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
Dermagraft HCPCS Q4106 $64.68 $98.00 $74.15 – $84.05 5
Design mlc device for imrt CPT 77338 $2,045.34 $3,099.00 $82.46 – $2,025.50 16
Desmopressin 4 mcg/ml injection solution HCPCS J2597 $62.69 $94.99 $5.63 – $54.29 11
Desoxycorticosterone CPT 82633 $184.14 $279.00 $30.98 – $69.71 16
Destroy cervthor facet jnt 64633 CPT 64633 $2,960.10 $4,485.00 $565.72 – $4,296.76 14
Destroy cth facet jnt addl 64634 CPT 64634 $647.46 $981.00 $176.37 – $186.95 7
Destroy vulva lesion simple 56501 CPT 56501 not published not published not published 0
Destruction benign lesions < 14 lesions CPT 17110 $229.68 $348.00 $72.99 – $441.47 14
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 $744.48 $1,128.00 $565.72 – $599.67 7
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 $3,202.98 $4,853.00 $565.72 – $4,296.76 14
Device ablt adv novasure HCPCS C1886 $3,335.64 $5,054.00 $244.75 – $244.75 1
Device intraute mirena HCPCS J7298 $2,190.05 $3,318.25 $200.85 – $2,519.43 9
Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 $544.50 $825.00 $34.04 – $456.60 16
Dexamethasone 4 mg tablet HCPCS J8540 $2.64 $4.00 $0.02 – $0.11 5
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 $8.09 $12.25 $0.18 – $0.20 5
Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 $69.96 $106.00 $9.98 – $12.75 2
Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 $69.96 $106.00 $2.86 – $3.13 5
Dhea-s (dehydroepiand sulfate) CPT 82627 $134.64 $204.00 $22.23 – $50.02 16
Diabetes (HbA1c) Test CPT 83036 $62.70 $95.00 $9.71 – $21.85 16
Diag laparo separate proc 49320 CPT 49320 not published not published not published 0
Diagnostic anoscopy spx 46600 CPT 46600 $160.38 $243.00 $130.11 – $292.76 14
Diagnostic laryngoscopy 31505 CPT 31505 $344.52 $522.00 $74.89 – $439.21 14
Diagnostic laryngoscopy 31575 CPT 31575 $224.40 $340.00 $74.89 – $439.21 14
Diagnostic Mammogram (both breasts) CPT 77066 $369.60 $560.00 $21.09 – $237.33 14
Diagnostic Mammogram (one breast) CPT 77065 $310.20 $470.00 $21.09 – $185.27 14
Dialysis circuit perm vascular embolization 36909 CPT 36909 $6,662.04 $10,094.00 $4,729.17 – $5,012.92 7
Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 $59.96 $90.85 $9.27 – $11.98 5
Dicyclomine injection HCPCS J0500 $189.98 $287.85 $18.69 – $34.56 5
Diffusing capacity CPT 94729 $286.44 $434.00 $25.49 – $434.00 10
Digital analysis of eeg CPT 95957 $531.30 $805.00 $15.99 – $496.70 10
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 $32.34 $49.00 $12.19 – $17.13 5
Digoxin total therapeutic drug level CPT 80162 $114.18 $173.00 $13.28 – $29.88 16
Dilate biliary duct/ampulla CPT 47542 $2,312.64 $3,504.00 $252.19 – $2,540.86 11
Dilate esophagus CPT 43453 not published not published not published 0
Dilate urethra stricture CPT 53600 $492.36 $746.00 $38.07 – $549.77 14
Dilation of anal sphincter CPT 45905 not published not published not published 0
Dilator fascial 10fx20cm HCPCS C2627 $147.84 $224.00 $123.20 – $123.20 1
Dilat xst trc ndurlgc px CPT 50436 $8,539.08 $12,938.00 $647.32 – $7,756.35 14
Diltiazem 5 mg/ml intravenous solution HCPCS J1163 $0.65 $0.98 $0.05 – $0.05 4
Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 $32.34 $49.00 $1.17 – $1.55 5
Disability dlco CPT 94727 $276.54 $419.00 $25.49 – $475.12 16
Disaccharidases CPT 82657 $207.24 $314.00 $22.17 – $49.88 16
Discography cerv/thor spine CPT 72285 $1,911.36 $2,896.00 $150.43 – $4,296.76 16
Dlyd plmt xtn prosth ea addl CPT 34711 $2,469.72 $3,742.00 $3,742.00 – $3,966.52 7
Dmd dup/delet analysis CPT 81161 $368.28 $558.00 $140.01 – $627.75 16
Dmpk gene detc abnor allele CPT 81234 $368.94 $559.00 $109.60 – $308.25 16
Dna antibody native/double stranded CPT 86225 $89.10 $135.00 $13.74 – $30.92 16
Dna gardnerella CPT 87510 $138.60 $210.00 $20.05 – $45.11 16
Dna trichomonas CPT 87660 $138.60 $210.00 $20.05 – $45.11 16
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 $129.99 $196.95 $12.89 – $14.36 5
Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 $9.75 $14.78 $1.32 – $1.43 5
