Visits & medical services prices at St. Vincent Hospital

Green Bay, WI · every code in this section with a posted price and a Medicare benchmark.

263 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $8,764.14 $13,279 1.2×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $359.70 $545 1.7×
Aep threshold estimation mlt frequencies i&r (92652) $537.24 $814 2.6×
Airway Inhalation Treatment (94640)
range across 3 matching MRF lines
$79.20–$266.64 $120–$404 varies
Airway resistance by oscillometry (94728) $209.22 $317 1.7×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $219.12 $332 1.7×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $267.30 $405 2.1×
Analyze Pacemaker System (93724) $1,801.80 $2,730 6.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $62.70 $95 4.4×
Application on-body injector (96377) $107.58 $163 2.4×
Behavral qualit analys voice (92524) $184.14 $279 1.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $654.72 $992 1.8×
Bundle of his recording (93600) $8,764.14 $13,279 1.2×
C motor evoked uppr limbs (95928) $1,174.80 $1,780 1.4×
C motor evoked upr&lwr limbs (95939) $1,034.88 $1,568 1.2×
Canalith repositioning proc (95992) $130.02 $197 3.2×
Cardiac Stress Tst,Tracing Only (93017) $990.66 $1,501 4.7×
Cardiopulmonary exercise testing (94621) $1,145.10 $1,735 3.2×
Cardiopulmonary resuscitation (92950) $601.92 $912 2.9×
Cardioversion (92960) $1,704.78 $2,583 2.7×
Cardioversion elective internal (92961) $755.70 $1,145 1.2×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $51.48 $78 2.0×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $7,684.38 $11,643 2.4×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $8,833.44 $13,384 2.8×
Cbt 1st hour (94644) $240.90 $365 1.9×
Chemo Admin Peritoneal Cavity (96446) $660 $1,000 2.1×
Chemo Anti-Neopl Sq/Im (96401) $297 $450 4.2×
Chemo Hormon Antineopl Sq/Im (96402) $194.70 $295 2.8×
Chemo IV infusion addl hr (96415) $203.28 $308 2.9×
Chemo IV push addl drug (96411) $287.76 $436 4.1×
Chemother Prolong Infuse W/Pump (96416) $772.20 $1,170 2.4×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $772.20 $1,170 2.4×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $194.70 $295 4.3×
Chemotherapy Into Cns (96450) $885.06 $1,341 2.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $279.18 $423 4.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $772.20 $1,170 2.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $502.26 $761 1.6×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $502.26 $761 1.6×
Chest Wall Manipulation (94668) $129.36 $196 1.0×
Color/duplex Doppler, complete (93975) $805.20 $1,220 3.5×
Color/duplex Doppler, limited (93976) $699.60 $1,060 6.9×
Continuous Pulse Ox (94762) $263.34 $399 2.1×
Coronary Art/Grft Angio S&I (93455) $8,833.44 $13,384 2.8×
Coronary Artery Angio S&I (93454) $9,716.52 $14,722 3.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 4 matching MRF lines
$204.60–$428.34 $310–$649 varies
Cpt initial (94667) $137.94 $209 1.1×
Critical care first hour (99291)
range across 2 matching MRF lines
$2,028.84–$2,445.96 $3,074–$3,706 varies
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $613.14 $929 1.7×
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$326.04–$615.78 $494–$933 varies
Developmental tst admin phys/qhp 1st hour (96112) $234.30 $355 1.9×
Dialysis One Evaluation (90945) $489.72 $742 1.2×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $601.26 $911 2.6×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $461.34 $699 4.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,058.64 $1,604 4.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $592.68 $898 5.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,058.64 $1,604 4.6×
Dup-scan xtr veins unilateral/limited study (93971) $628.32 $952 6.2×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $552.42 $837 2.4×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $149.82 $227 1.5×
Duplex Scan Hemodialysis Access (93990) $489.72 $742 4.8×
Duplex up extrem art bilat (93930) $769.56 $1,166 3.3×
Duplex up extrem art unilat/ltd (93931) $531.30 $805 5.2×
ECG/monitoring and analysis (93271) $675.18 $1,023 7.3×
