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
Whfo w/joint(s) custom fab HCPCS L3806 $615.12 $932.00 $592.82 – $1,333.85 9
Whole blood for transfusion HCPCS P9010 $980.10 $1,485.00 $55.39 – $427.14 14
Whole mitochondrial genome CPT 81460 $2,272.38 $3,443.00 $1,029.60 – $2,895.75 16
Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 $199.32 $302.00 $40.86 – $259.68 12
Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 $401.28 $608.00 $48.93 – $397.55 12
Wrist X-ray CPT 73110 $318.78 $483.00 $24.82 – $456.60 16
Xcapsl ctrc rmvl cplx wo ecp CPT 66982 not published not published not published 0
Xm archive tissue molec anal CPT 88363 $110.88 $168.00 $11.76 – $63.64 16
X-ray abdomen 1 view CPT 74018 $310.86 $471.00 $24.82 – $456.60 16
X-ray abdomen 2 views CPT 74019 $332.64 $504.00 $24.82 – $456.60 16
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 $391.38 $593.00 $24.82 – $456.60 16
X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 $315.48 $478.00 $24.82 – $456.60 16
X-ray ankle 2 views (both sides) CPT 73600 $315.48 $478.00 $12.41 – $456.60 16
X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 $1,657.92 $2,512.00 $52.32 – $767.66 16
X-ray bone age studies CPT 77072 $506.22 $767.00 $24.82 – $456.60 16
X-ray bone length studies CPT 77073 $450.12 $682.00 $24.82 – $456.60 16
X-ray bone survey complete CPT 77075 $516.12 $782.00 $52.32 – $456.60 16
X-ray bone survey infant CPT 77076 $391.38 $593.00 $24.82 – $456.60 16
X-ray cervical spine 2-3 views CPT 72040 $420.42 $637.00 $24.82 – $456.60 16
X-ray cervical spine 4-5 views CPT 72050 $467.28 $708.00 $24.82 – $456.60 16
X-ray cervical spine >= 6 views CPT 72052 $582.78 $883.00 $24.82 – $456.60 16
X-ray clavicle complete (both sides) CPT 73000 $333.96 $506.00 $24.82 – $456.60 16
X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 $636.24 $964.00 $52.32 – $456.60 16
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 $916.08 $1,388.00 $52.32 – $456.60 16
X-ray elbow 2 views (both sides) CPT 73070 $315.48 $478.00 $12.41 – $456.60 16
X-ray elbow >= 3 views (both sides) CPT 73080 $337.92 $512.00 $24.82 – $456.60 16
X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 $516.12 $782.00 $12.41 – $456.60 16
X-ray exam entire spi 4/5 vw CPT 72083 $347.82 $527.00 $24.82 – $456.60 16
X-ray exam entire spi 6/> vw CPT 72084 $365.64 $554.00 $24.82 – $456.60 16
X-ray exam of arm infant CPT 73092 $315.48 $478.00 $24.82 – $456.60 16
X-ray exam of eye sockets CPT 70200 $391.38 $593.00 $24.82 – $456.60 16
X-ray exam of femur 1 CPT 73551 $315.48 $478.00 $24.82 – $456.60 16
X-ray exam of perineum CPT 74775 $747.78 $1,133.00 $52.32 – $525.02 16
X-ray exam of sinuses CPT 70210 $315.48 $478.00 $24.82 – $456.60 16
X-ray exam thorac spine4/>vw CPT 72074 $347.82 $527.00 $24.82 – $456.60 16
X-ray eye detection foreign body (both sides) CPT 70030 $268.62 $407.00 $24.82 – $407.00 16
X-ray facial bones complete > 3 views CPT 70150 $391.38 $593.00 $24.82 – $456.60 16
X-ray femur >=2 views (both sides) CPT 73552 $322.74 $489.00 $24.82 – $456.60 16
X-ray finger(s) >= 2 views (both sides) CPT 73140 $315.48 $478.00 $12.41 – $456.60 16
X-ray foot 2 views (both sides) CPT 73620 $319.44 $484.00 $12.41 – $456.60 16
X-ray forearm 2 views (both sides) CPT 73090 $315.48 $478.00 $24.82 – $456.60 16
X-ray hand 2 views (both sides) CPT 73120 $310.20 $470.00 $12.41 – $456.60 16
X-ray heel/calcaneus > 2 views (both sides) CPT 73650 $316.80 $480.00 $12.41 – $456.60 16
X-ray hip uni w/wo pelvis min 4 views CPT 73503 $391.38 $593.00 $24.82 – $456.60 16
X-ray hip with pelvis when performed bilateral 2 views CPT 73521 $391.38 $593.00 $24.82 – $456.60 16
X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 $494.34 $749.00 $24.82 – $456.60 16
X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 $515.46 $781.00 $24.82 – $456.60 16
X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 $363.00 $550.00 $24.82 – $456.60 16
X-ray humerus >= 2 views left CPT 73060 $315.48 $478.00 $12.41 – $456.60 16
X-ray joint survey 1 view CPT 77077 $151.14 $229.00 $24.82 – $230.04 16
