Cystogram >= 3 views supervision & interpretation 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

$785.40

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.

Full explanation →

What you pay up front if you don't use insurance.

$1,190.00

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.

$51.15 with HUMANA vs $1,190.00 with CATERPILLAR, INC. — 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 $51.15 ↓ -93%
HUMANA HUMANA NATIIONAL POS HMO $51.15 ↓ -93%
MERIDIAN HEALTH PLAN MERIDIAN HMO MCD $52.32 ↓ -93%
MANAGED HEALTH SERVICES MANAGED HEALTH SERVICES MEDICAID $52.32 ↓ -93%
CONTINUUS MEDICAID MANAGED CONTINUUS MEDICAID MANAGED $52.32 ↓ -93%
COMMUNITY CARE FAMILY CARE COMMUNITY CARE FAMILY CARE MEDICAID MANAGED $52.32 ↓ -93%
ANTHEM ANTEHM MEDICAID $52.32 ↓ -93%
MOLINA HEALTHCARE MOLINA MEDICAID $55.46 ↓ -93%
TRIOLOGY TRILOGY MEDICAID $55.46 ↓ -93%
ANTHEM ANTHEM POS/HMO $105.73 ↓ -87%
ANTHEM ANTHEM PPO $105.73 ↓ -87%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $340.67 ↓ -57%
MEDICARE MANAGED MANAGED MEDICARE NO SEQUESTRATION $340.67 ↓ -57%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $340.67 ↓ -57%
MOLINA HEALTHCARE MOLINA MEDICARE $340.67 ↓ -57%
UNITY HEALTH PLAN UNITY HOSPICE $340.67 ↓ -57%
HUMANA HUMANA MEDICARE ADVANTAGE $340.67 ↓ -57%
AETNA AETNA MEDICARE $340.67 ↓ -57%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $344.08 ↓ -56%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $456.60 ↓ -42%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $456.60 ↓ -42%
PREVEA HEALTH NETWORK PREVEA360 $456.60 ↓ -42%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $456.60 ↓ -42%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $495.60 ↓ -37%
UNITED HEALTHCARE UNITED HEALTHCARE $495.60 ↓ -37%
UNITED HEALTHCARE UHC ONEIDA NATION $495.60 ↓ -37%
HSHS EMPLOYEES HSHS EMPLOYEES $578.34 ↓ -26%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $595.00 ↓ -24%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $714.00 ↓ -9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $737.80 ↓ -6%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $759.58 ↓ -3%
NAPHCARE ALL COMMERICAL NAPHCARE $766.50 ↓ -2%
CIGNA ALL COMMERCIAL CIGNA $833.00 ↑ +6%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $844.90 ↑ +8%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $856.80 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $856.80 ↑ +9%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $856.80 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $856.80 ↑ +9%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $868.70 ↑ +11%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $868.70 ↑ +11%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $892.50 ↑ +14%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $999.60 ↑ +27%
HEALTH CARE ALLIANCE THE ALLIANCE $999.60 ↑ +27%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $1,011.50 ↑ +29%
HUMANA HUMANA CHOICE CARE PPO $1,011.50 ↑ +29%
CHOICECARE ALL COMMERCIAL CHOICE CARE $1,011.50 ↑ +29%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $1,094.80 ↑ +39%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $1,130.50 ↑ +44%
COFINITY COFINITY $1,190.00 ↑ +52%
AETNA AETNA HSHS $1,190.00 ↑ +52%
AETNA ALL COMMERCIAL AETNA $1,190.00 ↑ +52%
CENPATICO ALL MEDICAID CENPATICO $1,190.00 ↑ +52%
LIVE360 LIVE360 HSHS HEALTHY PLAN $1,190.00 ↑ +52%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $1,190.00 ↑ +52%

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Cystogram >= 3 views supervision & interpretation at other Wisconsin hospitals

Hospital City Cash price Negotiated range
Aurora Baycare Medical Center Green Bay $510.00 not published
HSHS St. Vincent Hospital Green Bay $785.40 $51.15 – $762.46
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $471.70 $24.82 – $828.27
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $471.70 $24.82 – $828.27
UnityPoint Health - Meriter Hospital Madison $2,192.59 $13.97 – $855.11
SSM Health St. Clare Hospital - Baraboo Baraboo $589.60 $229.94 – $338.87
SSM Health St. Mary's Hospital - Janesville Janesville $822.80 $165.02 – $351.40
SSM Health St. Mary's Hospital - Madison Madison $539.55 $173.14 – $338.87

All Wisconsin hospitals for this procedure →