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 |
|---|---|---|---|---|
| Thrombin time CPT 85670 | $89.10 | $135.00 | $1.59 – $12.98 | 16 |
| Thromboplastin inhibition CPT 85705 | $49.50 | $75.00 | $8.17 – $21.67 | 16 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $68.64 | $104.00 | $6.47 – $14.56 | 16 |
| Thyroglobulin antibody CPT 86800 | $108.90 | $165.00 | $15.91 – $35.80 | 16 |
| Thyroid imaging CPT 78013 | $694.98 | $1,053.00 | $162.47 – $1,053.00 | 16 |
| Thyroid mets imag whole body CPT 78018 | $1,493.58 | $2,263.00 | $162.47 – $1,246.46 | 16 |
| Thyroid (TSH) Test CPT 84443 | $99.00 | $150.00 | $16.80 – $37.80 | 16 |
| Thyroid Ultrasound CPT 76536 | $552.42 | $837.00 | $24.16 – $521.52 | 16 |
| Thyroid uptake measurement CPT 78012 | $463.98 | $703.00 | $162.47 – $879.65 | 16 |
| Thyroxine binding globulin (tbg) CPT 84442 | $65.34 | $99.00 | $14.78 – $33.26 | 16 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $20,739.84 | $31,424.00 | $4,729.17 – $5,012.92 | 7 |
| Tib/per revasc stnt & ather CPT 37235 | $8,332.50 | $12,625.00 | $4,729.17 – $5,012.92 | 7 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $5,332.80 | $8,080.00 | $4,729.17 – $5,012.92 | 7 |
| Tilt table study CPT 93660 | $1,745.04 | $2,644.00 | $73.27 – $821.09 | 14 |
| Tissue culture placenta CPT 88235 | $483.78 | $733.00 | $70.04 – $338.18 | 16 |
| Tissue culture skin/biopsy CPT 88233 | $735.24 | $1,114.00 | $70.04 – $316.64 | 16 |
| Tissue culture tumor CPT 88239 | $520.74 | $789.00 | $70.04 – $331.92 | 16 |
| Tissue exam koh skin/hair/nails CPT 87220 | $47.52 | $72.00 | $4.27 – $9.61 | 16 |
| Tissue transglutaminase iga CPT 86364 | $32.34 | $49.00 | $11.53 – $25.94 | 16 |
| Tixagev and cilgav inj HCPCS M0220 | $80.52 | $122.00 | $122.00 – $129.32 | 7 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | not published | 0 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | not published | 0 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | not published | 0 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | not published | 0 |
| Tobramycin peak therapeutic drug level CPT 80200 | $77.88 | $118.00 | $16.13 – $36.29 | 16 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $104.94 | $159.00 | $10.94 – $27.36 | 14 |
| Tomosynthesis breast screen bilateral CPT 77063 | $104.94 | $159.00 | $20.16 – $50.40 | 14 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | not published | 0 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | not published | 0 |
| Total hip arthroplasty CPT 27132 | not published | not published | not published | 0 |
| Total Hip Replacement CPT 27130 | not published | not published | not published | 0 |
| Total hysterectomy CPT 58150 | not published | not published | not published | 0 |
| Total Knee Replacement CPT 27447 | not published | not published | not published | 0 |
| Total tau CPT 84394 | $468.60 | $710.00 | $128.92 – $290.07 | 11 |
| Toxoplasma antibody igg CPT 86777 | $99.00 | $150.00 | $14.39 – $32.38 | 16 |
| Toxoplasma antibody igm CPT 86778 | $89.10 | $135.00 | $14.41 – $32.42 | 16 |
| Tp53 gene full gene sequence CPT 81351 | $1,083.72 | $1,642.00 | $513.48 – $1,444.16 | 16 |
| Tp53 gene trgt sequence alys CPT 81352 | $790.68 | $1,198.00 | $329.51 – $741.40 | 16 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $111.54 | $169.00 | $31.76 – $144.99 | 16 |
| Transcath biopsy CPT 37200 | $6,243.60 | $9,460.00 | $1,628.87 – $12,244.06 | 14 |
| Transcath closure of asd CPT 93580 | $18,034.50 | $27,325.00 | $6,378.61 – $40,336.82 | 14 |
| Transcatheter bx s&i CPT 75970 | $2,337.72 | $3,542.00 | $89.39 – $953.54 | 11 |
| Transcath occlusion cns CPT 61624 | $5,532.12 | $8,382.00 | $6,215.80 – $40,336.82 | 14 |
| Transcath occlusion non-cns CPT 61626 | $13,098.36 | $19,846.00 | $6,215.80 – $25,401.76 | 14 |
| Transferrin CPT 84466 | $43.56 | $66.00 | $12.76 – $28.71 | 16 |
| Transfusion blood/blood component(s) CPT 36430 | $883.74 | $1,339.00 | $178.54 – $970.76 | 14 |
| Transplant forearm tendon CPT 25310 | not published | not published | not published | 0 |
| Transplant forearm tendon CPT 25312 | not published | not published | not published | 0 |
| Transplant hand tendon CPT 26480 | not published | not published | not published | 0 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $4,766.52 | $7,222.00 | $1,303.52 – $2,244.55 | 2 |
| Treat ectopic pregnancy CPT 59151 | not published | not published | not published | 0 |
| Treat elbow dislocation CPT 24605 | $1,848.66 | $2,801.00 | $426.70 – $3,538.22 | 14 |
