Bellin Memorial Hospital

744 S Webster Ave, Green Bay, WI 54301 · (920) 433-3500

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 4/5Green Bay, WI metro Website ↗

Price file

Prices published

File dated 2026-06-27

11,266 price rows for 68 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $15

$25

cash

$3 to $53

108 negotiated rates

$53

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 4 lines · metro median $1,723

$737

cash

$137 to $3,436

140 negotiated rates

$1,591

list

CT scan of the head, no contrast

CPT 70450 · lowest of 4 lines · metro median $885

$211

cash

$52 to $1,693

140 negotiated rates

$455

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 4 lines · metro median $1,539

$533

cash

$88 to $2,614

140 negotiated rates

$1,151

list

Cataract surgery with lens implant

CPT 66984

—

cash

$736 to $9,027

44 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$1,123 to $22,061

24 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$3,122 to $15,929

27 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 4 lines · metro median $113

$101

cash

$18 to $219

204 negotiated rates

$219

list

Colonoscopy (diagnostic)

CPT 45378 · lowest of 8 lines · metro median $1,338

$891

cash

$425 to $5,023

280 negotiated rates

$1,925

list

Colonoscopy with biopsy

CPT 45380 · lowest of 8 lines · metro median $1,472

$1,459

cash

$425 to $5,023

232 negotiated rates

$3,152

list

Colonoscopy with polyp removal

CPT 45385 · lowest of 8 lines · metro median $1,896

$1,459

cash

$425 to $5,023

232 negotiated rates

$3,152

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines · metro median $59

$23

cash

$2 to $49

156 negotiated rates

$49

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $31

$31

cash

$3 to $66

156 negotiated rates

$66

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 4 lines · metro median $370

$220

cash

$20 to $1,403

136 negotiated rates

$475

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$11 to $125

24 negotiated rates

—

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 12 lines · metro median $153

$63

cash

$68 to $472

226 negotiated rates

$137

list

Family psychotherapy with the patient

CPT 90847 · lowest of 14 lines · metro median $218

$196

cash

$66 to $756

425 negotiated rates

$424

list

Family psychotherapy without the patient

CPT 90846 · lowest of 4 lines · metro median $213

$196

cash

$66 to $694

140 negotiated rates

$424

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$1,549 to $23,648

45 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 4 lines · metro median $122

$101

cash

$18 to $219

204 negotiated rates

$219

list

Group psychotherapy

CPT 90853 · lowest of 16 lines · metro median $116

$109

cash

$51 to $727

428 negotiated rates

$235

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$11,943 to $40,067

30 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$4,827 to $16,194

28 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$7,682 to $25,772

28 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$1,560 to $14,005

45 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$922 to $13,603

46 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821 · lowest of 2 lines · metro median $540

$540

cash

$245 to $4,150

63 negotiated rates

$1,166

list

Left heart catheterization

CPT 93452 · lowest of 2 lines · metro median $5,240

$4,727

cash

$1,055 to $17,899

63 negotiated rates

$10,209

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 6 lines · metro median $65

$39

cash

$3 to $84

251 negotiated rates

$84

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $69

$24

cash

$3 to $51

204 negotiated rates

$51

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 8 lines · metro median $2,176

$472

cash

$170 to $4,121

280 negotiated rates

$1,020

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 4 lines · metro median $1,179

$513

cash

$102 to $2,642

140 negotiated rates

$1,108

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 4 lines · metro median $1,287

$608

cash

$102 to $2,348

140 negotiated rates

$1,313

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 4 lines · metro median $1,270

$464

cash

$102 to $2,348

140 negotiated rates

$1,003

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$13,042 to $50,711

28 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 4 lines · metro median $1,779

$778

cash

$323 to $4,150

140 negotiated rates

$1,680

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 4 lines · metro median $179

$185

cash

$103 to $412

60 negotiated rates

$400

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 8 lines · metro median $185

$185

cash

$103 to $907

112 negotiated rates

$400

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 12 lines · metro median $209

$185

cash

$103 to $592

172 negotiated rates

$400

list

PSA test (prostate)

CPT 84153 · lowest of 4 lines · metro median $90

$53

cash

$4 to $115

252 negotiated rates

$115

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 8 lines · metro median $47

$18

cash

$1 to $38

396 negotiated rates

$38

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 3 lines · metro median $81

$48

cash

$28 to $263

24 negotiated rates

$103

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 4 lines · metro median $524

$355

cash

$42 to $904

140 negotiated rates

$766

list

Preventive visit, new patient age 18 to 39

CPT 99385

—

cash

$252 to $822

3 negotiated rates

—

list

Preventive visit, new patient age 40 to 64

CPT 99386

—

cash

$305 to $997

3 negotiated rates

—

list

Prostate biopsy

CPT 55700

—

cash

$731 to $5,023

30 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$1,927 to $41,580

45 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 4 lines · metro median $28

$13

cash

$1 to $25

348 negotiated rates

$27

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 16 lines · metro median $154

$94

cash

$52 to $727

472 negotiated rates

$203

list

Psychotherapy, 45 minutes

CPT 90834 · lowest of 12 lines · metro median $196

$196

cash

$58 to $727

303 negotiated rates

$424

list

Psychotherapy, 60 minutes

CPT 90837 · lowest of 12 lines · metro median $218

$196

cash

$58 to $727

303 negotiated rates

$424

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 4 lines · metro median $2,645

$2,645

cash

$565 to $15,316

140 negotiated rates

$5,713

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 4 lines · metro median $280

$140

cash

$20 to $1,132

136 negotiated rates

$302

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$818 to $4,150

25 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 4 lines · metro median $3,385

$2,002

cash

$319 to $4,890

140 negotiated rates

$4,324

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 4 lines · metro median $1,187

$545

cash

$323 to $4,150

140 negotiated rates

$1,178

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 4 lines · metro median $1,705

$547

cash

$323 to $4,150

140 negotiated rates

$1,182

list

TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $49

$49

cash

$4 to $105

204 negotiated rates

$105

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$909 to $23,156

45 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 6 lines · metro median $398

$229

cash

$46 to $859

188 negotiated rates

$495

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 4 lines · metro median $524

$248

cash

$52 to $788

140 negotiated rates

$536

list

Upper endoscopy (EGD)

CPT 43235 · lowest of 8 lines · metro median $1,361

$1,361

cash

$428 to $5,023

280 negotiated rates

$2,939

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 8 lines · metro median $1,361

$1,361

cash

$428 to $5,023

280 negotiated rates

$2,939

list

Urinalysis with microscope

CPT 81001 · lowest of 4 lines · metro median $38

cash

$1 to $20

156 negotiated rates

$20

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$1,016 to $20,776

24 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$3,010 to $10,621

28 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$1,016 to $20,041

24 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 4 lines · metro median $311

$211

cash

$24 to $518

140 negotiated rates

$455

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://bellin-ghs.pt.panaceainc.com/MRFDownload/bellin-ghs/bellin-memorial
Bellin Memorial Hospital · parsed · tall v3.0.0 · file dated 2026-06-27 · 8.3 MB · 8669 price rows read · read Nov 2026
https://bellin-ghs.pt.panaceainc.com/MRFDownload/bellin-ghs/bellin-psychiatric
Emplify Health Behavioral Health · parsed · tall v3.0.0 · file dated 2026-06-27 · 2.4 MB · 2597 price rows read · read Nov 2026