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 |
|---|---|---|---|---|
| Hbb gene dup/del variants CPT 81363 | $641.52 | $972.00 | $161.92 – $455.40 | 16 |
| Hbot, full body chamber, 30m HCPCS G0277 | $543.84 | $824.00 | $134.58 – $302.80 | 14 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $916.08 | $1,388.00 | $52.32 – $456.60 | 16 |
| Hcg qualitative CPT 84703 | $62.04 | $94.00 | $7.52 – $16.92 | 16 |
| Hcg quantitative CPT 84702 | $91.08 | $138.00 | $15.05 – $33.86 | 16 |
| Hc metata joint dislocation anes CPT 28635 | $2,799.06 | $4,241.00 | $426.70 – $3,538.22 | 14 |
| Head CT scan (with and without contrast) CPT 70470 | $1,818.96 | $2,756.00 | $134.40 – $1,215.09 | 16 |
| Head CT scan (with contrast) CPT 70460 | $1,770.12 | $2,682.00 | $134.40 – $1,215.09 | 16 |
| Head CT scan (without contrast) CPT 70450 | $1,259.28 | $1,908.00 | $102.24 – $1,215.09 | 16 |
| Helicobacter pylori antibody igm CPT 86677 | $79.86 | $121.00 | $8.17 – $37.91 | 16 |
| Hematocrit CPT 85014 | $15.84 | $24.00 | $2.37 – $5.33 | 16 |
| Hemoglobin CPT 85018 | $143.22 | $217.00 | $2.37 – $5.33 | 16 |
| Hemoglobin fetal qualitative CPT 83033 | $44.22 | $67.00 | $8.00 – $18.00 | 16 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $54.12 | $82.00 | $4.12 – $18.45 | 16 |
| Hemoglobin plasma CPT 83051 | $20.46 | $31.00 | $4.90 – $16.45 | 16 |
| Hemolysins/agglutinins auto CPT 86940 | $73.92 | $112.00 | $8.77 – $19.73 | 16 |
| Hemophilus influenza antibdy CPT 86684 | $138.60 | $210.00 | $15.84 – $35.64 | 16 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | not published | 0 |
| Heparin assay CPT 85520 | $167.64 | $254.00 | $13.09 – $29.45 | 16 |
| Heparin bolus from bag HCPCS J1644 | $9.90 | $15.00 | $0.30 – $0.39 | 5 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $0.17 | $0.25 | $0.03 – $0.04 | 5 |
| Hepatitis a antibody igm CPT 86709 | $138.60 | $210.00 | $11.26 – $25.34 | 16 |
| Hepatitis b core antibody igm CPT 86705 | $147.84 | $224.00 | $11.77 – $26.48 | 16 |
| Hepatitis b core antibody total CPT 86704 | $87.12 | $132.00 | $12.05 – $27.11 | 16 |
| Hepatitis b surface antibody CPT 86706 | $68.64 | $104.00 | $10.74 – $24.17 | 16 |
| Hepatitis c antibody CPT 86803 | $99.00 | $150.00 | $14.27 – $32.11 | 16 |
| Hepatobiliary system imaging CPT 78226 | $1,663.20 | $2,520.00 | $162.47 – $1,246.46 | 16 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | not published | 0 |
| Herpes simplex 1 ag if CPT 87274 | $75.24 | $114.00 | $11.98 – $26.96 | 16 |
| Herpes simplex 2 ag if CPT 87273 | $75.24 | $114.00 | $11.98 – $26.96 | 16 |
| Herpes simplex type 1 antibody igg CPT 86695 | $85.80 | $130.00 | $13.19 – $29.68 | 16 |
| Herpes simplex type 2 antibody igg CPT 86696 | $129.36 | $196.00 | $19.35 – $43.54 | 16 |
| Heterophile antibodies screening CPT 86308 | $68.64 | $104.00 | $5.18 – $11.66 | 16 |
| Hhv-6 dna quant CPT 87533 | $436.92 | $662.00 | $41.76 – $93.96 | 16 |
| Hip X-ray CPT 73502 | $363.66 | $551.00 | $24.82 – $456.60 | 16 |
| Histamine CPT 83088 | $170.94 | $259.00 | $29.53 – $66.44 | 16 |
| Histochemical stains add-on CPT 88314 | $168.96 | $256.00 | $14.25 – $153.60 | 11 |
| Hiv-1 ag ia CPT 87390 | $124.74 | $189.00 | $24.06 – $54.14 | 16 |
| Hla class i high defin qual CPT 86832 | $802.56 | $1,216.00 | $139.23 – $728.44 | 16 |
| Hla ii typing 1 loc hr CPT 81382 | $284.46 | $431.00 | $123.68 – $278.28 | 16 |
| Hla ii typing ag equiv lr CPT 81375 | $436.92 | $662.00 | $220.74 – $496.67 | 16 |
| Hla i low res one antigen equiv ea CPT 81374 | $161.70 | $245.00 | $74.33 – $167.24 | 16 |
| Hla i typing low res one locus ea CPT 81373 | $277.20 | $420.00 | $121.54 – $286.72 | 16 |
| Hla typing a b or c CPT 86813 | $522.06 | $791.00 | $58.00 – $130.50 | 16 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $1.37 | $2.08 | $0.36 – $0.39 | 5 |
| Home sleep test/type 3 porta HCPCS G0399 | $543.18 | $823.00 | $67.12 – $475.12 | 16 |
| Home sleep test/type 4 porta HCPCS G0400 | $543.18 | $823.00 | $67.12 – $475.12 | 16 |
| Homocysteine CPT 83090 | $107.58 | $163.00 | $17.92 – $40.32 | 16 |
| Homovanillic acid (hva) CPT 83150 | $89.76 | $136.00 | $19.62 – $50.42 | 16 |
| Hpa-15 genotyping CPT 81112 | $281.82 | $427.00 | $120.71 – $275.00 | 16 |
| Hpa-1 genotyping CPT 81105 | $281.82 | $427.00 | $120.71 – $275.00 | 16 |
