Adenosine 3 mg/250 ml bag for osm at HSHS St. Mary's Hospital Medical Center

1726 SHAWANO AVE, GREEN BAY, WI · Hshs · · NPI 1649246877

Source: hospital's published price file ↗ · Published Mar 24, 2026 · Ingested Sep 16, 2026

$10.14

Cash price

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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.

$15.36

Gross charge

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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.

$0.71 with HUMANA vs $8.17 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 →

Payer
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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
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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 $0.71 ↓ -93%
HUMANA HUMANA CHOICE CARE HMO $0.71 ↓ -93%
UNITED HEALTHCARE UNITED HEALTHCARE $0.87 ↓ -91%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $0.87 ↓ -91%
UNITED HEALTHCARE UHC ONEIDA NATION $0.87 ↓ -91%
ANTHEM ANTHEM POS/HMO $0.90 ↓ -91%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $0.95 ↓ -91%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $0.95 ↓ -91%
PREVEA HEALTH NETWORK PREVEA360 $0.95 ↓ -91%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $0.95 ↓ -91%
ANTHEM ANTHEM PPO $1.11 ↓ -89%
HSHS EMPLOYEES HSHS EMPLOYEES $3.97 ↓ -61%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $4.09 ↓ -60%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $4.90 ↓ -52%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $5.07 ↓ -50%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $5.21 ↓ -49%
CIGNA ALL COMMERCIAL CIGNA $5.72 ↓ -44%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $5.80 ↓ -43%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $5.88 ↓ -42%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $5.88 ↓ -42%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $5.88 ↓ -42%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $5.88 ↓ -42%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $5.96 ↓ -41%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $5.96 ↓ -41%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $6.13 ↓ -40%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $6.86 ↓ -32%
HEALTH CARE ALLIANCE THE ALLIANCE $6.86 ↓ -32%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $6.94 ↓ -32%
CHOICECARE ALL COMMERCIAL CHOICE CARE $6.94 ↓ -32%
HUMANA HUMANA CHOICE CARE PPO $6.94 ↓ -32%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $7.52 ↓ -26%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $7.76 ↓ -23%
CENPATICO ALL MEDICAID CENPATICO $8.17 ↓ -19%
AETNA ALL COMMERCIAL AETNA $8.17 ↓ -19%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $8.17 ↓ -19%
COFINITY COFINITY $8.17 ↓ -19%
AETNA AETNA HSHS $8.17 ↓ -19%
LIVE360 LIVE360 HSHS HEALTHY PLAN $8.17 ↓ -19%

Visitor-reported prices

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Adenosine 3 mg/250 ml bag for osm at other Wisconsin hospitals

Hospital City Cash price Negotiated range
Aurora Baycare Medical Center Green Bay not published $0.33 – $1.16
UnityPoint Health - Meriter Hospital Madison $103.26 $0.42 – $2.98
Midwest Orthopedic Specialty Hospital Franklin $21.65 $0.39 – $10.31
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee $13.65 $0.39 – $1.87
Adventhealth Durand Durand $419.15 not published
SSM Health St. Clare Hospital - Baraboo Baraboo not published $0.57 – $0.87
SSM Health St. Mary's Hospital - Janesville Janesville not published $0.57 – $0.87
SSM Health St. Mary's Hospital - Madison Madison not published $0.57 – $0.87

All Wisconsin hospitals for this procedure →