Kidney (Retroperitoneal) Ultrasound (complete) 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

$566.28

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.

$858.00

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.

$40.83 with MOLINA HEALTHCARE vs $858.00 with CENPATICO — 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
MOLINA HEALTHCARE MOLINA MEDICARE $40.83 ↓ -93%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $41.24 ↓ -93%
MERIDIAN HEALTH PLAN MERIDIAN HMO MCD $74.44 ↓ -87%
MANAGED HEALTH SERVICES MANAGED HEALTH SERVICES MEDICAID $74.44 ↓ -87%
ANTHEM ANTEHM MEDICAID $74.44 ↓ -87%
CONTINUUS MEDICAID MANAGED CONTINUUS MEDICAID MANAGED $74.44 ↓ -87%
COMMUNITY CARE FAMILY CARE COMMUNITY CARE FAMILY CARE MEDICAID MANAGED $74.44 ↓ -87%
MOLINA HEALTHCARE MOLINA MEDICAID $78.91 ↓ -86%
TRIOLOGY TRILOGY MEDICAID $78.91 ↓ -86%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $102.09 ↓ -82%
MEDICARE MANAGED MANAGED MEDICARE NO SEQUESTRATION $102.09 ↓ -82%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $102.09 ↓ -82%
AETNA AETNA MEDICARE $102.09 ↓ -82%
HUMANA HUMANA MEDICARE ADVANTAGE $102.09 ↓ -82%
UNITY HEALTH PLAN UNITY HOSPICE $102.09 ↓ -82%
HUMANA HUMANA NATIIONAL POS HMO $143.89 ↓ -75%
HUMANA HUMANA CHOICE CARE HMO $143.89 ↓ -75%
NAPHCARE ALL COMMERICAL NAPHCARE $229.70 ↓ -59%
HSHS EMPLOYEES HSHS EMPLOYEES $416.99 ↓ -26%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $429.00 ↓ -24%
ANTHEM ANTHEM PPO $500.00 ↓ -12%
ANTHEM ANTHEM POS/HMO $500.00 ↓ -12%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $514.80 ↓ -9%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $521.52 ↓ -8%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $521.52 ↓ -8%
PREVEA HEALTH NETWORK PREVEA360 $521.52 ↓ -8%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $521.52 ↓ -8%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $531.96 ↓ -6%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $547.66 ↓ -3%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $574.00 ↑ +1%
UNITED HEALTHCARE UNITED HEALTHCARE $574.00 ↑ +1%
UNITED HEALTHCARE UHC ONEIDA NATION $574.00 ↑ +1%
CIGNA ALL COMMERCIAL CIGNA $600.60 ↑ +6%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $609.18 ↑ +8%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $617.76 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $617.76 ↑ +9%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $617.76 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $617.76 ↑ +9%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $626.34 ↑ +11%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $626.34 ↑ +11%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $643.50 ↑ +14%
HEALTH CARE ALLIANCE THE ALLIANCE $720.72 ↑ +27%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $720.72 ↑ +27%
CHOICECARE ALL COMMERCIAL CHOICE CARE $729.30 ↑ +29%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $729.30 ↑ +29%
HUMANA HUMANA CHOICE CARE PPO $729.30 ↑ +29%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $789.36 ↑ +39%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $815.10 ↑ +44%
LIVE360 LIVE360 HSHS HEALTHY PLAN $858.00 ↑ +52%
AETNA AETNA HSHS $858.00 ↑ +52%
AETNA ALL COMMERCIAL AETNA $858.00 ↑ +52%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $858.00 ↑ +52%
COFINITY COFINITY $858.00 ↑ +52%
CENPATICO ALL MEDICAID CENPATICO $858.00 ↑ +52%

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Kidney (Retroperitoneal) Ultrasound (complete) at other Wisconsin hospitals

Hospital City Cash price Negotiated range
Aurora Baycare Medical Center Green Bay $467.50 not published
HSHS St. Vincent Hospital Green Bay $566.28 $40.62 – $521.52
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $549.61 $57.58 – $245.18
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $549.61 $57.58 – $245.18
UnityPoint Health - Meriter Hospital Madison $1,415.87 $32.41 – $552.19
SSM Health St. Clare Hospital - Baraboo Baraboo $921.25 $76.16 – $828.01
SSM Health St. Mary's Hospital - Janesville Janesville $1,190.75 $78.98 – $594.22
SSM Health St. Mary's Hospital - Madison Madison $1,012.55 $76.16 – $623.45

All Wisconsin hospitals for this procedure →