| Hpa-2 genotyping CPT 81106 | $281.82 | $427.00 | $120.71 – $275.00 | 16 |
| Hpa-3 genotyping CPT 81107 | $281.82 | $427.00 | $120.71 – $275.00 | 16 |
| Hpa-4 genotyping CPT 81108 | $281.82 | $427.00 | $120.71 – $275.00 | 16 |
| Hpa-5 genotyping CPT 81109 | $281.82 | $427.00 | $120.71 – $275.00 | 16 |
| Hpa-6 genotyping CPT 81110 | $281.82 | $427.00 | $120.71 – $275.00 | 16 |
| Hpa-9 genotyping CPT 81111 | $281.82 | $427.00 | $120.71 – $275.00 | 16 |
| Hpv types 16 & 18 only CPT 87625 | $138.60 | $210.00 | $38.30 – $91.24 | 16 |
| H pylori (c-13) breath CPT 83013 | $220.44 | $334.00 | $67.36 – $151.56 | 16 |
| Hrdtry perph neurphy panel CPT 81448 | $2,079.00 | $3,150.00 | $128.83 – $1,316.03 | 16 |
| Htt gene detc abnor alleles CPT 81271 | $390.72 | $592.00 | $109.60 – $308.25 | 16 |
| Human epididymis protein 4 (he4) CPT 86305 | $254.76 | $386.00 | $20.81 – $46.82 | 16 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $5.74 | $8.69 | $1.71 – $3.84 | 9 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $271.82 | $411.85 | $29.75 – $56.94 | 11 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $1.82 | $2.75 | $0.59 – $0.64 | 5 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $83.03 | $125.80 | $6.99 – $7.86 | 5 |
| Hydration IV infusion each additional hour CPT 96361 | $143.88 | $218.00 | $18.32 – $216.25 | 14 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $375.54 | $569.00 | $83.21 – $468.03 | 14 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $117.25 | $177.65 | $33.75 – $39.49 | 5 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $6.47 | $9.80 | $0.23 – $0.25 | 4 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $82.10 | $124.40 | $21.45 – $24.65 | 5 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $100.32 | $152.00 | $17.90 – $40.28 | 16 |
| Hyperbaric oxygen therapy CPT 99183 | $3,162.72 | $4,792.00 | $2,919.90 – $2,919.90 | 1 |
| #hypersens-actinomyces ab CPT 86602 | $91.08 | $138.00 | $8.17 – $22.91 | 16 |
| Hysterosalpingography s&i CPT 74740 | $626.34 | $949.00 | $52.32 – $525.02 | 16 |
| Hysteroscopy ablation CPT 58563 | not published | not published | not published | 0 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | not published | 0 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | not published | 0 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | not published | 0 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | not published | 0 |
| Iaadi respiratory synctial virus CPT 87280 | $99.00 | $150.00 | $13.42 – $30.20 | 16 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $118.14 | $179.00 | $18.09 – $40.70 | 16 |
| Idh1 common variants CPT 81120 | $712.80 | $1,080.00 | $154.60 – $434.81 | 16 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | not published | 0 |
| Igh@/bcl2 translocation alys CPT 81278 | $284.46 | $431.00 | $165.85 – $466.45 | 16 |
| Igh gene rearrange amp meth CPT 81261 | $1,604.46 | $2,431.00 | $197.99 – $445.48 | 16 |
| Igh@ var region somatic mutation analy CPT 81263 | $683.76 | $1,036.00 | $294.52 – $662.67 | 16 |
| Igk rearrangeabn clonal pop CPT 81264 | $1,604.46 | $2,431.00 | $162.98 – $388.64 | 16 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $342.54 | $519.00 | $14.25 – $69.00 | 11 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $297.00 | $450.00 | $58.17 – $374.88 | 16 |
| Iliac/fem angio cath insert HCPCS G0278 | $726.66 | $1,101.00 | $24.29 – $1,167.06 | 11 |
| Iliac revasc add-on 37222 CPT 37222 | $4,341.48 | $6,578.00 | $4,729.17 – $5,012.92 | 7 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $115.50 | $175.00 | $136.72 – $307.62 | 9 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $141.90 | $215.00 | $84.00 – $189.00 | 9 |
| Immune complex assay CPT 86332 | $166.32 | $252.00 | $24.37 – $54.83 | 16 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $288.47 | $437.07 | $47.39 – $437.06 | 16 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $138.60 | $210.00 | $20.81 – $46.82 | 16 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $139.92 | $212.00 | $20.81 – $46.82 | 16 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $85.80 | $130.00 | $11.98 – $26.96 | 16 |
| Immunodiffusion nes CPT 86329 | $96.36 | $146.00 | $14.05 – $31.61 | 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.