Acetazolamide 500 mg solution for injection at HSHS St. Mary's Hospital Medical Center
1726 SHAWANO AVE, GREEN BAY, WI · Hshs · · NPI 1649246877
$194.83
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$295.20
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$40.87 with HUMANA vs $242.20 with LIVE360 — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| HUMANA | HUMANA NATIIONAL POS HMO | $40.87 | ↓ -79% |
| HUMANA | HUMANA CHOICE CARE HMO | $40.87 | ↓ -79% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $42.22 | ↓ -78% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $42.22 | ↓ -78% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $42.22 | ↓ -78% |
| ANTHEM | ANTHEM POS/HMO | $43.50 | ↓ -78% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $45.81 | ↓ -76% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $45.81 | ↓ -76% |
| PREVEA HEALTH NETWORK | PREVEA360 | $45.81 | ↓ -76% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $45.81 | ↓ -76% |
| ANTHEM | ANTHEM PPO | $53.74 | ↓ -72% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $117.71 | ↓ -40% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $121.10 | ↓ -38% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $145.32 | ↓ -25% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $150.16 | ↓ -23% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $154.60 | ↓ -21% |
| CIGNA | ALL COMMERCIAL CIGNA | $169.54 | ↓ -13% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $171.96 | ↓ -12% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $174.38 | ↓ -10% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $174.38 | ↓ -10% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $174.38 | ↓ -10% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $174.38 | ↓ -10% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $176.81 | ↓ -9% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $176.81 | ↓ -9% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $181.65 | ↓ -7% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $203.45 | ↑ +4% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $203.45 | ↑ +4% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $205.87 | ↑ +6% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $205.87 | ↑ +6% |
| HUMANA | HUMANA CHOICE CARE PPO | $205.87 | ↑ +6% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $222.82 | ↑ +14% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $230.09 | ↑ +18% |
| CENPATICO | ALL MEDICAID CENPATICO | $242.20 | ↑ +24% |
| AETNA | ALL COMMERCIAL AETNA | $242.20 | ↑ +24% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $242.20 | ↑ +24% |
| COFINITY | COFINITY | $242.20 | ↑ +24% |
| AETNA | AETNA HSHS | $242.20 | ↑ +24% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $242.20 | ↑ +24% |
Visitor-reported prices
Comments
Acetazolamide 500 mg solution for injection at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HSHS St. Vincent Hospital | Green Bay | $214.14 | $40.87 – $45.81 |
| Aurora Baycare Medical Center | Green Bay | not published | $19.06 – $52.75 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $71.40 | $27.52 – $90.59 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $71.40 | $27.52 – $90.59 |
| UnityPoint Health - Meriter Hospital | Madison | $134.00 | $17.23 – $127.93 |
| Aurora Medical Center Summit | Summit | $52.11 | $19.06 – $52.75 |
| Aurora Medical Center Manitowoc | Two Rivers | $31.33 | $19.06 – $52.75 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $83.31 | $36.85 – $146.15 |