St Vincent Hospital

ST VINCENT HOSPITAL in Green Bay, Wisconsin charges 5.1x the Medicare reimbursement rate across 33 analyzed procedures, reflecting pricing patterns common among nonprofit religious healthcare systems.

Green Bay, WI 54301 · Acute Care Hospitals · CMS Rating: 4/5

By Priya Iyengar , Senior Billing Analyst · Published March 15, 2026 · Updated April 3, 2026

Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.

About the analyst

Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.

33 procedures analyzed

CMS price transparency data

Updated 2026-04-03

5.1x

Medicare markup ratio

WI lowestSt Vincent HospitalWI highest

5.1x

Avg markup ratio

4.9x

Median markup

Procedures

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Billing patterns — nonprofit-religious

Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.

Pricing grade

High

Avg markup vs Medicare

5.08x

Charge / Medicare rate

Max markup

8.85x

Worst procedure

Procedures analyzed

With pricing data

Outlier procedures

Above 90th percentile

Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.

Procedure	Code	Gross charge	Cash price	Medicare	Markup
EXTRACRANIAL PROCEDURES WITHOUT CC/MCC	039	$51,846	$25,923	—	8.9x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS	065	$38,875	$19,438	—	7.3x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC	069	$32,861	$16,430	—	7.2x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC	066	$25,871	$12,936	—	7.2x
CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC	847	$55,795	$27,897	—	7x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC	247	$66,048	$33,024	—	6.7x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	330	$105,807	$52,904	—	6.6x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	872	$33,940	$16,970	—	6.1x
GASTROINTESTINAL HEMORRHAGE WITH CC	378	$35,294	$17,647	—	6x
SEIZURES WITH MCC	100	$72,374	$36,187	—	5.8x
PULMONARY EDEMA AND RESPIRATORY FAILURE	189	$42,530	$21,265	—	5.7x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC	236	$129,982	$64,991	—	5.3x
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O	023	$177,303	$88,651	—	5x
GASTROINTESTINAL HEMORRHAGE WITH MCC	377	$56,743	$28,371	—	5x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC	853	$178,365	$89,183	—	5x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC	871	$64,424	$32,212	—	5x
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC	070	$50,370	$25,185	—	4.9x
OTHER VASCULAR PROCEDURES WITH CC	253	$82,601	$41,301	—	4.8x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC	698	$43,407	$21,704	—	4.7x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS	208	$79,315	$39,658	—	4.6x
TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC	086	$35,207	$17,603	—	4.6x
HEART FAILURE AND SHOCK WITH MCC	291	$36,292	$18,146	—	4.4x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC	522	$57,317	$28,658	—	4.4x
OTHER VASCULAR PROCEDURES WITH MCC	252	$105,102	$52,551	—	4.3x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC	064	$50,089	$25,045	—	4.2x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC	481	$52,427	$26,213	—	4.1x
CAROTID ARTERY STENT PROCEDURES WITH CC	035	$60,505	$30,253	—	4x
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MC	024	$94,184	$47,092	—	3.8x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC	177	$39,308	$19,654	—	3.4x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC	267	$106,423	$53,212	—	3.4x
RENAL FAILURE WITH MCC	682	$26,281	$13,141	—	2.8x
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC	274	$57,528	$28,764	—	2.8x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC	640	$21,141	$10,570	—	2.6x

How ST VINCENT HOSPITAL compares to nearby hospitals

Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.

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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — nonprofit-religious hospital billing

How do nonprofit religious hospital charges compare to Medicare rates?

Data shows that 203 nonprofit religious hospitals have an average markup of 5.4 times Medicare rates for similar services. These hospitals operate under religious organizational structures while maintaining nonprofit tax status, which provides context for their billing practices and pricing structures.

What does a 5.4x Medicare markup mean for my medical bills?

A 5.4x markup means these hospitals typically charge 5.4 times what Medicare would pay for the same service. For example, if Medicare pays $1,000 for a procedure, the hospital's standard charge would average $5,400, though your actual out-of-pocket costs depend on your insurance coverage and negotiated rates.

Are nonprofit religious hospitals required to offer financial assistance?

Yes, nonprofit hospitals including religious institutions must provide charity care and financial assistance programs as a condition of their tax-exempt status. These hospitals are required to have written financial assistance policies and must make them publicly available, though the specific terms and eligibility requirements vary by institution.

How can I find out the actual charges at a specific nonprofit religious hospital?

Nonprofit hospitals are required to publish their standard charges online, typically called a 'chargemaster' or price transparency list. You can also request a good faith estimate before receiving services, which may show potential differences between standard charges and what you might actually pay based on your insurance coverage.

Related pricing data

WI hospital rankingsCompare all hospitals in WI

Green Bay, WI costsCity-level pricing data

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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.

Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use