Hydroxyzine hcl 50 mg/ml intramuscular solution 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

$82.10

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.

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

$124.40

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.

$21.45 with UNITED HEALTHCARE vs $124.40 with LIVE360 — 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
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $21.45 ↓ -74%
UNITED HEALTHCARE UHC ONEIDA NATION $21.45 ↓ -74%
UNITED HEALTHCARE UNITED HEALTHCARE $21.45 ↓ -74%
ANTHEM ANTHEM POS/HMO $22.10 ↓ -73%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $23.27 ↓ -72%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $23.27 ↓ -72%
PREVEA HEALTH NETWORK PREVEA360 $23.27 ↓ -72%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $23.27 ↓ -72%
HUMANA HUMANA NATIIONAL POS HMO $24.65 ↓ -70%
HUMANA HUMANA CHOICE CARE HMO $24.65 ↓ -70%
ANTHEM ANTHEM PPO $27.30 ↓ -67%
HSHS EMPLOYEES HSHS EMPLOYEES $60.46 ↓ -26%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $62.20 ↓ -24%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $74.64 ↓ -9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $77.13 ↓ -6%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $79.40 ↓ -3%
CIGNA ALL COMMERCIAL CIGNA $87.08 ↑ +6%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $88.32 ↑ +8%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $89.57 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $89.57 ↑ +9%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $89.57 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $89.57 ↑ +9%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $90.81 ↑ +11%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $90.81 ↑ +11%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $93.30 ↑ +14%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $104.50 ↑ +27%
HEALTH CARE ALLIANCE THE ALLIANCE $104.50 ↑ +27%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $105.74 ↑ +29%
CHOICECARE ALL COMMERCIAL CHOICE CARE $105.74 ↑ +29%
HUMANA HUMANA CHOICE CARE PPO $105.74 ↑ +29%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $114.45 ↑ +39%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $118.18 ↑ +44%
CENPATICO ALL MEDICAID CENPATICO $124.40 ↑ +52%
AETNA ALL COMMERCIAL AETNA $124.40 ↑ +52%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $124.40 ↑ +52%
COFINITY COFINITY $124.40 ↑ +52%
AETNA AETNA HSHS $124.40 ↑ +52%
LIVE360 LIVE360 HSHS HEALTHY PLAN $124.40 ↑ +52%

Visitor-reported prices

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Hydroxyzine hcl 50 mg/ml intramuscular solution at other Wisconsin hospitals

Hospital City Cash price Negotiated range
HSHS St. Vincent Hospital Green Bay $78.57 $21.45 – $24.65
Aurora Baycare Medical Center Green Bay not published $10.17 – $30.04
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $29.86 $12.28 – $41.54
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $29.86 $12.28 – $41.54
UnityPoint Health - Meriter Hospital Madison $65.27 $3.91 – $24.76
Midwest Orthopedic Specialty Hospital Franklin $7.00 $5.54 – $12.28
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh $62.45 $18.41 – $56.34
Ascension St. Francis Hospital, Inc. Milwaukee $43.43 $5.54 – $37.55

All Wisconsin hospitals for this procedure →