St Marys Hospital Medical Ctr

1726 Shawano Ave, Green Bay, WI 54303 · (920) 498-4200

Acute Care HospitalsVoluntary non-profit - OtherCMS rating 3/5Green Bay, WI metro Website ↗

Price file

Prices published

File dated 2026-03-24

10,257 price rows for 68 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 7 lines · metro median $15

cash

$3 to $130

286 negotiated rates

$12

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 5 lines · metro median $1,723

$1,723

cash

$134 to $4,571

221 negotiated rates

$2,871

list

CT scan of the head, no contrast

CPT 70450 · lowest of 5 lines · metro median $885

$885

cash

$67 to $1,908

219 negotiated rates

$1,475

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 5 lines · metro median $1,539

$1,539

cash

$111 to $2,332

221 negotiated rates

$2,332

list

Cataract surgery with lens implant

CPT 66984 · lowest of 2 lines · metro median $5,326

$5,326

cash

$459 to $8,069

157 negotiated rates

$8,069

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$2,263 to $2,637

21 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$7,940 to $19,901

34 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 8 lines · metro median $113

$122

cash

$17 to $329

213 negotiated rates

$203

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$268 to $529

49 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$319 to $599

49 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$361 to $726

49 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 8 lines · metro median $59

$27

cash

$4 to $90

213 negotiated rates

$45

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 10 lines · metro median $31

$16

cash

$5 to $180

321 negotiated rates

$24

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $370

$370

cash

$21 to $560

159 negotiated rates

$560

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$11 to $32

30 negotiated rates

—

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 13 lines · metro median $153

$71

cash

$95 to $514

375 negotiated rates

$119

list

Family psychotherapy with the patient

CPT 90847 · lowest of 3 lines · metro median $218

$246

cash

$82 to $154

50 negotiated rates

$410

list

Family psychotherapy without the patient

CPT 90846 · lowest of 3 lines · metro median $213

$213

cash

$79 to $128

51 negotiated rates

$355

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$453 to $2,649

49 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 10 lines · metro median $122

$122

cash

$17 to $360

320 negotiated rates

$203

list

Group psychotherapy

CPT 90853 · lowest of 3 lines · metro median $116

$202

cash

$20 to $43

51 negotiated rates

$336

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$7,940 to $19,901

34 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$7,940 to $19,901

34 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$7,940 to $19,901

34 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$358 to $1,588

49 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$376 to $1,487

49 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$233 to $493

49 negotiated rates

—

list

Left heart catheterization

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

$5,240

cash

$345 to $14,592

159 negotiated rates

$7,939

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 5 lines · metro median $65

$65

cash

$6 to $135

178 negotiated rates

$109

list

Liver function panel

CPT 80076 · lowest of 5 lines · metro median $69

$38

cash

$3 to $104

178 negotiated rates

$63

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 7 lines · metro median $2,176

$2,176

cash

$180 to $4,330

332 negotiated rates

$3,627

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 8 lines · metro median $1,179

$1,179

cash

$107 to $3,668

281 negotiated rates

$1,965

list

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

CPT 72148 · lowest of 5 lines · metro median $1,287

$1,287

cash

$107 to $3,542

223 negotiated rates

$2,145

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 5 lines · metro median $1,270

$1,270

cash

$107 to $2,750

223 negotiated rates

$2,117

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$7,940 to $19,901

34 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 2 lines · metro median $1,779

$1,779

cash

$103 to $2,696

157 negotiated rates

$2,696

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines · metro median $179

$252

cash

$74 to $382

106 negotiated rates

$382

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 2 lines · metro median $185

$287

cash

$95 to $435

106 negotiated rates

$435

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines · metro median $209

$348

cash

$95 to $527

106 negotiated rates

$527

list

PSA test (prostate)

CPT 84153 · lowest of 8 lines · metro median $90

$62

cash

$10 to $178

213 negotiated rates

$103

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 12 lines · metro median $47

$47

cash

$3 to $138

429 negotiated rates

$71

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 8 lines · metro median $81

$81

cash

$17 to $122

204 negotiated rates

$122

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 5 lines · metro median $524

$524

cash

$45 to $869

223 negotiated rates

$869

list

Preventive visit, new patient age 18 to 39

CPT 99385

—

cash

$92 to $131

30 negotiated rates

—

list

Preventive visit, new patient age 40 to 64

CPT 99386

—

cash

$106 to $161

30 negotiated rates

—

list

Prostate biopsy

CPT 55700 · lowest of 2 lines · metro median $2,213

$2,366

cash

$114 to $3,585

133 negotiated rates

$3,585

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$1,225 to $3,306

30 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 8 lines · metro median $28

