HSHS St. Nicholas Hospital
3100 SUPERIOR AVE, SHEBOYGAN, WI · Hshs · · NPI 1730184342
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 |
|---|---|---|---|---|
| Dup scan/hemodialysis access 93990 CPT 93990 | $489.72 | $742.00 | $48.32 – $472.83 | 16 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $1,049.40 | $1,590.00 | $48.32 – $475.12 | 16 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $769.56 | $1,166.00 | $48.32 – $525.02 | 16 |
| Dx bronchoscope/brush 31623 CPT 31623 | $2,333.10 | $3,535.00 | $792.34 – $3,916.48 | 14 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $2,333.10 | $3,535.00 | $792.34 – $3,916.48 | 14 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,028.84 | $3,074.00 | $792.34 – $3,916.48 | 14 |
| Dx gastr intub w/asp spec CPT 43754 | $642.18 | $973.00 | $211.16 – $475.12 | 9 |
| Ear irrigation 69209 CPT 69209 | $122.10 | $185.00 | $57.69 – $129.81 | 9 |
| Ecg 12 lead tracing only CPT 93005 | $186.78 | $283.00 | $11.36 – $144.99 | 16 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $134.64 | $204.00 | $11.36 – $144.99 | 16 |
| Ecg external < 48 hours recording CPT 93225 | $396.00 | $600.00 | $27.31 – $545.33 | 16 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $582.12 | $882.00 | $27.31 – $545.33 | 16 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $105.60 | $160.00 | $27.31 – $160.00 | 16 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $149.82 | $227.00 | $27.31 – $144.99 | 16 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,709.40 | $2,590.00 | $191.46 – $1,202.33 | 16 |
| Echocardiography doppler color flow mapping CPT 93325 | $423.06 | $641.00 | $24.16 – $567.70 | 10 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,906.74 | $2,889.00 | $191.46 – $1,724.93 | 16 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $766.92 | $1,162.00 | $191.46 – $525.02 | 16 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $957.00 | $1,450.00 | $191.46 – $767.66 | 16 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $418.44 | $634.00 | $95.73 – $567.70 | 10 |
| Echograp trans r pros study CPT 76873 | $482.46 | $731.00 | $74.44 – $521.52 | 16 |
| Echo guidance radiotherapy CPT 76965 | $83.82 | $127.00 | $49.70 – $127.00 | 11 |
| Echo guide for artery repair CPT 76936 | $880.44 | $1,334.00 | $89.39 – $521.52 | 16 |
| Echo stress CPT 93350 | $1,606.44 | $2,434.00 | $191.46 – $1,202.33 | 16 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | $879.78 | $1,333.00 | $191.46 – $1,202.33 | 16 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $2,113.98 | $3,203.00 | $191.46 – $1,202.33 | 16 |
| Echo transthoracic CPT 93303 | $2,050.62 | $3,107.00 | $191.46 – $1,202.33 | 16 |
| Echo transthoracic CPT 93304 | $1,530.54 | $2,319.00 | $191.46 – $1,202.33 | 16 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,453.98 | $2,203.00 | $191.46 – $525.02 | 16 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $774.18 | $1,173.00 | $198.12 – $475.12 | 16 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $864.60 | $1,310.00 | $146.51 – $821.09 | 16 |
| Eeg during surgery CPT 95955 | $1,712.04 | $2,594.00 | $146.51 – $496.70 | 10 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $787.38 | $1,193.00 | $146.51 – $475.12 | 16 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $1,404.48 | $2,128.00 | $198.12 – $475.12 | 16 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $1,081.08 | $1,638.00 | $146.51 – $475.12 | 16 |
| Eeg recording awake and asleep CPT 95819 | $1,351.02 | $2,047.00 | $146.51 – $475.12 | 16 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $3,153.48 | $4,778.00 | $146.51 – $475.12 | 16 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $2,432.76 | $3,686.00 | $146.51 – $475.12 | 16 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $4,775.10 | $7,235.00 | $198.12 – $821.09 | 16 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $2,702.70 | $4,095.00 | $146.51 – $475.12 | 16 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $4,505.16 | $6,826.00 | $198.12 – $821.09 | 16 |
| E equine encephalitis igg CPT 86652 | $60.06 | $91.00 | $8.17 – $29.68 | 16 |
| Egd control bleeding any CPT 43255 | not published | not published | not published | 0 |
| Egd dilate stricture CPT 43245 | not published | not published | not published | 0 |
| Egd endo mucosal resection CPT 43254 | not published | not published | not published | 0 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | not published | 0 |
| Egd guide wire insertion CPT 43248 | not published | not published | not published | 0 |
| Egd lesion ablation CPT 43270 | $2,725.14 | $4,129.00 | $886.51 – $4,222.35 | 14 |
| Egd remove foreign body CPT 43247 | not published | not published | not published | 0 |
