healthcosts.net

HSHS St. Nicholas Hospital

3100 SUPERIOR AVE, SHEBOYGAN, WI · Hshs · · NPI 1730184342

Source: hospital's published price file ↗ · Published Mar 24, 2026 · Ingested Sep 16, 2026

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
Immunofixation electrophoresis serum CPT 86334 $207.90 $315.00 $22.34 – $50.27 16
Immunofluorescence per specimen each additional single antibody stain CPT 88350 $188.76 $286.00 $14.25 – $185.95 11
Immunofluorescence per specimen initial single antibody stain CPT 88346 $172.26 $261.00 $58.17 – $374.88 16
Immunoglobulin assay CPT 86023 $89.10 $135.00 $12.46 – $28.04 16
Immunology procedure CPT 86849 $142.56 $216.00 $4.14 – $50.40 9
Implant ureth bulk agent HCPCS L8606 $1,442.10 $2,185.00 $158.03 – $167.51 7
Impl neurostim electr perc CPT 63650 not published not published not published 0
Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 not published not published not published 0
Incision & drainage hematoma/seroma/fluid collection CPT 10140 $2,046.00 $3,100.00 $95.40 – $3,634.16 14
Incision of anal sphincter CPT 46080 not published not published not published 0
Incision of breast lesion CPT 19020 $2,460.48 $3,728.00 $588.15 – $3,634.16 14
Incision of burn scab initi CPT 16035 $461.34 $699.00 $168.77 – $894.49 14
Incision of foot tendon 28234 CPT 28234 not published not published not published 0
Incision of heel bone CPT 28300 not published not published not published 0
Incision of metatarsal CPT 28308 not published not published not published 0
Incision of tendon sheath CPT 25000 not published not published not published 0
Incision tendon sheath CPT 26055 not published not published not published 0
Incisn of toe tndn CPT 28010 not published not published not published 0
Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 $48.71 $73.80 $9.30 – $20.93 9
Infect ag drug suscept pheno predict CPT 87900 $143.22 $217.00 $130.35 – $293.29 16
Infect ag eia influenza a or b ea CPT 87400 $71.94 $109.00 $8.66 – $31.79 16
Infect ag genotype na hiv-1 revr trn/prt CPT 87901 $86.46 $131.00 $131.00 – $294.75 16
Infect ag ia optc obs influenza CPT 87804 $85.14 $129.00 $16.55 – $37.24 16
Infect ag if ea plyvlnt antsrm CPT 87300 $75.24 $114.00 $8.66 – $26.96 16
Infect ag if influenza a CPT 87276 $96.36 $146.00 $16.07 – $36.16 16
Infect ag if influenza b CPT 87275 $96.36 $146.00 $12.25 – $27.56 16
Infect ag if legionella pneumophila CPT 87278 $59.40 $90.00 $15.60 – $35.10 16
Infect ag if pneumocystis carinii CPT 87281 $99.00 $150.00 $11.98 – $26.96 16
Infect ag if varicella zoster CPT 87290 $96.36 $146.00 $13.42 – $30.20 16
Infect ag na herpes simplex quant CPT 87530 $178.86 $271.00 $42.84 – $96.39 16
Infect ag na hpv high-risk types CPT 87624 $138.60 $210.00 $35.09 – $78.95 16
Infect ag na orthopoxvirus amp prb each CPT 87593 $87.12 $132.00 $15.36 – $115.45 16
Infect ag na resp virus 12-25 targets CPT 87633 $911.46 $1,381.00 $416.78 – $937.76 16
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 $96.36 $146.00 $11.98 – $26.96 16
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 $96.36 $146.00 $13.42 – $30.20 16
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 $42.90 $65.00 $13.82 – $31.10 16
Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 $59.40 $90.00 $11.98 – $26.96 16
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 $118.14 $179.00 $14.38 – $32.36 16
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 $68.64 $104.00 $10.33 – $23.24 16
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 $68.64 $104.00 $10.33 – $23.24 16
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 $99.00 $150.00 $24.08 – $54.18 16
Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 $316.80 $480.00 $11.98 – $26.96 16
Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 $68.64 $104.00 $11.98 – $26.96 16
Infectious agent nucleic acid amplified probe CPT 87798 $495.00 $750.00 $35.09 – $78.95 16
Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 $217.14 $329.00 $35.09 – $78.95 16
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 $237.60 $360.00 $37.27 – $83.86 16
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 $1,684.32 $2,552.00 $333.42 – $937.76 16
Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 $158.40 $240.00 $35.09 – $78.95 16
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 $199.32 $302.00 $35.09 – $78.95 16
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 $198.00 $300.00 $41.68 – $93.78 16
