Lipoprotein blood quant at HSHS St. Mary's Hospital Medical Center
1726 SHAWANO AVE, GREEN BAY, WI · Hshs · · NPI 1649246877
$217.80
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.
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What you pay up front if you don't use insurance.
$330.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$34.19 with HUMANA vs $157.00 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 →
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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 ?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 |
|---|---|---|---|
| HUMANA | HUMANA MEDICARE ADVANTAGE | $34.19 | ↓ -84% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $34.19 | ↓ -84% |
| UNITY HEALTH PLAN | UNITY HOSPICE | $34.19 | ↓ -84% |
| AETNA | AETNA MEDICARE | $34.19 | ↓ -84% |
| MEDICARE MANAGED | MANAGED MEDICARE NO SEQUESTRATION | $34.19 | ↓ -84% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $34.19 | ↓ -84% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $34.19 | ↓ -84% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $34.53 | ↓ -84% |
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $35.33 | ↓ -84% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $35.33 | ↓ -84% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $35.33 | ↓ -84% |
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $35.33 | ↓ -84% |
| ANTHEM | ANTEHM MEDICAID | $35.33 | ↓ -84% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $37.45 | ↓ -83% |
| TRIOLOGY | TRILOGY MEDICAID | $37.45 | ↓ -83% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $41.03 | ↓ -81% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $41.03 | ↓ -81% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $41.03 | ↓ -81% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $44.45 | ↓ -80% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $44.45 | ↓ -80% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $44.45 | ↓ -80% |
| PREVEA HEALTH NETWORK | PREVEA360 | $44.45 | ↓ -80% |
| HUMANA | HUMANA NATIIONAL POS HMO | $58.12 | ↓ -73% |
| HUMANA | HUMANA CHOICE CARE HMO | $58.12 | ↓ -73% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $76.30 | ↓ -65% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $76.93 | ↓ -65% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $78.50 | ↓ -64% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $94.20 | ↓ -57% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $97.34 | ↓ -55% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $100.21 | ↓ -54% |
| CIGNA | ALL COMMERCIAL CIGNA | $109.90 | ↓ -50% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $111.47 | ↓ -49% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $113.04 | ↓ -48% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $113.04 | ↓ -48% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $113.04 | ↓ -48% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $113.04 | ↓ -48% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $114.61 | ↓ -47% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $114.61 | ↓ -47% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $117.75 | ↓ -46% |
| ANTHEM | ANTHEM PPO | $119.67 | ↓ -45% |
| ANTHEM | ANTHEM POS/HMO | $119.67 | ↓ -45% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $131.88 | ↓ -39% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $131.88 | ↓ -39% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $133.45 | ↓ -39% |
| HUMANA | HUMANA CHOICE CARE PPO | $133.45 | ↓ -39% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $133.45 | ↓ -39% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $144.44 | ↓ -34% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $149.15 | ↓ -32% |
| CENPATICO | ALL MEDICAID CENPATICO | $157.00 | ↓ -28% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $157.00 | ↓ -28% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $157.00 | ↓ -28% |
| AETNA | ALL COMMERCIAL AETNA | $157.00 | ↓ -28% |
| COFINITY | COFINITY | $157.00 | ↓ -28% |
| AETNA | AETNA HSHS | $157.00 | ↓ -28% |
Visitor-reported prices
Comments
Lipoprotein blood quant at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Baycare Medical Center | Green Bay | $137.50 | $27.35 – $120.00 |
| HSHS St. Vincent Hospital | Green Bay | $217.80 | $34.19 – $76.93 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $334.43 | $34.19 – $137.55 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $334.43 | $34.19 – $137.55 |
| UnityPoint Health - Meriter Hospital | Madison | $390.17 | $20.51 – $152.17 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | $143.63 | $33.16 – $56.52 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $96.80 | $25.64 – $313.62 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $116.60 | $25.64 – $250.90 |