Albumin (human), 5%, 250 ml at HSHS St. Mary's Hospital Medical Center
1726 SHAWANO AVE, GREEN BAY, WI · Hshs · · NPI 1649246877
$337.92
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.
$512.00
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.
$53.08 with ANTHEM vs $342.88 with COFINITY — 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 |
|---|---|---|---|
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $53.08 | ↓ -84% |
| AETNA | AETNA MEDICARE | $53.08 | ↓ -84% |
| UNITY HEALTH PLAN | UNITY HOSPICE | $53.08 | ↓ -84% |
| MEDICARE MANAGED | MANAGED MEDICARE NO SEQUESTRATION | $53.08 | ↓ -84% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $53.08 | ↓ -84% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $53.08 | ↓ -84% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $53.08 | ↓ -84% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $53.61 | ↓ -84% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $87.58 | ↓ -74% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $87.58 | ↓ -74% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $87.58 | ↓ -74% |
| HUMANA | HUMANA NATIIONAL POS HMO | $90.23 | ↓ -73% |
| HUMANA | HUMANA CHOICE CARE HMO | $90.23 | ↓ -73% |
| ANTHEM | ANTHEM POS/HMO | $90.24 | ↓ -73% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $95.01 | ↓ -72% |
| PREVEA HEALTH NETWORK | PREVEA360 | $95.01 | ↓ -72% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $95.01 | ↓ -72% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $95.01 | ↓ -72% |
| ANTHEM | ANTHEM PPO | $111.47 | ↓ -67% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $119.42 | ↓ -65% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $122.12 | ↓ -64% |
| ANTHEM | ANTEHM MEDICAID | $122.12 | ↓ -64% |
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $122.12 | ↓ -64% |
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $122.12 | ↓ -64% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $122.12 | ↓ -64% |
| TRIOLOGY | TRILOGY MEDICAID | $129.45 | ↓ -62% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $129.45 | ↓ -62% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $166.64 | ↓ -51% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $171.44 | ↓ -49% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $205.73 | ↓ -39% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $212.59 | ↓ -37% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $218.86 | ↓ -35% |
| CIGNA | ALL COMMERCIAL CIGNA | $240.02 | ↓ -29% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $243.44 | ↓ -28% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $246.87 | ↓ -27% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $246.87 | ↓ -27% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $246.87 | ↓ -27% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $246.87 | ↓ -27% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $250.30 | ↓ -26% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $250.30 | ↓ -26% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $257.16 | ↓ -24% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $288.02 | ↓ -15% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $288.02 | ↓ -15% |
| HUMANA | HUMANA CHOICE CARE PPO | $291.45 | ↓ -14% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $291.45 | ↓ -14% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $291.45 | ↓ -14% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $315.45 | ↓ -7% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $325.74 | ↓ -4% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $342.88 | ↑ +1% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $342.88 | ↑ +1% |
| CENPATICO | ALL MEDICAID CENPATICO | $342.88 | ↑ +1% |
| AETNA | ALL COMMERCIAL AETNA | $342.88 | ↑ +1% |
| AETNA | AETNA HSHS | $342.88 | ↑ +1% |
| COFINITY | COFINITY | $342.88 | ↑ +1% |
Visitor-reported prices
Comments
Albumin (human), 5%, 250 ml at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Baycare Medical Center | Green Bay | $123.13 | $53.08 – $129.51 |
| HSHS St. Vincent Hospital | Green Bay | $438.37 | $53.08 – $134.21 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $109.12 | $69.00 – $144.84 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $109.12 | $69.00 – $144.84 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $196.23 | $53.08 – $129.51 |
| Aurora Medical Center Summit | Summit | $152.36 | $53.08 – $129.51 |
| Aurora Medical Center Manitowoc | Two Rivers | $108.98 | $53.08 – $129.51 |
| Aurora West Allis Medical Center | West Allis | $166.52 | $53.08 – $129.51 |