Biopsy of prostate at HSHS St. Mary's Hospital Medical Center
1726 SHAWANO AVE, GREEN BAY, WI · Hshs · · NPI 1649246877
$2,366.10
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.
$3,585.00
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.
$752.65 with ANTHEM vs $3,585.00 with CENPATICO — 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 | ANTEHM MEDICAID | $752.65 | ↓ -68% |
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $752.65 | ↓ -68% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $752.65 | ↓ -68% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $752.65 | ↓ -68% |
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $752.65 | ↓ -68% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $797.81 | ↓ -66% |
| TRIOLOGY | TRILOGY MEDICAID | $797.81 | ↓ -66% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $1,742.31 | ↓ -26% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $1,792.50 | ↓ -24% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $2,151.00 | ↓ -9% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $2,222.70 | ↓ -6% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $2,288.31 | ↓ -3% |
| CIGNA | ALL COMMERCIAL CIGNA | $2,509.50 | ↑ +6% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $2,545.35 | ↑ +8% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $2,581.20 | ↑ +9% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $2,581.20 | ↑ +9% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $2,581.20 | ↑ +9% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $2,581.20 | ↑ +9% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $2,617.05 | ↑ +11% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $2,617.05 | ↑ +11% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $2,688.75 | ↑ +14% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $3,011.40 | ↑ +27% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $3,011.40 | ↑ +27% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $3,047.25 | ↑ +29% |
| HUMANA | HUMANA CHOICE CARE PPO | $3,047.25 | ↑ +29% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $3,047.25 | ↑ +29% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $3,298.20 | ↑ +39% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $3,405.75 | ↑ +44% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $3,585.00 | ↑ +52% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $3,585.00 | ↑ +52% |
| PREVEA HEALTH NETWORK | PREVEA360 | $3,585.00 | ↑ +52% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $3,585.00 | ↑ +52% |
| ANTHEM | ANTHEM PPO | $3,585.00 | ↑ +52% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $3,585.00 | ↑ +52% |
| AETNA | ALL COMMERCIAL AETNA | $3,585.00 | ↑ +52% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $3,585.00 | ↑ +52% |
| HUMANA | HUMANA CHOICE CARE HMO | $3,585.00 | ↑ +52% |
| COFINITY | COFINITY | $3,585.00 | ↑ +52% |
| HUMANA | HUMANA NATIIONAL POS HMO | $3,585.00 | ↑ +52% |
| ANTHEM | ANTHEM POS/HMO | $3,585.00 | ↑ +52% |
| AETNA | AETNA HSHS | $3,585.00 | ↑ +52% |
| CENPATICO | ALL MEDICAID CENPATICO | $3,585.00 | ↑ +52% |
Visitor-reported prices
Comments
Biopsy of prostate at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Baycare Medical Center | Green Bay | $1,210.00 | not published |
| HSHS St. Vincent Hospital | Green Bay | $2,366.10 | $780.37 – $827.19 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $272.95 | $204.71 – $988.47 |
| UnityPoint Health - Meriter Hospital | Madison | $4,723.50 | $98.21 – $1,842.16 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $2,125.75 | $3,179.00 – $4,867.00 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $1,824.35 | $3,232.00 – $4,321.00 |
| SSM Health St. Mary's Hospital - Madison | Madison | $2,382.60 | $3,863.00 – $4,982.00 |
| SSM Health Monroe Hospital | Monroe | $686.95 | $4,137.00 – $4,743.00 |