$26

cash

$3 to $48

248 negotiated rates

$43

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 3 lines · metro median $154

$197

cash

$49 to $86

51 negotiated rates

$328

list

Psychotherapy, 45 minutes

CPT 90834 · lowest of 3 lines · metro median $196

$328

cash

$65 to $129

51 negotiated rates

$546

list

Psychotherapy, 60 minutes

CPT 90837 · lowest of 3 lines · metro median $218

$393

cash

$98 to $194

50 negotiated rates

$655

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$336 to $1,439

49 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $280

$310

cash

$21 to $470

159 negotiated rates

$470

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$123 to $1,224

30 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810

—

cash

$420 to $3,560

31 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 2 lines · metro median $1,187

$1,187

cash

$85 to $1,943

148 negotiated rates

$1,798

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $1,705

$1,705

cash

$98 to $2,583

158 negotiated rates

$2,583

list

TSH test (thyroid)

CPT 84443 · lowest of 8 lines · metro median $49

$76

cash

$8 to $150

214 negotiated rates

$127

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$207 to $2,703

49 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 5 lines · metro median $398

$531

cash

$48 to $805

224 negotiated rates

$805

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 5 lines · metro median $524

$524

cash

$67 to $1,166

224 negotiated rates

$873

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$154 to $460

49 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$270 to $460

49 negotiated rates

—

list

Urinalysis with microscope

CPT 81001 · lowest of 5 lines · metro median $38

$38

cash

$2 to $58

179 negotiated rates

$58

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$2,313 to $2,499

21 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$7,940 to $19,901

34 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$2,198 to $2,382

21 negotiated rates

—

list

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

CPT 72110 · lowest of 5 lines · metro median $311

$311

cash

$25 to $883

176 negotiated rates

$518

list

Source files

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

https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/in-csv/351343019_st-marys-warrick-hospital-inc_standardcharges.csv
Ascension St. Vincent Warrick (St. Mary's Warrick Hospital, Inc.) · discovered · tall v3.0.0 · file dated 2026-01-01 · 367.5 MB · 5319 price rows read · read Oct 2026
https://www.hshs.org/getmedia/e59a2675-9edb-45da-ac9c-e0a413805ae1/390818682_st-marys-hospital-medical-center-of-green-bay-inc-hospital-sisters_standardcharges.zip
HSHS St. Mary's Hospital Medical Center · parsed · tall v3.0.0 · file dated 2026-03-24 · 6.3 MB · 2469 price rows read · read Nov 2026
https://www.hshs.org/getmedia/e59a2675-9edb-45da-ac9c-e0a413805ae1/390818682_st-marys-hospital-medical-center-of-green-bay-inc-hospital-sisters_standardcharges.zip
HSHS St. Mary's Hospital Medical Center · parsed · tall v3.0.0 · file dated 2026-03-24 · 6.3 MB · 2469 price rows read · read Nov 2026
https://www.hshs.org/getmedia/e495b700-31ce-4936-baaf-af58e043c28c/370661238_st-johns-hospital-of-the-hospital-sisters-of-the-third-order-of-st-francis_standardcharges.zip
HSHS St. John's Hospital · discovered
https://www.hshs.org/getmedia/c0370a76-b1d6-446e-888b-7f17a823117e/370661244_st-marys-hospital-decatur-of-hospital-sisters-of-the-third-order-of-st-francis_standardcharges.zip
HSHS St. Mary's Hospital · discovered
https://www.hshs.org/getmedia/492da073-285b-4a53-aee0-2523dcb171da/370661236_st-francis-hospital-sisters-of-the-third-order-of-st-francis_standardcharges.zip
HSHS St. Francis Hospital · discovered
https://www.hshs.org/getmedia/82ef2075-0317-4f2c-9793-6fe1760568af/371208459_st-josephs-hospital-hospital-sisters-third-order-of-st-francis_standardcharges.zip
HSHS St. Joseph's Hospital · discovered
https://www.hshs.org/getmedia/67be3ff0-9ea7-4517-8747-0a1671edf25d/370663568_st-josephs-hospital-of-the-hospital-sisters-of-the-third-order-of-st-francis_standardcharges.zip
HSHS St. Joseph's Hospital · discovered