Mayo gamma-globin full gene sequencing at HSHS St. Mary's Hospital Medical Center
1726 SHAWANO AVE, GREEN BAY, WI · Hshs · · NPI 1649246877
$912.12
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.
$1,382.00
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.
$16.71 with COMMUNITY CARE FAMILY CARE vs $276.00 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 →
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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 |
|---|---|---|---|
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $16.71 | ↓ -98% |
| ANTHEM | ANTEHM MEDICAID | $16.71 | ↓ -98% |
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $16.71 | ↓ -98% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $16.71 | ↓ -98% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $16.71 | ↓ -98% |
| TRIOLOGY | TRILOGY MEDICAID | $17.71 | ↓ -98% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $17.71 | ↓ -98% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $134.14 | ↓ -85% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $138.00 | ↓ -85% |
| PREVEA HEALTH NETWORK | PREVEA360 | $165.60 | ↓ -82% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $165.60 | ↓ -82% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $165.60 | ↓ -82% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $165.60 | ↓ -82% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $165.60 | ↓ -82% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $165.60 | ↓ -82% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $171.12 | ↓ -81% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $176.17 | ↓ -81% |
| ANTHEM | ANTHEM POS/HMO | $187.68 | ↓ -79% |
| ANTHEM | ANTHEM PPO | $187.68 | ↓ -79% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $193.20 | ↓ -79% |
| CIGNA | ALL COMMERCIAL CIGNA | $193.20 | ↓ -79% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $195.96 | ↓ -79% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $198.72 | ↓ -78% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $198.72 | ↓ -78% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $198.72 | ↓ -78% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $198.72 | ↓ -78% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $201.48 | ↓ -78% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $201.48 | ↓ -78% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $207.00 | ↓ -77% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $231.84 | ↓ -75% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $231.84 | ↓ -75% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $234.60 | ↓ -74% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $234.60 | ↓ -74% |
| HUMANA | HUMANA CHOICE CARE PPO | $234.60 | ↓ -74% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $253.92 | ↓ -72% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $262.20 | ↓ -71% |
| AETNA | AETNA HSHS | $276.00 | ↓ -70% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $276.00 | ↓ -70% |
| COFINITY | COFINITY | $276.00 | ↓ -70% |
| CENPATICO | ALL MEDICAID CENPATICO | $276.00 | ↓ -70% |
| AETNA | ALL COMMERCIAL AETNA | $276.00 | ↓ -70% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $276.00 | ↓ -70% |
Visitor-reported prices
Comments
Mayo gamma-globin full gene sequencing at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Baycare Medical Center | Green Bay | $3,055.00 | $213.00 – $213.00 |
| HSHS St. Vincent Hospital | Green Bay | $912.12 | $17.32 – $165.60 |
| UnityPoint Health - Meriter Hospital | Madison | $1,317.60 | $193.56 – $715.33 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $2,291.30 | not published |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $2,215.40 | not published |
| SSM Health St. Mary's Hospital - Madison | Madison | $1,636.25 | not published |
| SSM Health Monroe Hospital | Monroe | $1,549.90 | not published |
| SSM Health Ripon Community Hospital | Ripon | $4,878.50 | not published |