Aminophylline 25 mg/ml intravenous solution (wrapper) 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

$97.38

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.

$147.55

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$17.18 with UNITED HEALTHCARE vs $47.50 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
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $17.18 ↓ -82%
UNITED HEALTHCARE UHC ONEIDA NATION $17.18 ↓ -82%
UNITED HEALTHCARE UNITED HEALTHCARE $17.18 ↓ -82%
ANTHEM ANTHEM POS/HMO $17.70 ↓ -82%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $18.63 ↓ -81%
PREVEA HEALTH NETWORK PREVEA360 $18.63 ↓ -81%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $18.63 ↓ -81%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $18.63 ↓ -81%
ANTHEM ANTHEM PPO $21.86 ↓ -78%
HUMANA HUMANA NATIIONAL POS HMO $22.41 ↓ -77%
HUMANA HUMANA CHOICE CARE HMO $22.41 ↓ -77%
HSHS EMPLOYEES HSHS EMPLOYEES $23.09 ↓ -76%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $23.75 ↓ -76%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $28.50 ↓ -71%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $29.45 ↓ -70%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $30.32 ↓ -69%
CIGNA ALL COMMERCIAL CIGNA $33.25 ↓ -66%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $33.73 ↓ -65%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $34.20 ↓ -65%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $34.20 ↓ -65%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $34.20 ↓ -65%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $34.20 ↓ -65%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $34.68 ↓ -64%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $34.68 ↓ -64%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $35.63 ↓ -63%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $39.90 ↓ -59%
HEALTH CARE ALLIANCE THE ALLIANCE $39.90 ↓ -59%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $40.38 ↓ -59%
CHOICECARE ALL COMMERCIAL CHOICE CARE $40.38 ↓ -59%
HUMANA HUMANA CHOICE CARE PPO $40.38 ↓ -59%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $43.70 ↓ -55%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $45.13 ↓ -54%
CENPATICO ALL MEDICAID CENPATICO $47.50 ↓ -51%
AETNA ALL COMMERCIAL AETNA $47.50 ↓ -51%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $47.50 ↓ -51%
COFINITY COFINITY $47.50 ↓ -51%
AETNA AETNA HSHS $47.50 ↓ -51%
LIVE360 LIVE360 HSHS HEALTHY PLAN $47.50 ↓ -51%

Visitor-reported prices

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