Epstein barr viral capsid antigen antibody igm 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

$118.14

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.

$179.00

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.

$18.14 with HUMANA vs $179.00 with AETNA — 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 MEDICARE ADVANTAGE $18.14 ↓ -85%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $18.14 ↓ -85%
UNITY HEALTH PLAN UNITY HOSPICE $18.14 ↓ -85%
AETNA AETNA MEDICARE $18.14 ↓ -85%
MEDICARE MANAGED MANAGED MEDICARE NO SEQUESTRATION $18.14 ↓ -85%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $18.14 ↓ -85%
MOLINA HEALTHCARE MOLINA MEDICARE $18.14 ↓ -85%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $18.32 ↓ -84%
COMMUNITY CARE FAMILY CARE COMMUNITY CARE FAMILY CARE MEDICAID MANAGED $18.74 ↓ -84%
MERIDIAN HEALTH PLAN MERIDIAN HMO MCD $18.74 ↓ -84%
MANAGED HEALTH SERVICES MANAGED HEALTH SERVICES MEDICAID $18.74 ↓ -84%
CONTINUUS MEDICAID MANAGED CONTINUUS MEDICAID MANAGED $18.74 ↓ -84%
ANTHEM ANTEHM MEDICAID $18.74 ↓ -84%
MOLINA HEALTHCARE MOLINA MEDICAID $19.86 ↓ -83%
TRIOLOGY TRILOGY MEDICAID $19.86 ↓ -83%
UNITED HEALTHCARE UNITED HEALTHCARE $21.77 ↓ -82%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $21.77 ↓ -82%
UNITED HEALTHCARE UHC ONEIDA NATION $21.77 ↓ -82%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $23.58 ↓ -80%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $23.58 ↓ -80%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $23.58 ↓ -80%
PREVEA HEALTH NETWORK PREVEA360 $23.58 ↓ -80%
HUMANA HUMANA NATIIONAL POS HMO $30.84 ↓ -74%
HUMANA HUMANA CHOICE CARE HMO $30.84 ↓ -74%
NAPHCARE ALL COMMERICAL NAPHCARE $40.82 ↓ -65%
ANTHEM ANTHEM POS/HMO $63.49 ↓ -46%
ANTHEM ANTHEM PPO $63.49 ↓ -46%
HSHS EMPLOYEES HSHS EMPLOYEES $86.99 ↓ -26%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $89.50 ↓ -24%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $107.40 ↓ -9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $110.98 ↓ -6%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $114.26 ↓ -3%
CIGNA ALL COMMERCIAL CIGNA $125.30 ↑ +6%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $127.09 ↑ +8%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $128.88 ↑ +9%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $128.88 ↑ +9%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $128.88 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $128.88 ↑ +9%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $130.67 ↑ +11%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $130.67 ↑ +11%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $134.25 ↑ +14%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $150.36 ↑ +27%
HEALTH CARE ALLIANCE THE ALLIANCE $150.36 ↑ +27%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $152.15 ↑ +29%
HUMANA HUMANA CHOICE CARE PPO $152.15 ↑ +29%
CHOICECARE ALL COMMERCIAL CHOICE CARE $152.15 ↑ +29%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $164.68 ↑ +39%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $170.05 ↑ +44%
CENPATICO ALL MEDICAID CENPATICO $179.00 ↑ +52%
LIVE360 LIVE360 HSHS HEALTHY PLAN $179.00 ↑ +52%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $179.00 ↑ +52%
AETNA ALL COMMERCIAL AETNA $179.00 ↑ +52%
COFINITY COFINITY $179.00 ↑ +52%
AETNA AETNA HSHS $179.00 ↑ +52%

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Epstein barr viral capsid antigen antibody igm at other Wisconsin hospitals

Hospital City Cash price Negotiated range
Aurora Baycare Medical Center Green Bay $80.00 $14.51 – $63.66
HSHS St. Vincent Hospital Green Bay $118.14 $18.14 – $40.82
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $118.72 $18.14 – $79.09
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $118.72 $18.14 – $79.09
UnityPoint Health - Meriter Hospital Madison $174.12 $10.88 – $67.90
Orthopaedic Hospital of Wisconsin, LLC Glendale $66.78 $17.60 – $32.51
SSM Health St. Clare Hospital - Baraboo Baraboo $18.70 $13.60 – $180.39
SSM Health St. Mary's Hospital - Janesville Janesville $25.30 $13.60 – $144.31

All Wisconsin hospitals for this procedure →