Bellin Memorial Hospital

Green Bay, WI

Posts prices for 52 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.

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ProcedurePosted cashPosted gross× Medicare
Breast lesion removal (open) (19120)
range across 2 matching MRF lines
$2,645.12–$6,183.83 $5,713–$13,356 varies
Upper GI endoscopy (EGD), diagnostic (43235)
range across 4 matching MRF lines
$1,360.76–$1,735.79 $2,939–$3,749 varies
Upper GI endoscopy (EGD) with biopsy (43239)
range across 4 matching MRF lines
$1,360.76–$1,580.68 $2,939–$3,414 varies
Diagnostic colonoscopy (45378)
range across 4 matching MRF lines
$891.28–$1,750.60 $1,925–$3,781 varies
Colonoscopy with biopsy (45380)
range across 3 matching MRF lines
$1,459.38–$2,259.90 $3,152–$4,881 varies
Colonoscopy with lesion removal (45385)
range across 3 matching MRF lines
$1,459.38–$2,214.07 $3,152–$4,782 varies
Colonoscopy with endoscopic ultrasound (45391) $1,357.05 $2,931 1.2×
Epidural injection, lumbar/sacral (with imaging) (62322)
range across 2 matching MRF lines
$545.41–$1,649.21 $1,178–$3,562 varies
Transforaminal epidural injection, lumbar/sacral (64483)
range across 2 matching MRF lines
$777.84–$1,503.82 $1,680–$3,248 varies
After-cataract laser surgery (YAG capsulotomy) (66821) $539.86 $1,166 1.0×
CT head/brain without contrast (70450)
range across 2 matching MRF lines
$210.67–$588.01 $455–$1,270 varies
MRI brain without contrast (70551)
range across 2 matching MRF lines
$477.35–$1,259.82 $1,031–$2,721 varies
MRI brain with contrast (70552)
range across 2 matching MRF lines
$678.76–$1,858.48 $1,466–$4,014 varies
MRI brain without and with contrast (70553)
range across 4 matching MRF lines
$472.26–$2,120.08 $1,020–$4,579 varies
X-ray lower spine, 4+ views (72110)
range across 2 matching MRF lines
$210.67–$254.65 $455–$550 varies
MRI lumbar spine without contrast (72148)
range across 2 matching MRF lines
$607.92–$1,207.97 $1,313–$2,609 varies
CT pelvis with contrast (72193)
range across 2 matching MRF lines
$532.91–$1,344.55 $1,151–$2,904 varies
MRI lower-extremity joint without contrast (73721)
range across 2 matching MRF lines
$513–$1,359.37 $1,108–$2,936 varies
CT abdomen and pelvis with contrast (74177)
range across 2 matching MRF lines
$736.63–$1,767.73 $1,591–$3,818 varies
Ultrasound, abdomen complete (76700)
range across 2 matching MRF lines
$248.17–$405.13 $536–$875 varies
Ultrasound, pregnant uterus (≥14 weeks) (76805)
range across 2 matching MRF lines
$354.66–$464.85 $766–$1,004 varies
Ultrasound, transvaginal (76830)
range across 3 matching MRF lines
$229.19–$441.70 $495–$954 varies
Mammography, one breast (diagnostic) (77065)
range across 2 matching MRF lines
$173.16–$235.20 $374–$508 varies
Mammography, both breasts (diagnostic) (77066)
range across 2 matching MRF lines
$219.93–$299.56 $475–$647 varies
Mammography, screening (bilateral) (77067)
range across 2 matching MRF lines
$139.83–$235.20 $302–$508 varies
Basic metabolic panel (80048)
range across 2 matching MRF lines
$22.69–$24.54 $49–$53 varies
Comprehensive metabolic panel (80053)
range across 2 matching MRF lines
$28.24–$30.56 $61–$66 varies
Obstetric panel (80055) $138.44 $299 2.9×
Lipid panel (80061)
range across 5 matching MRF lines
$34.26–$38.89 $74–$84 varies
Renal function panel (80069)
range across 2 matching MRF lines
$22.22–$25 $48–$54 varies
Hepatic function panel (80076)
range across 3 matching MRF lines
$11.58–$23.61 $25–$51 varies
Urinalysis, non-automated, with microscopy (81000) $11.58 $25 2.9×
Urinalysis, non-automated, without microscopy (81002)
range across 4 matching MRF lines
$6.95–$10.19 $15–$22 varies
PSA, total (84153)
range across 4 matching MRF lines
$46.76–$53.25 $101–$115 varies
Thyroid stimulating hormone (TSH) (84443)
range across 3 matching MRF lines
$23.61–$48.62 $51–$105 varies
CBC with automated differential (85025)
range across 3 matching MRF lines
$20.84–$22.69 $45–$49 varies
CBC, automated (85027)
range across 3 matching MRF lines
$17.59–$18.52 $38–$40 varies
Prothrombin time (PT) (85610)
range across 4 matching MRF lines
$6.02–$12.50 $13–$27 varies
Partial thromboplastin time (PTT) (85730)
range across 7 matching MRF lines
$15.28–$17.59 $33–$38 varies
Psychotherapy, 30 minutes (90832)
range across 8 matching MRF lines
$93.99–$297.71 $203–$643 varies
Psychotherapy, 45 minutes (90834) $196.31 $424 1.1×
Psychotherapy, 60 minutes (90837) $196.31 $424 1.1×
Family psychotherapy, without patient (50 min) (90846)
range across 2 matching MRF lines
$196.31–$260.67 $424–$563 varies
Family psychotherapy, with patient (50 min) (90847)
range across 7 matching MRF lines
$196.31–$297.71 $424–$643 varies
Group psychotherapy (90853)
range across 8 matching MRF lines
$108.81–$127.79 $235–$276 varies
Left heart catheterization (93452) $4,726.77 $10,209 1.5×
Sleep study (attended polysomnography) (95810)
range across 2 matching MRF lines
$2,002.01–$2,515.48 $4,324–$5,433 varies
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 3 matching MRF lines
$47.69–$91.21 $103–$197 varies
Office visit, new patient (low complexity, ~30 min) (99203) $185.20 $400 1.4×
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 3 matching MRF lines
$185.20–$407.90 $400–$881 varies
Office visit, new patient (high complexity, ~60 min) (99205)
range across 4 matching MRF lines
$185.20–$229.65 $400–$496 varies
Office consultation (moderate complexity, ~40 min) (99244) $185.20 $400 1.4×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

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Download the machine-readable file (UNKNOWN, 8.7 MB) ↓ — captured 2026-09-08

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