Doppler echo complete CPT 93320 $456.06 $691.00 $191.46 – $567.70 10
Doppler intravascular pressure flow initial vessel CPT 93571 $1,496.88 $2,268.00 $748.38 – $793.28 7
Doppler upper/lower extremity arteries complete bilateral CPT 93923 $582.12 $882.00 $73.27 – $475.12 16
Doppler upper/lower extremity arteries limited bilateral CPT 93922 $410.52 $622.00 $24.16 – $472.83 16
Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 $1.28 $1.94 $0.17 – $0.18 4
Dpyd gene common variants CPT 81232 $822.36 $1,246.00 $59.04 – $393.32 16
Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 $1,663.86 $2,521.00 $528.96 – $1,558.17 14
Drainage ext aud canal abscess 69020 CPT 69020 $1,325.28 $2,008.00 $74.89 – $1,558.17 14
Drainage external ear complex 69005 CPT 69005 $1,871.10 $2,835.00 $618.42 – $3,634.16 14
Drainage external ear simple 69000 CPT 69000 $812.46 $1,231.00 $74.89 – $1,558.17 14
Drainage mouth roof lesion CPT 42000 $460.68 $698.00 $74.89 – $521.16 14
Drainage of arm bursa 23931 CPT 23931 $1,871.10 $2,835.00 $791.17 – $3,634.16 14
Drainage of kidney lesion CPT 50390 $1,384.02 $2,097.00 $178.39 – $1,558.17 16
Drainage of mouth lesion CPT 41008 $167.64 $254.00 $254.00 – $7,295.32 14
Drainage of urethra abscess 53060 CPT 53060 $2,366.10 $3,585.00 $1,266.65 – $4,599.67 14
Drain blood from under nail 11740 CPT 11740 $149.16 $226.00 $29.40 – $292.76 14
Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 $2,220.24 $3,364.00 $318.99 – $3,634.16 16
Drain cath image guided visceral pq CPT 49405 $1,871.10 $2,835.00 $318.99 – $3,634.16 16
Drain cerebro spinal fluid 62272 CPT 62272 $819.72 $1,242.00 $164.57 – $1,553.22 16
Drain finger abscess;simple 26010 CPT 26010 $395.34 $599.00 $72.99 – $441.47 14
Drain thigh/knee lesion 27301 CPT 27301 $5,360.52 $8,122.00 $791.17 – $6,391.52 14
Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 $434.28 $658.00 $80.58 – $441.47 14
Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 $374.88 $568.00 $80.58 – $441.47 14
Dress/debrid prtl-thick burn l 16030 CPT 16030 $524.04 $794.00 $168.77 – $894.49 14
Drng of eyelid abscess 67700 CPT 67700 $513.48 $778.00 $127.74 – $698.42 14
Drng of finger abscess comp 26011 CPT 26011 $3,873.54 $5,869.00 $474.26 – $3,634.16 14
Drng of scrotum abscess 55100 CPT 55100 $1,871.10 $2,835.00 $1,046.14 – $3,634.16 14
Drng salivary gland simple 42300 CPT 42300 $1,582.02 $2,397.00 $528.96 – $3,414.10 14
Droperidol 2.5 mg/ml injection solution HCPCS J1790 $51.81 $78.50 $11.85 – $13.31 5
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 $23.10 $35.00 $19.60 – $273.83 11
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 $23.10 $35.00 $4.11 – $273.83 11
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 $3,814.37 $5,779.35 $84.15 – $273.83 11
Drug admin & hemodynmic meas CPT 93463 $397.32 $602.00 $20.47 – $21.70 7
Drug assay caffeine CPT 80155 $125.40 $190.00 $15.44 – $86.78 16
Drug assay posaconazole CPT 80187 $130.02 $197.00 $21.69 – $61.00 16
Drug assay vedolizumab CPT 80280 $308.88 $468.00 $30.85 – $86.78 16
Drug assay voriconazole CPT 80285 $100.98 $153.00 $21.69 – $61.00 16
Drug of abuse screen urine CPT 80305 $120.78 $183.00 $12.60 – $28.35 16
Drug screening tapentadol CPT 80372 $36.30 $55.00 $4.99 – $39.00 10
Drug screen quant tiagabine CPT 80199 $83.82 $127.00 $19.70 – $61.00 16
Drug/substance nos 4-6 CPT 80376 $49.50 $75.00 $4.99 – $45.00 10
Drug test def 15-21 classes HCPCS G0482 $244.86 $371.00 $132.80 – $447.17 16
Drug test def 1-7 classes HCPCS G0480 $230.34 $349.00 $63.95 – $257.47 16
Drug test def 22+ classes HCPCS G0483 $699.60 $1,060.00 $172.18 – $555.57 16
Drug test def 8-14 classes HCPCS G0481 $188.76 $286.00 $98.39 – $352.33 16
Drug test prsmv instrmnt CPT 80306 $209.88 $318.00 $17.14 – $38.57 16
Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 $258.72 $392.00 $62.14 – $139.82 16
Dstrj nulyt agt gnclr nrv CPT 64624 not published not published not published 0
Ductogram sgl duct CPT 77053 $691.68 $1,048.00 $52.32 – $525.02 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.