X-ray knee 1-2 views (both sides) CPT 73560 $315.48 $478.00 $24.82 – $456.60 16
X-ray knee 3 views (both sides) CPT 73562 $327.36 $496.00 $24.82 – $456.60 16
X-ray knee ap standing bilateral CPT 73565 $315.48 $478.00 $24.82 – $456.60 16
X-ray lower extremities infant > 2 views (both sides) CPT 73592 $315.48 $478.00 $24.82 – $456.60 16
X-ray l/s-spine bend vw only 2-3 vw CPT 72120 $582.78 $883.00 $24.82 – $456.60 16
X-ray lumbosacral spine >= 4 views CPT 72110 $582.78 $883.00 $24.82 – $456.60 16
X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 $582.78 $883.00 $24.82 – $456.60 16
X-ray mandible complete > 4 views CPT 70110 $391.38 $593.00 $24.82 – $456.60 16
X-ray mandible ltd <4 views CPT 70100 $315.48 $478.00 $24.82 – $456.60 16
X-ray nasal bones complete > 3 views CPT 70160 $315.48 $478.00 $12.41 – $456.60 16
X-ray neck soft tissue CPT 70360 $316.80 $480.00 $24.82 – $456.60 16
X-ray nose to rectum for foreign body child CPT 76010 $279.84 $424.00 $24.82 – $424.00 16
X-ray of mammary ducts CPT 77054 $691.68 $1,048.00 $52.32 – $525.02 16
X-ray optic foramina CPT 70190 $315.48 $478.00 $24.82 – $456.60 16
X-ray pelvis 1-2 views CPT 72170 $326.04 $494.00 $24.82 – $456.60 16
X-ray pelvis complete > 3 views CPT 72190 $394.68 $598.00 $24.82 – $456.60 16
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 $708.84 $1,074.00 $52.32 – $767.66 16
X-ray ribs 2 views left CPT 71100 $322.74 $489.00 $24.82 – $456.60 16
X-ray ribs 3 views bilateral CPT 71110 $391.38 $593.00 $24.82 – $456.60 16
X-ray ribs w/posterior anterior chest 3 views left CPT 71101 $477.18 $723.00 $24.82 – $456.60 16
X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 $498.30 $755.00 $24.82 – $456.60 16
X-ray sacroiliac joints >= 3 views CPT 72202 $363.00 $550.00 $24.82 – $456.60 16
X-ray sacrum/coccyx >= 2 views CPT 72220 $330.00 $500.00 $24.82 – $456.60 16
X-ray scapula complete (both sides) CPT 73010 $353.10 $535.00 $24.82 – $456.60 16
X-ray sella turcica CPT 70240 $315.48 $478.00 $24.82 – $456.60 16
X-ray shoulder 1 view (both sides) CPT 73020 $315.48 $478.00 $24.82 – $456.60 16
X-ray sinuses paranasal complete > 3 views CPT 70220 $391.38 $593.00 $24.82 – $456.60 16
X-ray sinus tract/fistula/abscess CPT 76080 $687.72 $1,042.00 $52.32 – $1,202.33 16
X-ray skull < 4 views CPT 70250 $326.70 $495.00 $24.82 – $456.60 16
X-ray skull > 4 views complete CPT 70260 $391.38 $593.00 $24.82 – $456.60 16
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 $597.96 $906.00 $52.32 – $456.60 16
X-ray small intestine follow-through study CPT 74248 $139.92 $212.00 $52.32 – $212.00 11
X-ray spine single view CPT 72020 $333.96 $506.00 $24.82 – $456.60 16
X-ray sternoclavicular joint(s) > 3 views CPT 71130 $315.48 $478.00 $24.82 – $456.60 16
X-ray sternum > 2 views CPT 71120 $333.96 $506.00 $24.82 – $456.60 16
X-ray surgical specimen CPT 76098 $397.98 $603.00 $52.32 – $1,202.33 16
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 $523.38 $793.00 $52.32 – $456.60 16
X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 $315.48 $478.00 $24.82 – $456.60 16
X-ray thoracic spine 2 views CPT 72070 $329.34 $499.00 $24.82 – $456.60 16
X-ray thoracic spine 3 views CPT 72072 $380.82 $577.00 $24.82 – $456.60 16
X-ray thoracolumbar spine >=2 views CPT 72080 $432.96 $656.00 $24.82 – $456.60 16
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 $315.48 $478.00 $24.82 – $456.60 16
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 $380.82 $577.00 $24.82 – $456.60 16
X-ray tibia/fibula 2 views (both sides) CPT 73590 $330.00 $500.00 $12.41 – $456.60 16
X-ray toe(s) > 2 views (both sides) CPT 73660 $478.00 $478.00 $24.82 – $456.60 16
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 $798.60 $1,210.00 $52.32 – $456.60 16
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 $514.14 $779.00 $52.32 – $456.60 16
X-ray wrist 2 views (both sides) CPT 73100 $315.48 $478.00 $12.41 – $456.60 16
Xylose absorption test blood &/or urine CPT 84620 $124.74 $189.00 $12.91 – $29.05 16
Zika virus dna/rna amp probe CPT 87662 $495.00 $750.00 $50.68 – $115.45 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.