Bivalirudin at HSHS St. Mary's Hospital Medical Center
1726 SHAWANO AVE, GREEN BAY, WI · Hshs · · NPI 1649246877
$7.36
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.
$11.15
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.
$0.26 with UNITED HEALTHCARE vs $42.87 with MANAGED HEALTH SERVICES — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $0.26 | ↓ -96% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $0.26 | ↓ -96% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $0.26 | ↓ -96% |
| ANTHEM | ANTHEM POS/HMO | $0.27 | ↓ -96% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $0.29 | ↓ -96% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $0.29 | ↓ -96% |
| PREVEA HEALTH NETWORK | PREVEA360 | $0.29 | ↓ -96% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $0.29 | ↓ -96% |
| HUMANA | HUMANA NATIIONAL POS HMO | $0.34 | ↓ -95% |
| ANTHEM | ANTHEM PPO | $0.34 | ↓ -95% |
| HUMANA | HUMANA CHOICE CARE HMO | $0.34 | ↓ -95% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $0.61 | ↓ -92% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $0.63 | ↓ -91% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $0.76 | ↓ -90% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $0.78 | ↓ -89% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $0.80 | ↓ -89% |
| CIGNA | ALL COMMERCIAL CIGNA | $0.88 | ↓ -88% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $0.89 | ↓ -88% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $0.91 | ↓ -88% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $0.91 | ↓ -88% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $0.91 | ↓ -88% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $0.91 | ↓ -88% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $0.92 | ↓ -88% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $0.92 | ↓ -88% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $0.95 | ↓ -87% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $1.06 | ↓ -86% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $1.06 | ↓ -86% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $1.07 | ↓ -85% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $1.07 | ↓ -85% |
| HUMANA | HUMANA CHOICE CARE PPO | $1.07 | ↓ -85% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $1.16 | ↓ -84% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $1.20 | ↓ -84% |
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $1.26 | ↓ -83% |
| CENPATICO | ALL MEDICAID CENPATICO | $1.26 | ↓ -83% |
| AETNA | ALL COMMERCIAL AETNA | $1.26 | ↓ -83% |
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $1.26 | ↓ -83% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $1.26 | ↓ -83% |
| TRIOLOGY | TRILOGY MEDICAID | $1.26 | ↓ -83% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $1.26 | ↓ -83% |
| AETNA | AETNA HSHS | $1.26 | ↓ -83% |
| ANTHEM | ANTEHM MEDICAID | $1.26 | ↓ -83% |
| COFINITY | COFINITY | $1.26 | ↓ -83% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $1.26 | ↓ -83% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $1.34 | ↓ -82% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $42.87 | ↑ +482% |
Visitor-reported prices
Comments
Bivalirudin at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Baycare Medical Center | Green Bay | not published | $0.15 – $1.28 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $0.22 – $0.32 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $0.22 – $0.32 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $0.22 – $0.32 |
| SSM Health Monroe Hospital | Monroe | not published | $0.15 – $0.46 |
| SSM Health Ripon Community Hospital | Ripon | not published | $0.17 – $0.43 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $0.17 – $0.43 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $0.17 – $0.43 |