Coronary angio/cath placement bypass graft/lv gram/lt heart at HSHS St. Mary's Hospital Medical Center
1726 SHAWANO AVE, GREEN BAY, WI · Hshs · · NPI 1649246877
$7,242.84
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.
?
What you pay up front if you don't use insurance.
$10,974.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,066.54 with MERIDIAN HEALTH PLAN vs $10,974.00 with AETNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $1,066.54 | ↓ -85% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $1,066.54 | ↓ -85% |
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $1,066.54 | ↓ -85% |
| ANTHEM | ANTEHM MEDICAID | $1,066.54 | ↓ -85% |
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $1,066.54 | ↓ -85% |
| TRIOLOGY | TRILOGY MEDICAID | $1,130.53 | ↓ -84% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $1,130.53 | ↓ -84% |
| AETNA | AETNA MEDICARE | $3,165.69 | ↓ -56% |
| MEDICARE MANAGED | MANAGED MEDICARE NO SEQUESTRATION | $3,165.69 | ↓ -56% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $3,165.69 | ↓ -56% |
| UNITY HEALTH PLAN | UNITY HOSPICE | $3,165.69 | ↓ -56% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $3,165.69 | ↓ -56% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $3,165.69 | ↓ -56% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $3,165.69 | ↓ -56% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $3,197.35 | ↓ -56% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $5,333.36 | ↓ -26% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $5,487.00 | ↓ -24% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $6,584.40 | ↓ -9% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $6,803.88 | ↓ -6% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $7,004.70 | ↓ -3% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $7,122.80 | ↓ -2% |
| HUMANA | HUMANA NATIIONAL POS HMO | $7,604.00 | ↑ +5% |
| HUMANA | HUMANA CHOICE CARE HMO | $7,604.00 | ↑ +5% |
| CIGNA | ALL COMMERCIAL CIGNA | $7,681.80 | ↑ +6% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $7,791.54 | ↑ +8% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $7,901.28 | ↑ +9% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $7,901.28 | ↑ +9% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $7,901.28 | ↑ +9% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $7,901.28 | ↑ +9% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $8,011.02 | ↑ +11% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $8,011.02 | ↑ +11% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $8,230.50 | ↑ +14% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $8,325.99 | ↑ +15% |
| PREVEA HEALTH NETWORK | PREVEA360 | $8,325.99 | ↑ +15% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $8,325.99 | ↑ +15% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $8,325.99 | ↑ +15% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $8,668.50 | ↑ +20% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $8,668.50 | ↑ +20% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $8,668.50 | ↑ +20% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $9,218.16 | ↑ +27% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $9,218.16 | ↑ +27% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $9,327.90 | ↑ +29% |
| HUMANA | HUMANA CHOICE CARE PPO | $9,327.90 | ↑ +29% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $9,327.90 | ↑ +29% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $10,096.08 | ↑ +39% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $10,425.30 | ↑ +44% |
| AETNA | ALL COMMERCIAL AETNA | $10,974.00 | ↑ +52% |
| CENPATICO | ALL MEDICAID CENPATICO | $10,974.00 | ↑ +52% |
| ANTHEM | ANTHEM POS/HMO | $10,974.00 | ↑ +52% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $10,974.00 | ↑ +52% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $10,974.00 | ↑ +52% |
| ANTHEM | ANTHEM PPO | $10,974.00 | ↑ +52% |
| COFINITY | COFINITY | $10,974.00 | ↑ +52% |
| AETNA | AETNA HSHS | $10,974.00 | ↑ +52% |
Visitor-reported prices
Comments
Coronary angio/cath placement bypass graft/lv gram/lt heart at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HSHS St. Vincent Hospital | Green Bay | $7,242.84 | $1,105.81 – $7,085.24 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $21,837.06 | $506.28 – $1,174.49 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $21,837.06 | $506.28 – $1,174.49 |
| UnityPoint Health - Meriter Hospital | Madison | $15,285.64 | $286.14 – $5,961.40 |
| SSM Health St. Mary's Hospital - Madison | Madison | $8,855.00 | $2,361.75 – $16,624.00 |
| SSM Health Monroe Hospital | Monroe | $9,953.35 | $3,148.99 – $15,012.00 |
| SSM Health Ripon Community Hospital | Ripon | $8,731.80 | $3,735.00 – $16,106.00 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $8,731.80 | $2,404.97 – $16,106.00 |