St. Marys Hospital Medical Ctr

Green Bay, WI

Posts prices for 35 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.

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ProcedurePosted cashPosted gross× Medicare
Epidural injection, lumbar/sacral (with imaging) (62322) $1,186.68 $1,798 1.4×
Transforaminal epidural injection, lumbar/sacral (64483) $1,779.36 $2,696 2.1×
Cataract removal with lens insertion (66984) $5,325.54 $8,069 2.4×
CT head/brain without contrast (70450) $1,259.28 $1,908 12.3×
MRI brain without contrast (70551)
range across 2 matching MRF lines
$372.90–$2,360.16 $565–$3,576 varies
MRI brain with contrast (70552) $2,591.82 $3,927 7.6×
MRI brain without and with contrast (70553)
range across 2 matching MRF lines
$2,721.18–$2,857.80 $4,123–$4,330 varies
X-ray lower spine, 4+ views (72110) $582.78 $883 5.7×
MRI lumbar spine without contrast (72148) $2,337.72 $3,542 10.0×
CT pelvis with contrast (72193) $1,539.12 $2,332 9.0×
MRI lower-extremity joint without contrast (73721) $2,420.88 $3,668 10.4×
CT abdomen and pelvis with contrast (74177) $3,016.86 $4,571 8.9×
Ultrasound, abdomen complete (76700) $769.56 $1,166 7.5×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $573.54 $869 5.6×
Ultrasound, transvaginal (76830) $531.30 $805 5.2×
Mammography, one breast (diagnostic) (77065) $310.20 $470 3.6×
Mammography, both breasts (diagnostic) (77066) $369.60 $560 3.3×
Mammography, screening (bilateral) (77067) $310.20 $470 3.4×
Basic metabolic panel (80048)
range across 2 matching MRF lines
$7.92–$85.80 $12–$130 varies
Comprehensive metabolic panel (80053)
range across 2 matching MRF lines
$15.84–$118.80 $24–$180 varies
Obstetric panel (80055) $256.74 $389 5.4×
Lipid panel (80061) $89.10 $135 6.7×
Renal function panel (80069) $113.52 $172 13.1×
Hepatic function panel (80076) $68.64 $104 8.4×
PSA, total (84153) $117.48 $178 6.4×
Thyroid stimulating hormone (TSH) (84443) $99 $150 5.9×
CBC with automated differential (85025) $59.40 $90 7.6×
CBC, automated (85027) $43.56 $66 6.7×
Prothrombin time (PT) (85610) $31.68 $48 7.4×
Partial thromboplastin time (PTT) (85730)
range across 5 matching MRF lines
$46.86–$91.08 $71–$138 varies
Left heart catheterization (93452) $5,239.74 $7,939 1.7×
Physical therapy, therapeutic exercise (per 15 min) (97110) $80.52 $122 2.8×
Office visit, new patient (low complexity, ~30 min) (99203) $252.12 $382 1.9×
Office visit, new patient (moderate complexity, ~45 min) (99204) $287.10 $435 2.2×
Office visit, new patient (high complexity, ~60 min) (99205) $347.82 $527 2.7×

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 (ZIP, 6.6 MB) ↓ — captured 2026-09-08

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