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 $237.60 $360.00 $35.09 – $78.95 16
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 $126.06 $191.00 $51.31 – $115.45 16
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 $317.46 $481.00 $142.63 – $320.92 16
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 $363.00 $550.00 $142.63 – $320.92 16
Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 $219.12 $332.00 $35.09 – $78.95 16
Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 $150.48 $228.00 $35.09 – $78.95 16
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 $833.58 $1,263.00 $416.78 – $937.76 16
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 $388.08 $588.00 $128.29 – $288.65 16
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 $535.26 $811.00 $232.94 – $591.73 16
Infectious agent nucleic acid quantification bk virus CPT 87799 $287.76 $436.00 $42.84 – $96.39 16
Infectious agent nucleic acid quantification hepatitis b CPT 87517 $327.36 $496.00 $42.84 – $96.39 16
Infectious agent nucleic acid quantification hepatitis c CPT 87522 $287.76 $436.00 $42.84 – $96.39 16
Infectious agent nucleic acid quantification hiv-1 CPT 87536 $287.76 $436.00 $85.10 – $191.48 16
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 $425.70 $645.00 $140.78 – $320.92 16
Infliximab 100 mg intravenous solution HCPCS J1745 $226.60 $343.34 $32.42 – $343.34 16
Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 $97.02 $147.00 $23.81 – $147.00 16
Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 $183.62 $278.21 $18.12 – $278.21 16
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 $234.96 $356.00 $25.49 – $481.84 16
Initiation & management bipap/cpap initial day CPT 94660 $428.34 $649.00 $58.79 – $481.84 16
Inj acetaminophen -fresenius HCPCS J0134 $0.47 $0.71 $0.08 – $0.11 5
Inj, acetaminophen (hikma) HCPCS J0137 $0.59 $0.89 $0.08 – $0.09 5
Inj, bupivacaine liposome HCPCS J0666 $7.30 $11.06 $1.44 – $3.24 11
Inj cefazolin sodium, baxter HCPCS J0689 $16.37 $24.80 $2.10 – $2.27 5
Inj cefazolin sodium, hikma HCPCS J0688 $7.13 $10.80 $1.45 – $1.80 5
Inj cefazolin (wg crit care) HCPCS J0687 $5.39 $8.17 $1.45 – $1.58 4
Inj, clindamycin (baxter) HCPCS J0737 $36.19 $54.83 $3.88 – $5.54 5
Inj cntr knee arthro incl ct/mri CPT 27369 $583.44 $884.00 $76.14 – $495.60 11
Inj disk cerv-thor ea lev CPT 62291 $1,087.68 $1,648.00 $144.81 – $495.60 11
Inj dx for sinogram CPT 20501 $413.82 $627.00 $69.13 – $495.60 11
Inject for sacroiliac joint HCPCS G0259 $1,482.36 $2,246.00 $202.86 – $215.03 7
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 $1,370.82 $2,077.00 $88.18 – $776.61 14
Injection arthrography hip without anesthesia (both sides) CPT 27093 $611.16 $926.00 $128.68 – $495.60 11
Injection during cath supravalvular aortography CPT 93567 $696.96 $1,056.00 $144.81 – $153.50 7
Injection epidural blood patch or clot CPT 62273 $1,087.02 $1,647.00 $337.74 – $1,553.22 14
Injection for arthrography wrist (both sides) CPT 25246 $611.16 $926.00 $138.91 – $495.60 11
Injection for bladder x-ray CPT 51600 $557.04 $844.00 $82.33 – $495.60 11
Injection for hip x-ray CPT 27095 $611.16 $926.00 $144.81 – $495.60 11
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 $611.16 $926.00 $94.67 – $495.60 11
Injection for ureter x-ray CPT 50690 $568.92 $862.00 $133.46 – $495.60 11
Injection jaw joint x-ray CPT 21116 $541.20 $820.00 $144.81 – $153.50 7
Injection,onabotulinumtoxina HCPCS J0585 $16.24 $24.61 $6.51 – $24.61 16
Injection radioactive tracer sentinel node (both sides) CPT 38792 $787.38 $1,193.00 $162.47 – $879.65 14
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 $1,679.70 $2,545.00 $202.86 – $1,553.22 16
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 $739.86 $1,121.00 $565.72 – $1,553.22 14
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 $799.92 $1,212.00 $176.37 – $1,553.22 14
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 $1,779.36 $2,696.00 $337.74 – $1,946.19 14
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 $395.34 $599.00 $337.74 – $358.00 7
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 $2,273.70 $3,445.00 $337.74 – $1,946.19 14
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 $454.74 $689.00 $337.74 – $358.00 7
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 $2,281.62 $3,457.00 $337.74 – $1,946.19 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.