 | $12,114.00 | $1,673.77 – $15,424.06 | 14 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | not published | 0 |
| Bronchoscopy dilate w/stent CPT 31631 | $7,995.24 | $12,114.00 | $1,673.77 – $15,424.06 | 14 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | $2,200.44 | $3,334.00 | $821.51 – $870.80 | 7 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $4,258.32 | $6,452.00 | $821.51 – $8,148.29 | 14 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | $2,200.44 | $3,334.00 | $821.51 – $870.80 | 7 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $4,258.32 | $6,452.00 | $821.51 – $8,148.29 | 14 |
| Bronchoscopy revise stent CPT 31638 | $7,995.24 | $12,114.00 | $1,673.77 – $15,424.06 | 14 |
| Bronchoscopy stent add-on CPT 31637 | $1,259.28 | $1,908.00 | $1,673.77 – $1,774.20 | 7 |
| Bronchoscopy treat blockage CPT 31641 | $2,238.72 | $3,392.00 | $1,673.77 – $8,148.29 | 14 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $2,028.84 | $3,074.00 | $821.51 – $3,889.96 | 14 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $2,238.72 | $3,392.00 | $821.51 – $3,889.96 | 14 |
| Bronchoscopy w/markers CPT 31626 | $7,995.24 | $12,114.00 | $821.51 – $15,424.06 | 14 |
| Bronch thermoplsty 1 lobe CPT 31660 | $7,995.24 | $12,114.00 | $1,673.77 – $15,424.06 | 14 |
| Bronch thermoplsty 2/> lobes CPT 31661 | $7,995.24 | $12,114.00 | $1,673.77 – $15,424.06 | 14 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | not published | not published | not published | 0 |
| Br punct aspir ea add, l CPT 19001 | $374.88 | $568.00 | $313.03 – $331.81 | 7 |
| Btk gene common variants CPT 81233 | $574.86 | $871.00 | $140.32 – $394.65 | 16 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $16.17 | $24.50 | $0.59 – $1.05 | 5 |
| Bundled special stain group 1 microorganisms CPT 88312 | $317.46 | $481.00 | $14.77 – $288.60 | 16 |
| Bundled special stain group 2 CPT 88313 | $258.06 | $391.00 | $14.77 – $290.78 | 16 |
| Bundle his recording CPT 93600 | $8,764.14 | $13,279.00 | $2,920.40 – $17,046.15 | 14 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $6.47 | $9.80 | $0.02 – $0.02 | 5 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $19.75 | $29.93 | $11.54 – $15.48 | 2 |
| Buprenorphine and metabolite - sendout CPT 80348 | $116.82 | $177.00 | $5.17 – $106.20 | 10 |
| Bur rotalink 2.15mm HCPCS C1724 | $1,690.92 | $2,562.00 | $1,110.42 – $1,110.42 | 1 |
| Bx bone trocar/ndl deep CPT 20225 | $2,470.38 | $3,743.00 | $820.29 – $3,609.56 | 14 |
| Bx breast 1st lesion mr imag CPT 19085 | $1,871.10 | $2,835.00 | $609.80 – $3,609.56 | 16 |
| Bx breast 1st lesion strtctc CPT 19081 | $3,192.42 | $4,837.00 | $308.36 – $3,609.56 | 16 |
| Bx breast add lesion mr imag CPT 19086 | $258.72 | $392.00 | $392.00 – $415.52 | 7 |
| Bx breast add lesion strtctc CPT 19082 | $231.00 | $350.00 | $350.00 – $371.00 | 7 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $212.52 | $322.00 | $322.00 – $341.32 | 7 |
| Bx breast pq tomo guide CPT 19499 | $4,422.66 | $6,701.00 | $609.80 – $8,557.17 | 14 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | not published | 0 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | not published | 0 |
| Bx liver with other CPT 47001 | $2,155.56 | $3,266.00 | $330.73 – $1,273.00 | 11 |