| Treat elbow fracture CPT 24620 | $4,019.40 | $6,090.00 | $203.37 – $3,538.22 | 14 |
| Treat finger fracture each CPT 26742 | $1,848.66 | $2,801.00 | $203.37 – $3,538.22 | 14 |
| Treat fracture of radius CPT 25520 | $3,754.08 | $5,688.00 | $203.37 – $3,538.22 | 14 |
| Treat hip dislocation CPT 27252 | $1,848.66 | $2,801.00 | $426.70 – $3,538.22 | 14 |
| Treat humerus fracture CPT 24535 | $3,174.60 | $4,810.00 | $203.37 – $3,538.22 | 14 |
| Treat kneecap fracture CPT 27524 | not published | not published | not published | 0 |
| Treat knee fracture CPT 27535 | not published | not published | not published | 0 |
| Treat knee fracture CPT 27540 | not published | not published | not published | 0 |
| Treat lower leg joint CPT 27829 | not published | not published | not published | 0 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | not published | not published | not published | 0 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | not published | not published | not published | 0 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | not published | not published | not published | 0 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | not published | not published | not published | 0 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $240.90 | $365.00 | $25.49 – $292.76 | 16 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $39.60 | $60.00 | $25.49 – $60.00 | 10 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $266.64 | $404.00 | $25.49 – $481.84 | 16 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | not published | not published | not published | 0 |
| Treatment of ankle fracture CPT 27792 | not published | not published | not published | 0 |
| Treatment of ankle fracture CPT 27814 | not published | not published | not published | 0 |
| Treatment of ankle fracture CPT 27822 | not published | not published | not published | 0 |
| Treatment of miscarriage CPT 59821 | not published | not published | not published | 0 |
| Treatment of penis lesion CPT 54115 | $6,753.12 | $10,232.00 | $871.34 – $6,391.52 | 14 |
| Treatment of thigh fracture CPT 27510 | $3,168.66 | $4,801.00 | $203.37 – $3,538.22 | 14 |
| Treatment radiation delivery level 2 CPT 77407 | $867.24 | $1,314.00 | $79.49 – $1,314.00 | 16 |
| Treat metatarsal fracture CPT 28485 | not published | not published | not published | 0 |
| Treat midfoot fracture each CPT 28465 | not published | not published | not published | 0 |
| Treat vaginal bleeding CPT 57180 | $1,052.04 | $1,594.00 | $197.71 – $444.86 | 14 |
| Treat wrist dislocation CPT 25675 | $1,022.34 | $1,549.00 | $203.37 – $542.77 | 14 |
| Treponema pallidum antibody CPT 86780 | $38.28 | $58.00 | $11.13 – $29.79 | 16 |
| Trg gene rearrangement anal CPT 81342 | $465.30 | $705.00 | $201.50 – $453.38 | 16 |
| Trichinella antibody CPT 86784 | $96.36 | $146.00 | $8.17 – $28.26 | 16 |
| #tricyclicantidprssnt CPT 80337 | $91.08 | $138.00 | $4.99 – $82.80 | 10 |
| Triglycerides CPT 84478 | $35.64 | $54.00 | $5.74 – $12.92 | 16 |
| Trim nail(s) HCPCS G0127 | $108.90 | $165.00 | $29.40 – $129.81 | 14 |
| Trim nondyst nails CPT 11719 | $118.14 | $179.00 | $29.40 – $129.81 | 14 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $5,088.60 | $7,710.00 | $6,215.80 – $6,588.75 | 7 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $7,128.66 | $10,801.00 | $6,215.80 – $6,588.75 | 7 |
| Trnscath plc stnt ante carotid art CPT 37218 | $823.02 | $1,247.00 | $422.00 – $1,321.82 | 11 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $4,891.26 | $7,411.00 | $4,729.17 – $5,012.92 | 7 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $3,367.98 | $5,103.00 | $4,729.17 – $5,012.92 | 7 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $13,098.36 | $19,846.00 | $4,729.17 – $25,401.76 | 14 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $2,682.90 | $4,065.00 | $1,628.87 – $6,947.70 | 14 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $6,243.60 | $9,460.00 | $1,628.87 – $12,244.06 | 14 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $3,635.28 | $5,508.00 | $1,628.87 – $6,947.70 | 14 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $3,635.28 | $5,508.00 | $1,628.87 – $6,947.70 | 14 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $3,635.28 | $5,508.00 | $1,628.87 – $6,947.70 | 14 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | not published | 0 |
| Troponin quantitative CPT 84484 | $84.48 | $128.00 | $12.47 – $28.06 | 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.