Fluoro polarize fetal lung 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

$434.94

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.

Full explanation →

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

$659.00

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.

$13.65 with COMMUNITY CARE FAMILY CARE vs $659.00 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
COMMUNITY CARE FAMILY CARE COMMUNITY CARE FAMILY CARE MEDICAID MANAGED $13.65 ↓ -97%
MERIDIAN HEALTH PLAN MERIDIAN HMO MCD $13.65 ↓ -97%
MANAGED HEALTH SERVICES MANAGED HEALTH SERVICES MEDICAID $13.65 ↓ -97%
CONTINUUS MEDICAID MANAGED CONTINUUS MEDICAID MANAGED $13.65 ↓ -97%
ANTHEM ANTEHM MEDICAID $13.65 ↓ -97%
MOLINA HEALTHCARE MOLINA MEDICAID $14.47 ↓ -97%
TRIOLOGY TRILOGY MEDICAID $14.47 ↓ -97%
HUMANA HUMANA MEDICARE ADVANTAGE $18.91 ↓ -96%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $18.91 ↓ -96%
UNITY HEALTH PLAN UNITY HOSPICE $18.91 ↓ -96%
AETNA AETNA MEDICARE $18.91 ↓ -96%
MEDICARE MANAGED MANAGED MEDICARE NO SEQUESTRATION $18.91 ↓ -96%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $18.91 ↓ -96%
MOLINA HEALTHCARE MOLINA MEDICARE $18.91 ↓ -96%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $19.10 ↓ -96%
UNITED HEALTHCARE UNITED HEALTHCARE $22.69 ↓ -95%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $22.69 ↓ -95%
UNITED HEALTHCARE UHC ONEIDA NATION $22.69 ↓ -95%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $24.58 ↓ -94%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $24.58 ↓ -94%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $24.58 ↓ -94%
PREVEA HEALTH NETWORK PREVEA360 $24.58 ↓ -94%
HUMANA HUMANA NATIIONAL POS HMO $32.15 ↓ -93%
HUMANA HUMANA CHOICE CARE HMO $32.15 ↓ -93%
NAPHCARE ALL COMMERICAL NAPHCARE $42.55 ↓ -90%
ANTHEM ANTHEM POS/HMO $66.19 ↓ -85%
ANTHEM ANTHEM PPO $66.19 ↓ -85%
HSHS EMPLOYEES HSHS EMPLOYEES $320.27 ↓ -26%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $329.50 ↓ -24%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $395.40 ↓ -9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $408.58 ↓ -6%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $420.64 ↓ -3%
CIGNA ALL COMMERCIAL CIGNA $461.30 ↑ +6%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $467.89 ↑ +8%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $474.48 ↑ +9%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $474.48 ↑ +9%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $474.48 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $474.48 ↑ +9%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $481.07 ↑ +11%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $481.07 ↑ +11%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $494.25 ↑ +14%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $553.56 ↑ +27%
HEALTH CARE ALLIANCE THE ALLIANCE $553.56 ↑ +27%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $560.15 ↑ +29%
HUMANA HUMANA CHOICE CARE PPO $560.15 ↑ +29%
CHOICECARE ALL COMMERCIAL CHOICE CARE $560.15 ↑ +29%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $606.28 ↑ +39%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $626.05 ↑ +44%
CENPATICO ALL MEDICAID CENPATICO $659.00 ↑ +52%
LIVE360 LIVE360 HSHS HEALTHY PLAN $659.00 ↑ +52%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $659.00 ↑ +52%
AETNA ALL COMMERCIAL AETNA $659.00 ↑ +52%
COFINITY COFINITY $659.00 ↑ +52%
AETNA AETNA HSHS $659.00 ↑ +52%

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Fluoro polarize fetal lung at other Wisconsin hospitals

Hospital City Cash price Negotiated range
HSHS St. Vincent Hospital Green Bay $434.94 $13.65 – $42.55
Aurora Baycare Medical Center Green Bay not published $15.13 – $66.36
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $127.20 $18.91 – $82.54
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $127.20 $18.91 – $82.54
HSHS St. Nicholas Hospital SHEBOYGAN $434.94 $13.65 – $42.55
HSHS St. Clare Memorial Hospital OCONTO FALLS $434.94 $13.65 – $24.58
UnityPoint Health - Meriter Hospital Madison not published $11.35 – $29.41
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $18.34 – $33.91

All Wisconsin hospitals for this procedure →