Contrast exam abdominl aorta 75625-26 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

$3,833.94

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.

$5,809.00

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.

$117.12 with HUMANA vs $6,937.25 with NAPHCARE — 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 CHOICE CARE HMO $117.12 ↓ -97%
HUMANA HUMANA NATIIONAL POS HMO $117.12 ↓ -97%
ANTHEM ANTHEM PPO $251.20 ↓ -93%
ANTHEM ANTHEM POS/HMO $251.20 ↓ -93%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $456.60 ↓ -88%
PREVEA HEALTH NETWORK PREVEA360 $456.60 ↓ -88%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $456.60 ↓ -88%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $456.60 ↓ -88%
UNITED HEALTHCARE UNITED HEALTHCARE $495.60 ↓ -87%
UNITED HEALTHCARE UHC ONEIDA NATION $495.60 ↓ -87%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $495.60 ↓ -87%
ANTHEM ANTEHM MEDICAID $748.38 ↓ -80%
MERIDIAN HEALTH PLAN MERIDIAN HMO MCD $748.38 ↓ -80%
CONTINUUS MEDICAID MANAGED CONTINUUS MEDICAID MANAGED $748.38 ↓ -80%
MANAGED HEALTH SERVICES MANAGED HEALTH SERVICES MEDICAID $748.38 ↓ -80%
COMMUNITY CARE FAMILY CARE COMMUNITY CARE FAMILY CARE MEDICAID MANAGED $748.38 ↓ -80%
TRIOLOGY TRILOGY MEDICAID $793.28 ↓ -79%
MOLINA HEALTHCARE MOLINA MEDICAID $793.28 ↓ -79%
HSHS EMPLOYEES HSHS EMPLOYEES $2,823.17 ↓ -26%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $2,904.50 ↓ -24%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $3,083.22 ↓ -20%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $3,083.22 ↓ -20%
HUMANA HUMANA MEDICARE ADVANTAGE $3,083.22 ↓ -20%
MEDICARE MANAGED MANAGED MEDICARE NO SEQUESTRATION $3,083.22 ↓ -20%
UNITY HEALTH PLAN UNITY HOSPICE $3,083.22 ↓ -20%
MOLINA HEALTHCARE MOLINA MEDICARE $3,083.22 ↓ -20%
AETNA AETNA MEDICARE $3,083.22 ↓ -20%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $3,114.05 ↓ -19%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $3,485.40 ↓ -9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $3,601.58 ↓ -6%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $3,707.88 ↓ -3%
CIGNA ALL COMMERCIAL CIGNA $4,066.30 ↑ +6%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $4,124.39 ↑ +8%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $4,182.48 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $4,182.48 ↑ +9%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $4,182.48 ↑ +9%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $4,182.48 ↑ +9%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $4,240.57 ↑ +11%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $4,240.57 ↑ +11%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $4,356.75 ↑ +14%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $4,879.56 ↑ +27%
HEALTH CARE ALLIANCE THE ALLIANCE $4,879.56 ↑ +27%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $4,937.65 ↑ +29%
CHOICECARE ALL COMMERCIAL CHOICE CARE $4,937.65 ↑ +29%
HUMANA HUMANA CHOICE CARE PPO $4,937.65 ↑ +29%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $5,344.28 ↑ +39%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $5,518.55 ↑ +44%
CENPATICO ALL MEDICAID CENPATICO $5,809.00 ↑ +52%
LIVE360 LIVE360 HSHS HEALTHY PLAN $5,809.00 ↑ +52%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $5,809.00 ↑ +52%
COFINITY COFINITY $5,809.00 ↑ +52%
AETNA AETNA HSHS $5,809.00 ↑ +52%
AETNA ALL COMMERCIAL AETNA $5,809.00 ↑ +52%
NAPHCARE ALL COMMERICAL NAPHCARE $6,937.25 ↑ +81%

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Contrast exam abdominl aorta 75625-26 at other Wisconsin hospitals

Hospital City Cash price Negotiated range
Aurora Baycare Medical Center Green Bay $2,590.00 not published
HSHS St. Vincent Hospital Green Bay $3,833.94 $117.12 – $6,900.67
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $2,590.64 $98.14 – $6,438.74
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $3,196.43 $98.14 – $6,438.74
UnityPoint Health - Meriter Hospital Madison $6,489.91 $54.28 – $2,531.06
SSM Health St. Mary's Hospital - Janesville Janesville $3,592.60 $638.52 – $3,180.39
SSM Health St. Mary's Hospital - Madison Madison $2,730.20 $669.92 – $3,066.96
SSM Health Monroe Hospital Monroe $2,781.35 $218.47 – $3,066.96

All Wisconsin hospitals for this procedure →