Dicyclomine injection at HSHS St. Mary's Hospital Medical Center
1726 SHAWANO AVE, GREEN BAY, WI · Hshs · · NPI 1649246877
$197.90
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.
$299.85
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.
$18.69 with UNITED HEALTHCARE vs $287.85 with LIVE360 — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $18.69 | ↓ -91% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $18.69 | ↓ -91% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $18.69 | ↓ -91% |
| ANTHEM | ANTHEM POS/HMO | $19.26 | ↓ -90% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $20.28 | ↓ -90% |
| PREVEA HEALTH NETWORK | PREVEA360 | $20.28 | ↓ -90% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $20.28 | ↓ -90% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $20.28 | ↓ -90% |
| ANTHEM | ANTHEM PPO | $23.79 | ↓ -88% |
| HUMANA | HUMANA NATIIONAL POS HMO | $34.56 | ↓ -83% |
| HUMANA | HUMANA CHOICE CARE HMO | $34.56 | ↓ -83% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $139.90 | ↓ -29% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $143.93 | ↓ -27% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $172.71 | ↓ -13% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $178.47 | ↓ -10% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $183.73 | ↓ -7% |
| CIGNA | ALL COMMERCIAL CIGNA | $201.50 | ↑ +2% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $204.37 | ↑ +3% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $207.25 | ↑ +5% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $207.25 | ↑ +5% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $207.25 | ↑ +5% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $207.25 | ↑ +5% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $210.13 | ↑ +6% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $210.13 | ↑ +6% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $215.89 | ↑ +9% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $241.79 | ↑ +22% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $241.79 | ↑ +22% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $244.67 | ↑ +24% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $244.67 | ↑ +24% |
| HUMANA | HUMANA CHOICE CARE PPO | $244.67 | ↑ +24% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $264.82 | ↑ +34% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $273.46 | ↑ +38% |
| CENPATICO | ALL MEDICAID CENPATICO | $287.85 | ↑ +45% |
| AETNA | ALL COMMERCIAL AETNA | $287.85 | ↑ +45% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $287.85 | ↑ +45% |
| COFINITY | COFINITY | $287.85 | ↑ +45% |
| AETNA | AETNA HSHS | $287.85 | ↑ +45% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $287.85 | ↑ +45% |
Visitor-reported prices
Comments
Dicyclomine injection at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HSHS St. Vincent Hospital | Green Bay | $409.46 | $18.69 – $34.56 |
| Aurora Baycare Medical Center | Green Bay | not published | $12.86 – $111.31 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $117.76 | $20.63 – $77.59 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $117.76 | $20.63 – $77.59 |
| UnityPoint Health - Meriter Hospital | Madison | $204.52 | $11.68 – $217.09 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $153.53 | $30.52 – $269.35 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $117.76 | $18.33 – $93.32 |
| Aurora Medical Center Fond du Lac | Fond Du Lac | $55.91 | $12.86 – $111.31 |