Observation per hour at HSHS St. Mary's Hospital Medical Center
1726 SHAWANO AVE, GREEN BAY, WI · Hshs · · NPI 1649246877
$182.82
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.
$277.00
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.
$47.63 with HSHS EMPLOYEES vs $98.98 with SECURITY HEALTH PLAN — 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 |
|---|---|---|---|
| HSHS EMPLOYEES | HSHS EMPLOYEES | $47.63 | ↓ -74% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $49.00 | ↓ -73% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $58.80 | ↓ -68% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $60.76 | ↓ -67% |
| HUMANA | HUMANA NATIIONAL POS HMO | $62.23 | ↓ -66% |
| HUMANA | HUMANA CHOICE CARE HMO | $62.23 | ↓ -66% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $62.55 | ↓ -66% |
| CIGNA | ALL COMMERCIAL CIGNA | $68.60 | ↓ -62% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $69.58 | ↓ -62% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $70.56 | ↓ -61% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $70.56 | ↓ -61% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $70.56 | ↓ -61% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $70.56 | ↓ -61% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $71.54 | ↓ -61% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $71.54 | ↓ -61% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $73.50 | ↓ -60% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $82.32 | ↓ -55% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $82.32 | ↓ -55% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $83.30 | ↓ -54% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $83.30 | ↓ -54% |
| HUMANA | HUMANA CHOICE CARE PPO | $83.30 | ↓ -54% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $90.16 | ↓ -51% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $93.10 | ↓ -49% |
| ANTHEM | ANTHEM POS/HMO | $98.00 | ↓ -46% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $98.00 | ↓ -46% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $98.00 | ↓ -46% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $98.00 | ↓ -46% |
| AETNA | AETNA MEDICARE | $98.00 | ↓ -46% |
| AETNA | AETNA HSHS | $98.00 | ↓ -46% |
| AETNA | ALL COMMERCIAL AETNA | $98.00 | ↓ -46% |
| CENPATICO | ALL MEDICAID CENPATICO | $98.00 | ↓ -46% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $98.00 | ↓ -46% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $98.00 | ↓ -46% |
| ANTHEM | ANTHEM PPO | $98.00 | ↓ -46% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $98.00 | ↓ -46% |
| COFINITY | COFINITY | $98.00 | ↓ -46% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $98.00 | ↓ -46% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $98.00 | ↓ -46% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $98.00 | ↓ -46% |
| MEDICARE MANAGED | MANAGED MEDICARE NO SEQUESTRATION | $98.00 | ↓ -46% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $98.00 | ↓ -46% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $98.00 | ↓ -46% |
| PREVEA HEALTH NETWORK | PREVEA360 | $98.00 | ↓ -46% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $98.00 | ↓ -46% |
| UNITY HEALTH PLAN | UNITY HOSPICE | $98.00 | ↓ -46% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $98.98 | ↓ -46% |
| TRIOLOGY | TRILOGY MEDICAID | not published by hospital | — |
| ANTHEM | ANTEHM MEDICAID | not published by hospital | — |
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | not published by hospital | — |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | not published by hospital | — |
| MOLINA HEALTHCARE | MOLINA MEDICAID | not published by hospital | — |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | not published by hospital | — |
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | not published by hospital | — |
Visitor-reported prices
Comments
Observation per hour at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Baycare Medical Center | Green Bay | $55.00 | not published |
| HSHS St. Vincent Hospital | Green Bay | $182.82 | not published |
| UnityPoint Health - Meriter Hospital | Madison | $144.27 | $29.38 – $153.28 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $77.50 | not published |
| Aurora Medical Center Summit | Summit | $45.00 | not published |
| Aurora Medical Center Manitowoc | Two Rivers | $42.50 | not published |
| Aurora West Allis Medical Center | West Allis | $70.00 | not published |
| Aurora Medical Center Bay Area | Marinette | $82.50 | not published |