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Bellin Memorial Hospital prices. From its own published file.

Bellin Memorial Hospital in Green Bay, WI publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

17,753prices published
Jun 2026file last updated
$737cash price for ct abdomen and pelvis with contrast (list $2,705)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$408$882$137–$2,058
Emergency visit, high (level 4)
99284
$614$1,326$209–$1,632
Emergency visit, highest (level 5)
99285
$851$1,838$298–$8,591
Comprehensive metabolic panel
80053
$28.24$66.00$3.03–$68.13
Basic metabolic panel
80048
$22.69$51.00$3.03–$54.56
Complete blood count (CBC)
85025
$20.84$49.00$2.00–$50.10
Blood draw (venipuncture)
36415
$6.48$25.00$1.09–$27.00
Urinalysis
81001
$8.80$20.00$1.01–$20.00
Troponin (heart test)
84484
$25.93$67.50$4.07–$72.37
EKG tracing
93005
$60.65$179$11.07–$231
Chest X-ray, 2 views
71046
$142$323$23.69–$518
CT head without contrast
70450
$211$863$52.32–$1,693
CT abdomen and pelvis with contrast
74177
$737$2,705$137–$3,436
MRI lower back without contrast
72148
$608$1,961$102–$2,348
Ultrasound, abdomen
76700
$248$706$52.32–$788
IV push, single drug
96374
$162$588$21.60–$1,060
IV fluids, first hour
96360
$182$825$106–$1,060
Ketorolac injection, 15 mg
J1885
$0.39$1.85$0.31–$11.95
Ondansetron injection
J2405
$0.44$1.05$0.13–$1.18
Colonoscopy, diagnostic
45378
$891$2,853$425–$5,023
Upper GI endoscopy with biopsy
43239
$1,361$3,177$428–$5,023
Knee arthroscopy
29881
——$922–$13,603
Vaginal delivery, routine care
59400
——$1,016–$20,041
Cesarean delivery, routine care
59510
——$1,123–$22,061

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Bellin Memorial Hospital price transparency page.

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