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St Vincent Hospital

835 S Van Buren St, Green Bay, WI 54301 · (920) 433-0111

Acute Care HospitalsVoluntary non-profit - ChurchCMS rating 4/5Green Bay, WI metroWebsite ↗

Price file

Prices published

File dated 2026-03-24

37,915 price rows for 62 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 22 lines · metro median $15

$8
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 14 lines · metro median $1,723

$3,017
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 14 lines · metro median $885

$1,259
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 14 lines · metro median $1,539

$1,539
cash
—
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 14 lines · metro median $113

$140
cash
—
cash
—
cash
—
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 14 lines · metro median $59

$59
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 25 lines · metro median $31

$7
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 14 lines · metro median $370

$370
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 33 lines · metro median $153

$335
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 11 lines · metro median $218

$218
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 11 lines · metro median $213

$218
cash
—
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 22 lines · metro median $122

$140
cash
Group psychotherapy

CPT 90853 · lowest of 51 lines · metro median $116

$116
cash
—
cash
Knee arthroscopy with meniscus repair

CPT 29881 · lowest of 3 lines · metro median $7,008

$7,008
cash
Laser treatment after cataract surgery (YAG)

CPT 66821 · lowest of 3 lines · metro median $540

$1,606
cash
Left heart catheterization

CPT 93452 · lowest of 8 lines · metro median $5,240

$5,240
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 17 lines · metro median $65

$14
cash
Liver function panel

CPT 80076 · lowest of 14 lines · metro median $69

$69
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 22 lines · metro median $2,176

$2,721
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 14 lines · metro median $1,179

$2,421
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 14 lines · metro median $1,287

$2,338
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 14 lines · metro median $1,270

$1,815
cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 8 lines · metro median $1,779

$1,779
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 22 lines · metro median $179

$252
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 14 lines · metro median $185

$287
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 14 lines · metro median $209

$348
cash
PSA test (prostate)

CPT 84153 · lowest of 14 lines · metro median $90

$117
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 30 lines · metro median $47

$47
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 14 lines · metro median $81

$81
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 14 lines · metro median $524

$574
cash
Prostate biopsy

CPT 55700 · lowest of 14 lines · metro median $2,213

$2,213
cash
—
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 14 lines · metro median $28

$32
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 19 lines · metro median $154

$154
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 11 lines · metro median $196

$154
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 19 lines · metro median $218

$218
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 14 lines · metro median $280

$280
cash
Shoulder arthroscopy with decompression

CPT 29826 · lowest of 3 lines · metro median $5,505

$5,505
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 22 lines · metro median $3,385

$3,812
cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 11 lines · metro median $1,187

$1,187
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 11 lines · metro median $1,705

$1,705
cash
TSH test (thyroid)

CPT 84443 · lowest of 17 lines · metro median $49

$11
cash
Transvaginal ultrasound

CPT 76830 · lowest of 14 lines · metro median $398

$531
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 14 lines · metro median $524

$770
cash
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cash
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cash
Urinalysis with microscope

CPT 81001 · lowest of 14 lines · metro median $38

$38
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 14 lines · metro median $311

$583
cash

Source files

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