Echo Congenital Complete (93303) $2,050.62 $3,107 3.9×
Echo Heart Xthoracic,Limited (93308) $766.92 $1,162 3.3×
Echo transesophageal (93312) $2,113.98 $3,203 4.0×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,050.62 $3,107 3.9×
Eeg 41-60 Minutes (95812) $774.18 $1,173 3.7×
EEG awake and asleep (95819) $1,351.02 $2,047 6.4×
EEG awake drowsy (95816) $787.38 $1,193 3.8×
EEG cerebral death evaluation (95824) $864.60 $1,310 2.4×
EEG cont rec w/video by tech min 8 channels (95700) $2,522.52 $3,822 12.0×
EEG extended monitoring 61-119 minutes (95813) $1,404.48 $2,128 6.7×
Eeg Sleep Only (95822) $1,081.08 $1,638 5.2×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $2,432.76 $3,686 11.6×
EEG w/o vid 2-12hr cont mntr (95707) $3,153.48 $4,778 15.0×
EEG w/o vid ea 12-26hr intmt (95709) $4,775.10 $7,235 13.2×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $2,702.70 $4,095 12.9×
EEG wo vid ea 12-26hr unmntr (95708) $4,505.16 $6,826 12.4×
Electrical Stimulation Ea 15 Min (97032) $62.70 $95 4.3×
Electrocardiogram Tracing (93005) $186.78 $283 3.3×
Electrophysiology Evaluation (93642) $1,981.98 $3,003 1.7×
Emergency Dept Visit Level 2 (99282) $273.24 $414 1.8×
Emergency Dept Visit Level 3 (99283) $839.52 $1,272 3.2×
Emergency Dept Visit Level 4 (99284) $1,259.28 $1,908 3.1×
Emg 3 Extremities (95863) $592.68 $898 4.7×
Emg 4 Extremities (95864) $711.48 $1,078 5.7×
Ep & ablate supravent arrhyt (93653) $17,666.22 $26,767 0.7×
Ep & ablate ventric tachy (93654) $17,666.22 $26,767 0.7×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $8,764.14 $13,279 1.2×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $8,764.14 $13,279 1.2×
Er level 1 (99281) $136.62 $207 1.7×
Er level v (99285) $1,723.92 $2,612 3.0×
Evaluate pt use of inhaler (94664) $234.96 $356 1.1×
Evaluate Speech Production (92522) $181.50 $275 1.6×
Evaluate Swallowing Function (92610) $273.24 $414 3.2×
Evaluation of speech fluency (92521) $181.50 $275 1.4×
Evoked Auditory Test,Limited (92587) $359.70 $545 1.7×
Exercise test for bronchospasm (94617) $247.50 $375 1.9×
External ECG rec>48hr<7d recording (93242) $105.60 $160 2.9×
External ECG rec>48hr<7d scanning alys w/report (93243) $157.08 $238 1.2×
External ECG rec>7d<15d recording (93246) $149.82 $227 4.1×
External ECG rec>7d<15d scanning alys w/report (93247) $316.80 $480 2.5×
External Ecg Scanning Analysis Report (93226)
range across 2 matching MRF lines
$554.40–$582.12 $840–$882 varies
Extracranial Bilat Study (93880) $1,024.32 $1,552 4.4×
Extracranial Uni/Ltd Study (93882) $498.30 $755 4.9×
F-up/limited tthrc echo congenital car anomaly (93304) $1,530.54 $2,319 2.9×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $790.68 $1,198 2.2×
Group Therapeutic Procedures (97150) $69.96 $106 3.9×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $8,234.16 $12,476 2.6×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $510.18 $773 0.8×
Holter monitor recording (93225) $396 $600 3.1×
Ilr Device Eval Progr (93285) $95.04 $144 2.6×
Immunization administration (90471)
range across 2 matching MRF lines
$73.26–$120.12 $111–$182 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $613.14 $929 1.7×
Insert/Place Heart Catheter (93503) $1,871.10 $2,835 1.2×
Interrogate Subq Defib (93261) $78.54 $119 2.2×
Intra-atrial recording (93602) $8,764.14 $13,279 1.2×
Intracranial Complete Study (93886) $900.24 $1,364 3.9×
Intraventricular pacing (93612) $8,764.14 $13,279 1.2×
Iontophoresis 15 min (97033) $77.22 $117 4.1×
Irrig Drug Delivery Device (96523) $127.38 $193 2.2×
IV infusion hydration each additional hour (96361) $143.88 $218 3.2×
IV infusion hydration initial 31 min-1 hour (96360) $375.54 $569 1.8×
IV infusion ther proph addl sequential to 1 hr (96367) $145.86 $221 2.1×
IV infusion therapy prophylaxis/dx ea hour (96366) $143.88 $218 3.2×
IV push initial (96374) $205.92 $312 1.0×
L Hrt Art/Grft Angio (93459) $7,242.84 $10,974 2.3×
Laryngeal Function Studies (92520) $267.30 $405 2.1×
Lwr Xtr Vasc Stdy Bilat (93924) $1,049.40 $1,590 5.0×
Mechanical chest wall oscillation per session (94669)
range across 2 matching MRF lines
$520.08–$526.02 $788–$797 varies