| Bx muscle CPT 20200 | not published | not published | not published | 0 |
| Bx of cervix w/scope leep 57460 CPT 57460 | not published | not published | not published | 0 |
| Bx pancreas pq ndl CPT 48102 | $1,871.10 | $2,835.00 | $330.73 – $3,609.56 | 16 |
| Bx perianal mass CPT 46999 | $1,942.38 | $2,943.00 | $659.22 – $2,032.42 | 14 |
| Bx pleura pq ndl CPT 32400 | $1,871.10 | $2,835.00 | $456.67 – $3,609.56 | 14 |
| Bx prst8 ndl sat sampling CPT 55706 | not published | not published | not published | 0 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $148.50 | $225.00 | $192.73 – $204.30 | 7 |
| Bx skin punch ea sep/ addl les CPT 11105 | $148.50 | $225.00 | $192.73 – $204.30 | 7 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $148.50 | $225.00 | $192.73 – $204.30 | 7 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | $3,558.72 | $5,392.00 | $500.00 – $3,609.56 | 16 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $869.88 | $1,318.00 | $313.03 – $1,547.62 | 16 |
| Bx vag mucos smpl (sep proc) CPT 57100 | not published | not published | not published | 0 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | not published | not published | not published | 0 |
| Bypass temp external fem-fem CPT 37799 | $3,667.62 | $5,557.00 | $609.32 – $1,370.97 | 14 |
| C1 esterase inhibitor func - sendout CPT 86161 | $76.56 | $116.00 | $12.00 – $27.00 | 16 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $356.11 | $539.56 | $230.80 – $539.56 | 16 |
| Cable cath 22-pin diag HCPCS C1730 | $6,652.80 | $10,080.00 | $474.47 – $474.47 | 1 |
| Cacna1a gene full gene seq CPT 81185 | $977.46 | $1,481.00 | $677.01 – $1,904.11 | 16 |
| Cadd pump refill CPT 96521 | $790.68 | $1,198.00 | $21.23 – $1,198.00 | 16 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $4.87 | $7.38 | $1.24 – $3.35 | 2 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | $145.75 | $220.84 | $82.08 – $220.84 | 16 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $2,502.72 | $3,792.00 | $578.01 – $2,364.78 | 11 |
| Calcium 24 hour urine CPT 82340 | $36.96 | $56.00 | $6.03 – $13.57 | 16 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $0.11 | $0.16 | $0.05 – $0.05 | 1 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $1.17 | $1.77 | $0.05 – $0.07 | 5 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $1.17 | $1.77 | $0.15 – $0.16 | 5 |
| Calcium ionized CPT 82330 | $81.18 | $123.00 | $13.68 – $30.78 | 16 |
| Calcium total CPT 82310 | $31.02 | $47.00 | $5.16 – $11.61 | 16 |
| Calculi urinary-sendout CPT 82360 | $85.14 | $129.00 | $12.87 – $28.96 | 16 |
| Calprotectin fecal CPT 83993 | $126.06 | $191.00 | $19.63 – $44.17 | 16 |
| Candida dna CPT 87480 | $138.60 | $210.00 | $20.05 – $45.11 | 16 |
| Canthotomy 67715 CPT 67715 | $5,382.96 | $8,156.00 | $606.25 – $5,195.99 | 14 |
| Cap trach decann 15mm HCPCS C1750 | $550.44 | $834.00 | $461.20 – $461.20 | 1 |
| Carbamazepine free CPT 80157 | $99.66 | $151.00 | $13.25 – $29.81 | 16 |
| Carbamazepine free -sendout CPT 80161 | $106.92 | $162.00 | $14.91 – $41.94 | 16 |
| Carbamazepine total therapeutic drug level CPT 80156 | $87.12 | $132.00 | $14.57 – $32.78 | 16 |
| Carbohydrate deficient transf - sendout CPT 82373 | $415.80 | $630.00 | $10.38 – $40.64 | 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.