| Egd remove lesion snare CPT 43251 | not published | not published | not published | 0 |
| Egd varices ligation CPT 43244 | not published | not published | not published | 0 |
| Egfr gene com variants CPT 81235 | $1,189.32 | $1,802.00 | $264.01 – $730.31 | 16 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $237.60 | $360.00 | $35.09 – $78.95 | 16 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | $79.86 | $121.00 | $3.79 – $44.03 | 16 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | not published | 0 |
| Electrolyte panel CPT 80051 | $48.84 | $74.00 | $7.01 – $15.77 | 16 |
| Electron microscopy diagnostic CPT 88348 | $2,982.54 | $4,519.00 | $58.17 – $1,772.81 | 16 |
| Electrophysiology evaluation CPT 93619 | $8,764.14 | $13,279.00 | $1,209.00 – $17,162.33 | 16 |
| Electrophysiology evaluation CPT 93620 | $8,764.14 | $13,279.00 | $2,816.70 – $17,162.33 | 14 |
| Electrophysiology evaluation CPT 93621 | $6,306.96 | $9,556.00 | $2,816.70 – $2,985.70 | 7 |
| Electrophysiology evaluation CPT 93622 | $4,324.98 | $6,553.00 | $2,816.70 – $2,985.70 | 7 |
| Electrophysiology evaluation CPT 93641 | $1,981.98 | $3,003.00 | $2,816.70 – $2,985.70 | 7 |
| Electrophysiology evaluation CPT 93642 | $1,981.98 | $3,003.00 | $1,190.70 – $2,985.70 | 14 |
| Electrophys map 3d add-on CPT 93613 | $7,485.72 | $11,342.00 | $2,816.70 – $2,985.70 | 7 |
| Embolization s&i CPT 75894 | $3,927.00 | $5,950.00 | $89.39 – $1,995.47 | 11 |
| Embo or occlude vascular arterial s&i CPT 37242 | $20,739.84 | $31,424.00 | $4,729.17 – $40,336.82 | 14 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $12,884.52 | $19,522.00 | $4,729.17 – $25,401.76 | 14 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $13,098.36 | $19,846.00 | $4,729.17 – $25,401.76 | 14 |
| Embo or occlude vascular venous s&i CPT 37241 | $13,098.36 | $19,846.00 | $4,729.17 – $25,401.76 | 14 |
| Emb without cervical dilation 58100 CPT 58100 | $503.58 | $763.00 | $197.71 – $444.86 | 14 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $533.94 | $809.00 | $58.61 – $450.00 | 16 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $592.68 | $898.00 | $58.61 – $885.08 | 16 |
| Emg cranial nerve bilateral CPT 95868 | $543.84 | $824.00 | $58.61 – $475.12 | 16 |
| Emg needle test 1-extremity CPT 95860 | $413.82 | $627.00 | $58.61 – $627.00 | 16 |
| Emg needle test 4-extremities CPT 95864 | $711.48 | $1,078.00 | $58.61 – $885.08 | 16 |
| Encephalitis, california igg/igm CPT 86651 | $49.50 | $75.00 | $8.17 – $29.68 | 16 |
| Encephalitis, st louis igg/igm CPT 86653 | $60.72 | $92.00 | $8.17 – $29.68 | 16 |
| Encephalitis, western equine igg/igm CPT 86654 | $60.06 | $91.00 | $8.17 – $29.68 | 16 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | not published | not published | not published | 0 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | not published | not published | not published | 0 |
| Endo cath bile duct s&i CPT 74328 | $925.32 | $1,402.00 | $44.69 – $495.60 | 11 |
| Endo cath panc duct s&i CPT 74329 | $925.32 | $1,402.00 | $44.69 – $495.60 | 11 |
| Endoluminal bx urtr rnl plvs CPT 50606 | $434.28 | $658.00 | $658.00 – $697.48 | 7 |
| Endoluminl ivus oct c 1st CPT 92978 | $2,194.50 | $3,325.00 | $89.39 – $94.75 | 7 |
| Endoluminl ivus oct c ea CPT 92979 | $1,696.20 | $2,570.00 | $89.39 – $94.75 | 7 |
| Endoscopic injection/implant CPT 51715 | not published | not published | not published | 0 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | not published | 0 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | not published | 0 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | not published | 0 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | not published | 0 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $2,168.76 | $3,286.00 | $832.12 – $3,916.48 | 14 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $17,216.76 | $26,086.00 | $7,257.52 – $7,692.97 | 7 |
| Endovenous mchnchem 1st vein CPT 36473 | $6,344.58 | $9,613.00 | $1,202.51 – $6,947.70 | 14 |
| Endovenous mchnchem add-on CPT 36474 | $3,172.62 | $4,807.00 | $1,202.51 – $1,274.66 | 7 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $10.78 | $16.33 | $0.87 – $0.99 | 5 |
| Enzyme histochemistry CPT 88319 | $943.80 | $1,430.00 | $58.17 – $1,772.81 | 16 |
| Ep & ablate supravent arrhyt CPT 93653 | $17,666.22 | $26,767.00 | $7,726.98 – $57,513.58 | 14 |
| Ep & ablate ventric tachy CPT 93654 | $17,666.22 | $26,767.00 | $7,726.98 – $57,513.58 | 14 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $1,665.18 | $2,523.00 | $95.40 – $4,540.03 | 14 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | $180.18 | $273.00 | $95.40 – $289.38 | 9 |
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.