Methacholine challenge (94070) $925.32 $1,402 2.6×
Motion Fluoroscopy/Swallow (92611) $282.48 $428 3.1×
Multiple Family Group Psychotherapy (90849) $217.80 $330 1.3×
Multiple Sleep Latency Test (95805) $2,968.02 $4,497 3.6×
Muscle Test 2 Limbs (95861) $533.94 $809 4.1×
Muscle Test Nonparaspinal (95870) $207.24 $314 1.6×
Muscle Test One Limb (95860) $413.82 $627 3.2×
Nasopharyngoscopy (92511) $248.82 $377 1.3×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $543.84 $824 2.6×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $413.82 $627 2.0×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $711.48 $1,078 3.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $199.32 $302 1.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $401.28 $608 1.0×
Nerve Conduction Studies 1-2 Studies (95907) $343.20 $520 1.6×
Nerve Conduction Studies 11-12 Studies (95912) $2,577.30 $3,905 7.1×
Nerve conduction studies 13 or more studies (95913) $2,290.86 $3,471 6.3×
Nerve Conduction Studies 3-4 Studies (95908) $543.18 $823 2.6×
Nerve conduction studies 5-6 studies (95909) $753.72 $1,142 3.6×
Nerve conduction studies 7-8 studies (95910) $1,049.40 $1,590 2.9×
Nerve Conduction Studies 9-10 Studies (95911) $1,908.72 $2,892 5.3×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $458.70 $695 3.7×
Neuromuscular Reeducation (97112) $93.72 $142 2.9×
Newborn resuscitation (99465) $755.70 $1,145 1.2×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $677.16 $1,026 1.9×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $199.32 $302 3.5×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $117.48 $178 2.1×
Oral Function Therapy (92526) $224.40 $340 2.7×
Oral Speech Device Eval (92597) $251.46 $381 3.5×
Orthc/Prostc Mgmt Sbsq Enc (97763) $80.52 $122 1.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $85.14 $129 1.8×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $66 $100 3.1×
Ot eval high complexity (97167)
range across 5 matching MRF lines
$98.34–$155.76 $149–$236 varies
Ot Eval Low Complex (97165)
range across 5 matching MRF lines
$98.34–$155.76 $149–$236 varies
Ot Eval Moderate Complexity (97166)
range across 5 matching MRF lines
$98.34–$155.76 $149–$236 varies
Ot manual therapy 15 min (97140) $80.52 $122 2.9×
Ot Re-Eval Est Plan Care (97168)
range across 2 matching MRF lines
$91.08–$104.94 $138–$159 varies
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $321.42 $487 2.6×
Pediatric apnea monitor analyses computer (94776) $438.90 $665 3.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $234.96 $356 1.1×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $6,270.66 $9,501 1.1×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $13,098.36 $19,846 1.2×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$199.32–$227.70 $302–$345 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $137.94 $209 2.4×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $137.94 $209 2.4×
Physical Performance Test (97750) $80.52 $122 2.4×
Plethysmography (94726) $476.52 $722 1.3×
Pm device eval in person (93288) $113.52 $172 3.1×
Pm device progr eval dual (93280) $93.06 $141 2.6×
Pm device progr eval multi (93281) $126.06 $191 3.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 3 matching MRF lines
$2,159.52–$4,287.36 $3,272–$6,496 varies
Polysom <6 yrs 4/> paramtrs (95782) $4,039.86 $6,121 4.8×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $4,287.36 $6,496 5.1×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $78.54 $119 2.2×
Prq Card Angio/Athrect 1 Art (92924) $10,479.48 $15,878 0.9×
Prq Card Stent W/Angio 1 Vsl (92928) $13,098.36 $19,846 1.2×
Prq Card Stent/Ath/Angio (92933) $20,739.84 $31,424 1.2×
Prq Revasc Byp Graft 1 Vsl (92937) $13,098.36 $19,846 1.2×
Psychiatric diagnostic evaluation (90791) $232.32 $352 1.3×
Psytx Crisis Initial 60 Min (90839) $217.80 $330 1.3×
Pt Eval High Complex (97163)
range across 5 matching MRF lines
$95.70–$155.10 $145–$235 varies
Pt eval low complex 20 min (97161)
range across 5 matching MRF lines
$95.70–$155.10 $145–$235 varies
Pt Eval Mod Complex (97162)
range across 5 matching MRF lines
$95.70–$155.10 $145–$235 varies
Pt gait training 15 min (97116) $80.52 $122 2.8×
