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 |
|---|---|---|---|---|
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,878.36 | $2,846.00 | $337.74 – $1,553.22 | 14 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,704.78 | $2,583.00 | $337.74 – $1,553.22 | 14 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $341.22 | $517.00 | $73.68 – $675.41 | 16 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $355.08 | $538.00 | $70.36 – $675.41 | 16 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $395.34 | $599.00 | $79.99 – $675.41 | 16 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $143.88 | $218.00 | $18.32 – $103.04 | 14 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $143.88 | $218.00 | $20.47 – $21.70 | 7 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $205.92 | $312.00 | $20.47 – $468.03 | 14 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $105.60 | $160.00 | $20.47 – $158.43 | 14 |
| Inject sacroiliac joint CPT 27096 | $1,318.02 | $1,997.00 | $202.86 – $215.03 | 7 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,186.68 | $1,798.00 | $337.74 – $1,553.22 | 14 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,186.68 | $1,798.00 | $337.74 – $1,946.19 | 14 |
| Inj for ext venography CPT 36005 | $576.18 | $873.00 | $86.74 – $495.60 | 11 |
| Inj for mammo ductogram CPT 19030 | $290.40 | $440.00 | $144.81 – $153.50 | 7 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | $18.80 | $28.49 | $5.45 – $6.65 | 5 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $1,028.94 | $1,559.00 | $144.81 – $153.50 | 7 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $793.32 | $1,202.00 | $144.81 – $153.50 | 7 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $856.68 | $1,298.00 | $144.81 – $153.50 | 7 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $229.68 | $348.00 | $72.99 – $441.47 | 14 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $1.62 | $2.45 | $0.07 – $0.07 | 1 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $30.13 | $45.65 | $5.75 – $6.71 | 5 |
| Inj meropenem (wg crit care) HCPCS J2183 | $8.01 | $12.14 | $2.59 – $2.81 | 4 |
| Inj multihance HCPCS A9577 | $10.10 | $15.30 | $2.97 – $3.22 | 5 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $809.82 | $1,227.00 | $125.44 – $1,534.33 | 16 |
| Inj peritoneal venous shunt CPT 49427 | $453.42 | $687.00 | $72.37 – $495.60 | 11 |
| Inj proc ankle arthr CPT 27648 | $611.16 | $926.00 | $96.76 – $495.60 | 11 |
| Inj proc elbow arthro CPT 24220 | $611.16 | $926.00 | $126.28 – $495.60 | 11 |
| Inj proc lumbr disk ea lvl CPT 62290 | $1,760.88 | $2,668.00 | $144.81 – $495.60 | 11 |
| Inj proc myelogram lumbar CPT 62284 | $859.98 | $1,303.00 | $144.81 – $495.60 | 11 |
| Inj proc sialogram CPT 42550 | $395.34 | $599.00 | $116.52 – $495.60 | 11 |
| Inj retro urethrocysto CPT 51610 | $528.00 | $800.00 | $122.69 – $495.60 | 11 |
| Inj scleros sol mult veins CPT 36471 | $461.34 | $699.00 | $280.77 – $894.49 | 14 |
| Inj w/fluor eval cv device CPT 36598 | $583.44 | $884.00 | $67.10 – $468.03 | 16 |
| Ins cath ren art 1st bi CPT 36252 | $3,635.28 | $5,508.00 | $422.00 – $6,947.70 | 16 |
| Ins cath ren art 1st uni CPT 36251 | $3,004.98 | $4,553.00 | $422.00 – $6,947.70 | 16 |
| Ins cath ren art 2nd+ uni CPT 36253 | $6,243.60 | $9,460.00 | $1,954.15 – $12,244.06 | 14 |
| Ins cerv dilator (sep proc) CPT 59200 | $1,267.86 | $1,921.00 | $255.06 – $670.53 | 14 |
| Insert cath pleura with image CPT 32557 | $2,046.00 | $3,100.00 | $281.30 – $3,463.76 | 16 |
| Insert cath pleura without image CPT 32556 | $2,191.20 | $3,320.00 | $440.45 – $4,222.35 | 14 |
| Insert hepatic shunt (tips) CPT 37182 | $11,864.82 | $17,977.00 | $4,729.17 – $40,336.82 | 14 |
| Insert intrauterine device iud CPT 58300 | $267.30 | $405.00 | $93.40 – $113.00 | 9 |
| Insertion catheter bladder non indwelling CPT 51701 | $215.82 | $327.00 | $38.07 – $292.76 | 14 |
| Insertion catheter bladder temporary simple CPT 51702 | $215.82 | $327.00 | $38.07 – $292.76 | 14 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $4,434.54 | $6,719.00 | $440.45 – $7,878.29 | 14 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $1,571.46 | $2,381.00 | $2,381.00 – $2,523.86 | 7 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $7,679.10 | $11,635.00 | $405.43 – $12,244.06 | 16 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $3,161.40 | $4,790.00 | $485.09 – $6,947.70 | 14 |
| Insertion of cannula CPT 36810 | $2,915.88 | $4,418.00 | $936.84 – $6,947.70 | 14 |
| Insertion of catheter vein CPT 36481 | $1,367.52 | $2,072.00 | $302.34 – $320.48 | 7 |
