St Nicholas Hospital

3100 Superior Ave, Sheboygan, WI 53081 · (920) 459-8300

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 3/5Sheboygan, WI metro Website ↗

Price file

Prices published

File dated 2026-03-24

15,660 price rows for 55 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 12 lines · metro median $8

cash

$6 to $130

636 negotiated rates

$12

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 6 lines · metro median $3,017

$3,017

cash

$134 to $4,571

318 negotiated rates

$4,571

list

CT scan of the head, no contrast

CPT 70450 · lowest of 6 lines · metro median $1,259

$1,259

cash

$102 to $1,908

318 negotiated rates

$1,908

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 6 lines · metro median $1,539

$1,539

cash

$134 to $2,332

318 negotiated rates

$2,332

list

Cataract surgery with lens implant

CPT 66984

—

cash

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 6 lines · metro median $113

$217

cash

$35 to $329

318 negotiated rates

$329

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 6 lines · metro median $59

$59

cash

$8 to $90

318 negotiated rates

$90

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 12 lines · metro median $16

$16

cash

$11 to $180

636 negotiated rates

$24

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 6 lines · metro median $370

$370

cash

$21 to $560

318 negotiated rates

$560

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 18 lines · metro median $228

$339

cash

$95 to $514

636 negotiated rates

$514

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 12 lines · metro median $105

$217

cash

$35 to $360

636 negotiated rates

$329

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

—

list

Left heart catheterization

CPT 93452 · lowest of 6 lines · metro median $5,240

$5,240

cash

$1,067 to $7,939

318 negotiated rates

$7,939

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 6 lines · metro median $89

$89

cash

$13 to $135

318 negotiated rates

$135

list

Liver function panel

CPT 80076 · lowest of 6 lines · metro median $69

$69

cash

$8 to $104

318 negotiated rates

$104

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 12 lines · metro median $2,721

$2,721

cash

$180 to $4,330

636 negotiated rates

$4,123

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 6 lines · metro median $2,110

$2,421

cash

$107 to $3,668

318 negotiated rates

$3,668

list

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

CPT 72148 · lowest of 6 lines · metro median $2,110

$2,338

cash

$107 to $3,542

318 negotiated rates

$3,542

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 6 lines · metro median $1,815

$1,815

cash

$107 to $2,750

318 negotiated rates

$2,750

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 6 lines · metro median $1,779

$1,779

cash

$338 to $2,696

318 negotiated rates

$2,696

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 6 lines · metro median $170

$252

cash

$95 to $382

222 negotiated rates

$382

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 6 lines · metro median $235

$287

cash

$95 to $435

222 negotiated rates

$435

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 6 lines · metro median $278

$348

cash

$95 to $527

222 negotiated rates

$527

list

PSA test (prostate)

CPT 84153 · lowest of 6 lines · metro median $90

$117

cash

$18 to $178

318 negotiated rates

$178

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 18 lines · metro median $47

$47

cash

$6 to $138

954 negotiated rates

$71

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 6 lines · metro median $81

$81

cash

$17 to $122

318 negotiated rates

$122

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 6 lines · metro median $574

$574

cash

$45 to $869

318 negotiated rates

$869

list

Prostate biopsy

CPT 55700 · lowest of 6 lines · metro median $2,366

$2,366

cash

$753 to $3,585

246 negotiated rates

$3,585

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 6 lines · metro median $28

$32

cash

$4 to $48

318 negotiated rates

$48

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

—

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 18 lines · metro median $108

$108

cash

$21 to $470

954 negotiated rates

$163

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

—

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 12 lines · metro median $3,385

$3,812

cash

$349 to $6,121

636 negotiated rates

$5,776

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 6 lines · metro median $1,187

$1,187

cash

$338 to $1,946

318 negotiated rates

$1,798

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 6 lines · metro median $1,705

$1,705

cash

$338 to $2,583

318 negotiated rates

$2,583

list

TSH test (thyroid)

CPT 84443 · lowest of 6 lines · metro median $13

$99

cash

$17 to $150

318 negotiated rates

$150

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 6 lines · metro median $293

$531

cash

$48 to $805

318 negotiated rates

$805

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 6 lines · metro median $685

$770

cash

$74 to $1,166

318 negotiated rates

$1,166

list

Upper endoscopy (EGD)

CPT 43235

—

cash

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

—

list

Urinalysis with microscope

CPT 81001 · lowest of 6 lines · metro median $38

$38

cash

$3 to $58

318 negotiated rates

$58

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

—

list

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

CPT 72110 · lowest of 6 lines · metro median $420

$583

cash

$25 to $883

318 negotiated rates

$883

list

Source files

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

https://www.hshs.org/getmedia/a3a50e01-863e-49b4-857a-94427057dca3/390808480_st-nicholas-hospital-of-the-hospital-sisters-of-the-third-order-of-st-francis_standardcharges.zip
HSHS St. Nicholas Hospital · parsed · tall v3.0.0 · file dated 2026-03-24 · 6.2 MB · 2610 price rows read · read Nov 2026
https://www.hshs.org/getmedia/a3a50e01-863e-49b4-857a-94427057dca3/390808480_st-nicholas-hospital-of-the-hospital-sisters-of-the-third-order-of-st-francis_standardcharges.zip
HSHS St. Nicholas Hospital · discovered · tall v3.0.0 · file dated 2026-03-24 · 6.2 MB · 2610 price rows read · read Oct 2026
https://www.hshs.org/getmedia/a3a50e01-863e-49b4-857a-94427057dca3/390808480_st-nicholas-hospital-of-the-hospital-sisters-of-the-third-order-of-st-francis_standardcharges.zip
HSHS St. Nicholas Hospital · discovered · tall v3.0.0 · file dated 2026-03-24 · 6.2 MB · 2610 price rows read · read Oct 2026
https://www.hshs.org/getmedia/a3a50e01-863e-49b4-857a-94427057dca3/390808480_st-nicholas-hospital-of-the-hospital-sisters-of-the-third-order-of-st-francis_standardcharges.zip
HSHS St. Nicholas Hospital · discovered · tall v3.0.0 · file dated 2026-03-24 · 6.2 MB · 2610 price rows read · read Oct 2026
https://www.hshs.org/getmedia/a3a50e01-863e-49b4-857a-94427057dca3/390808480_st-nicholas-hospital-of-the-hospital-sisters-of-the-third-order-of-st-francis_standardcharges.zip
HSHS St. Nicholas Hospital · discovered · tall v3.0.0 · file dated 2026-03-24 · 6.2 MB · 2610 price rows read · read Oct 2026
https://www.hshs.org/getmedia/a3a50e01-863e-49b4-857a-94427057dca3/390808480_st-nicholas-hospital-of-the-hospital-sisters-of-the-third-order-of-st-francis_standardcharges.zip
HSHS St. Nicholas Hospital · discovered · tall v3.0.0 · file dated 2026-03-24 · 6.2 MB · 2610 price rows read · read Oct 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/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