Pt group caregiver training (97552) $43.56 $66 2.0×
Pt mechanical traction (97012) $69.96 $106 4.9×
Pt Re-Eval Est Plan Care (97164)
range across 2 matching MRF lines
$77.22–$89.10 $117–$135 varies
Pulm function test by gas (94727) $276.54 $419 1.3×
Pulmonary service/procedure (94799)
range across 2 matching MRF lines
$180.84–$357.72 $274–$542 varies
Pulmonary Stress Testing (94618) $447.48 $678 3.5×
R Hrt Art/Grft Angio (93457) $7,260.66 $11,001 2.3×
R hrt coronary artery angio (93456) $6,586.80 $9,980 2.1×
R&L Hrt Cath W/Ventriclgrphy (93453) $5,838.36 $8,846 1.9×
Rapid Desensitization Procedure Each Hour (95180) $460.68 $698 1.1×
Refill/Maint Portable Pump (96521) $790.68 $1,198 3.8×
Remote 30 Day Ecg Rev/Report (93270) $231 $350 6.4×
Remote 30 Day Ecg Tech Supp (93229) $1,081.08 $1,638 3.0×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $134.64 $204 2.3×
Right Heart Cath (93451) $4,769.16 $7,226 1.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $229.68 $348 1.2×
Self Care Mngment Training (97535) $89.10 $135 2.8×
Sensory Integration Ea 15 Min (97533) $67.32 $102 1.1×
Short-latency somatosens ep std upr limbs (95925) $906.18 $1,373 4.3×
Sleep study attended (95807) $1,648.68 $2,498 4.5×
Sleep study unattended (95806)
range across 2 matching MRF lines
$246.84–$518.76 $374–$786 varies
Slp caregiver training 1st 30 min (97550) $102.96 $156 2.0×
Slp Stdy Unatnd W/Anal (95801) $296.34 $449 5.2×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $345.18 $523 1.6×
Somatosensory Testing (95938) $1,431.54 $2,169 1.7×
Speech sound lang comprehen (92523) $345.18 $523 1.5×
Spirometry (94010) $363 $550 1.7×
Ssep lower limbs (95926) $906.18 $1,373 4.3×
Stress Tte Only (93350) $1,606.44 $2,434 3.0×
Subcutaneous Infusion Each Additional Hour (96370) $143.88 $218 3.2×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $432.30 $655 2.1×
Subq Infusion Additional Pump Infusion Site (96371) $143.88 $218 2.1×
Surfactant Admin Thru Tube (94610) $398.64 $604 1.9×
Temp transcutaneous pacing (92953) $1,087.02 $1,647 1.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $71.94 $109 3.2×
Ther Ivntj Ea Addl 15 Min (97130) $71.94 $109 3.4×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $69.96 $106 2.4×
Ther/Prop/Diag Inj/Inf Proc (96379) $261.36 $396 5.7×
Ther/Proph/Diag Inj Sc/Im (96372) $105.60 $160 1.5×
Ther/Proph/Diag Iv Inf Init (96365) $439.56 $666 2.1×
Therapeutic Activities (97530) $95.70 $145 2.7×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,745.04 $2,644 4.8×
Tobacco Use Cessation Intensive >10 Minutes (99407) $52.80 $80 1.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $36.96 $56 1.0×
Trans Care Mgmt 14 Day Disch (99495) $189.42 $287 1.5×
Trans Care Mgmt 7 Day Disch (99496) $247.50 $375 1.9×
Transcath Closure of Asd (93580) $18,034.50 $27,325 1.0×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $439.56 $666 4.3×
Tte w/doppler, complete (93306) $1,709.40 $2,590 3.2×
Tte W/O Doppler Complete (93307) $1,453.98 $2,203 6.3×
Tx atrial fib pulm vein isol (93656) $17,666.22 $26,767 0.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $224.40 $340 2.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $143.88 $218 3.2×
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
$396–$2,127.18 $600–$3,223 varies
Upr/L Xtremity Art 2 Levels (93922) $410.52 $622 3.2×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $582.12 $882 2.8×
Valvuloplasty aortic valve (92986) $6,585.48 $9,978 1.2×
Valvuloplasty mitral valve (92987) $13,098.36 $19,846 1.2×
Vasopneumatic device (97016) $62.70 $95 5.2×
Veeg 2-12 Hr Cont Mntr (95713) $3,153.48 $4,778 8.7×
Veeg 2-12 hr intmt mntr (95712) $2,702.70 $4,095 7.5×
Veeg 2-12 hr unmonitored (95711) $2,432.76 $3,686 11.6×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $4,775.10 $7,235 13.2×
Veeg Ea 12-26 Hr Unmntr (95714) $4,505.16 $6,826 12.4×
Veeg ea 12-26hr cont mntr (95716) $4,224 $6,400 5.1×
Visual Evoked Potential Test (95930) $1,431.54 $2,169 6.8×
Vital capacity, total (94150) $180.84 $274 1.4×
Wheelchair Mgmt Ea 15 Min (97542) $56.10 $85 1.8×
Whirlpool Therapy (97022) $77.22 $117 4.9×

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.