| Insertion of catheter vein CPT 36500 | $925.32 | $1,402.00 | $302.34 – $320.48 | 7 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $7,330.62 | $11,107.00 | $3,478.75 – $22,998.51 | 14 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $12,087.24 | $18,314.00 | $3,478.75 – $22,998.51 | 14 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $5,838.36 | $8,846.00 | $3,478.75 – $3,687.48 | 7 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,560.24 | $2,364.00 | $485.09 – $3,463.76 | 14 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $3,082.86 | $4,671.00 | $485.09 – $3,463.76 | 14 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $15,899.40 | $24,090.00 | $9,799.05 – $69,067.87 | 14 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $9,558.78 | $14,483.00 | $693.47 – $18,209.12 | 14 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $9,558.78 | $14,483.00 | $693.47 – $18,209.12 | 14 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $5,034.48 | $7,628.00 | $3,955.89 – $18,209.12 | 14 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $5,794.80 | $8,780.00 | $936.84 – $6,947.70 | 14 |
| Insert picvad cath CPT 36570 | $6,232.38 | $9,443.00 | $485.09 – $6,947.70 | 14 |
| Insert pm/icd lead dual CPT 33217 | $9,769.32 | $14,802.00 | $693.47 – $18,209.12 | 14 |
| Insert/repl sq defib w/eltrd CPT 33270 | $20,743.80 | $31,430.00 | $9,799.05 – $69,067.87 | 14 |
| Insert swan-ganz cath CPT 93503 | $1,871.10 | $2,835.00 | $485.09 – $3,463.76 | 14 |
| Insert tunneled cv 2cath 2sits without port/pmp 36565 CPT 36565 | $5,840.34 | $8,849.00 | $936.84 – $6,947.70 | 14 |
| Insert tunneled cv cath CPT 36560 | $4,350.06 | $6,591.00 | $936.84 – $6,947.70 | 14 |
| Insert tunneled cv cath CPT 36563 | $3,954.06 | $5,991.00 | $936.84 – $12,244.06 | 14 |
| Ins icd gen exist mlt leads CPT 33231 | $11,388.96 | $17,256.00 | $9,799.05 – $69,067.87 | 14 |
| Ins icd gen exist sgl lead CPT 33240 | $25,925.46 | $39,281.00 | $9,799.05 – $48,944.63 | 14 |
| Insitu hybridization (fish) CPT 88366 | $493.68 | $748.00 | $58.17 – $448.80 | 16 |
| Insitu hybridization manual CPT 88368 | $894.30 | $1,355.00 | $58.17 – $788.72 | 16 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $493.68 | $748.00 | $14.25 – $448.80 | 11 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $493.68 | $748.00 | $58.17 – $374.88 | 16 |
| Insj biomechanical device CPT 22859 | not published | not published | not published | 0 |
| Insj biomechanical device 22853 CPT 22853 | not published | not published | not published | 0 |
| Ins lv lead exist pm/icd CPT 33224 | $12,087.24 | $18,314.00 | $3,478.75 – $22,998.51 | 14 |
| Ins mark abd/pel for right perq CPT 49411 | $3,070.32 | $4,652.00 | $470.57 – $3,045.63 | 16 |
| Ins picad w subq port 5yr> CPT 36571 | $6,688.44 | $10,134.00 | $485.09 – $6,947.70 | 14 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $2,620.86 | $3,971.00 | $485.09 – $1,380.31 | 14 |
| Ins pm gen exist dual lead CPT 33230 | $10,565.94 | $16,009.00 | $9,799.05 – $48,944.63 | 14 |
| Ins pq tunnld ip cath w/img CPT 49418 | $6,031.08 | $9,138.00 | $1,616.01 – $7,878.29 | 14 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | not published | not published | not published | 0 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $12,087.24 | $18,314.00 | $3,478.75 – $22,998.51 | 14 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $9,558.78 | $14,483.00 | $3,478.75 – $18,209.12 | 14 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $5,539.38 | $8,393.00 | $3,478.75 – $22,998.51 | 14 |
| Inst fibrinolysis agent ini day CPT 32561 | $714.12 | $1,082.00 | $126.55 – $1,380.31 | 16 |
| Inst fibrinolysis agent sbsq d CPT 32562 | $714.12 | $1,082.00 | $113.24 – $1,380.31 | 16 |
| Instillation anticarcinogenic agent bladder CPT 51720 | not published | not published | not published | 0 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | $8,823.54 | $13,369.00 | $936.84 – $12,244.06 | 14 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $4,125.00 | $6,250.00 | $936.84 – $12,244.06 | 14 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $4,888.62 | $7,407.00 | $936.84 – $6,947.70 | 14 |
| Ins tun intraperit dia cath CPT 49421 | $4,306.50 | $6,525.00 | $1,616.01 – $7,878.29 | 14 |
| Insulin total CPT 83525 | $62.70 | $95.00 | $11.43 – $25.72 | 16 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $4,457.29 | $6,753.47 | $2,465.78 – $4,670.36 | 5 |
| Interdiscal perq aspir dx CPT 62267 | $1,384.02 | $2,097.00 | $337.74 – $1,558.17 | 14 |
| Interrogate subq defib CPT 93261 | $78.54 | $119.00 | $15.99 – $119.00 | 16 |
| Interrog evl pm/ldls pm ip CPT 93288 | $113.52 | $172.00 | $15.99 – $82.12 | 14 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | not published | 0 |
| Intra-atrial recording CPT 93602 | $8,764.14 | $13,279.00 | $2,816.70 – $17,162.33 | 14 |
| Intracard echo interv w/s&i CPT 93662 | $3,218.82 | $4,877.00 | $191.46 – $202.95 | 7 |
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.