Supplies, drugs & other prices at St. Marys Hospital Medical Ctr
Green Bay, WI · every code in this section with a posted price and a Medicare benchmark.
58 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,657.26 | $2,511 | 2.2× |
| 2d tte w or w/o fol w/con,fu (C8924) | $957 | $1,450 | 2.8× |
| Admin hepatitis b vaccine (G0010) | $62.70 | $95 | 1.4× |
| Admin influenza virus vac (G0008) | $62.70 | $95 | 1.4× |
| Admin pneumococcal vaccine (G0009) | $72.60 | $110 | 1.6× |
| Catheterize for urine spec (P9612) range across 2 matching MRF lines |
$42.24–$107.58 | $64–$163 | varies |
| Comt gene analysis c.472g>a variant (0032U) | $945.12 | $1,432 | 5.4× |
| Direct refer hospital observ (G0379) | $643.50 | $975 | 1.1× |
| Drug test def 1-7 classes (G0480) range across 11 matching MRF lines |
$97.02–$230.34 | $147–$349 | varies |
| Drug test def 15-21 classes (G0482) | $244.86 | $371 | 1.2× |
| Drug test def 22+ classes (G0483) range across 2 matching MRF lines |
$359.70–$699.60 | $545–$1,060 | varies |
| Drug test def 8-14 classes (G0481) | $188.76 | $286 | 1.2× |
| Eia hiv-1/hiv-2 screen (G0432) | $79.86 | $121 | 4.1× |
| Elec stim other than wound (G0283) | $108.90 | $165 | 8.6× |
| Elec stim unattend for press (G0281) | $89.10 | $135 | 7.6× |
| Fecal blood scrn immunoassay (G0328) | $110.22 | $167 | 6.1× |
| Hep c screen high risk/other (G0472) | $99.66 | $151 | 2.2× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $467.94 | $709 | 3.8× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $968.22 | $1,467 | 1.9× |
| Mra w/cont, abd (C8900) | $2,789.16 | $4,226 | 8.2× |
| Mra w/cont, chest (C8909) | $2,789.16 | $4,226 | 8.2× |
| Mra w/cont, lwr ext (C8912) | $2,233.44 | $3,384 | 6.6× |
| Mra w/o cont, abd (C8901) | $2,656.50 | $4,025 | 11.4× |
| Mra w/o fol w/cont, abd (C8902) | $3,068.34 | $4,649 | 9.0× |
| Mra w/o fol w/cont, chest (C8911) | $2,929.08 | $4,438 | 8.6× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,913.90 | $4,415 | 8.6× |
| Mra, w/dye, upper extremity (C8934) | $2,233.44 | $3,384 | 6.6× |
| Mri w/o fol w/cont, breast, (C8908) | $3,068.34 | $4,649 | 9.0× |
| Neuro csf prion prtn qual (0035U) | $625.02 | $947 | 1.2× |
| Njx platelet plasma (0232T) range across 2 matching MRF lines |
$345.84–$1,087.02 | $524–$1,647 | varies |
| Opps service,sched team conf (G0175) | $491.70 | $745 | 1.2× |
| Oth resp proc, group (G0239) | $167.64 | $254 | 4.6× |
| Oth resp proc, indiv (G0238) | $84.48 | $128 | 3.0× |
| Perc d-e cor revasc chro sin (C9607) | $13,249.50 | $20,075 | 0.7× |
| Perc d-e cor revasc t cabg s (C9604) | $11,482.68 | $17,398 | 1.0× |
| Perc d-e cor stent ather s (C9602) | $20,739.84 | $31,424 | 1.2× |
| Perc drug-el cor stent sing (C9600) | $9,716.52 | $14,722 | 0.9× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $11,289.96 | $17,106 | 1.0× |
| Prostate biopsy, any mthd (G0416) | $462.66 | $701 | 1.3× |
| Psa screening (G0103) range across 3 matching MRF lines |
$99–$117.48 | $150–$178 | varies |
| Revasc intra lithotrip-ather (C9766) | $20,739.84 | $31,424 | 1.2× |
| Revasc intra lithotrip-stent (C9765) | $20,739.84 | $31,424 | 1.2× |
| Revasc intravasc lithotripsy (C9764) | $13,098.36 | $19,846 | 1.2× |
| Revasc lith-sten-ath tib/per (C9775) | $18,078.06 | $27,391 | 1.0× |
| Revasc lithotr-ather tib/per (C9774) | $18,078.06 | $27,391 | 1.0× |
| Revasc lithotr-stent tib/per (C9773) | $18,078.06 | $27,391 | 1.0× |
| Revasc lithotrip tibi/perone (C9772) | $7,914.72 | $11,992 | 0.7× |
| Revasc lithotrip-stent-ather (C9767) | $20,739.84 | $31,424 | 1.2× |
| Screen cerv/vag thin layer (G0123) | $125.40 | $190 | 6.2× |
| Screen pap by tech w md supv (P3000) range across 2 matching MRF lines |
$46.20–$53.46 | $70–$81 | varies |
| Therapeutic procd strg endur (G0237) | $79.20 | $120 | 2.8× |
| Tpmt and Nudt15 Genotype (0034U) | $538.56 | $816 | 1.2× |
| Trauma respons w/hosp criti (G0390) | $2,693.46 | $4,081 | 2.1× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $4,042.50 | $6,125 | 1.2× |
| Trluml Perip Athrc Brchiocph (0237T) | $9,956.10 | $15,085 | 0.9× |
| Trluml Perip Athrc Iliac Art (0238T) | $20,739.84 | $31,424 | 1.2× |
| Tte w or w/o fol w/con,stres (C8928) | $1,657.92 | $2,512 | 2.2× |
| Tte w or wo fol wcon,doppler (C8929) | $1,906.74 | $2,889 | 2.5× |
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.