Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr 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

$32.34

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.

$49.00

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.

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The hospital's undiscounted list price — almost no one pays this.

$12.56 with HSHS EMPLOYEES vs $25.85 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 →

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
HSHS EMPLOYEES HSHS EMPLOYEES $12.56 ↓ -61%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $12.93 ↓ -60%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $14.34 ↓ -56%
UNITED HEALTHCARE UHC ONEIDA NATION $14.34 ↓ -56%
UNITED HEALTHCARE UNITED HEALTHCARE $14.34 ↓ -56%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $15.51 ↓ -52%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $15.51 ↓ -52%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $15.51 ↓ -52%
PREVEA HEALTH NETWORK PREVEA360 $15.51 ↓ -52%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $15.51 ↓ -52%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $16.03 ↓ -50%
HUMANA HUMANA CHOICE CARE HMO $16.41 ↓ -49%
HUMANA HUMANA NATIIONAL POS HMO $16.41 ↓ -49%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $16.50 ↓ -49%
ANTHEM ANTHEM PPO $17.58 ↓ -46%
ANTHEM ANTHEM POS/HMO $17.58 ↓ -46%
CIGNA ALL COMMERCIAL CIGNA $18.10 ↓ -44%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $18.35 ↓ -43%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $18.61 ↓ -42%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $18.61 ↓ -42%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $18.61 ↓ -42%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $18.61 ↓ -42%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $18.87 ↓ -42%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $18.87 ↓ -42%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $19.39 ↓ -40%
HEALTH CARE ALLIANCE THE ALLIANCE $21.71 ↓ -33%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $21.71 ↓ -33%
CHOICECARE ALL COMMERCIAL CHOICE CARE $21.97 ↓ -32%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $21.97 ↓ -32%
HUMANA HUMANA CHOICE CARE PPO $21.97 ↓ -32%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $23.78 ↓ -26%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $24.56 ↓ -24%
COFINITY COFINITY $25.85 ↓ -20%
CENPATICO ALL MEDICAID CENPATICO $25.85 ↓ -20%
LIVE360 LIVE360 HSHS HEALTHY PLAN $25.85 ↓ -20%
AETNA AETNA HSHS $25.85 ↓ -20%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $25.85 ↓ -20%
AETNA ALL COMMERCIAL AETNA $25.85 ↓ -20%

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Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr at other Wisconsin hospitals

Hospital City Cash price Negotiated range
Aurora Baycare Medical Center Green Bay $21.42 $4.37 – $6.96
HSHS St. Vincent Hospital Green Bay $34.52 $14.34 – $14.34
UnityPoint Health - Meriter Hospital Madison $77.00 $4.55 – $45.29
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee $36.50 $4.37 – $6.96
Aurora Medical Center Summit Summit $25.09 $4.37 – $6.96
Aurora Medical Center Manitowoc Two Rivers $21.99 $4.37 – $6.96
Aurora West Allis Medical Center West Allis $25.35 $4.37 – $6.96
Aurora Medical Center Bay Area Marinette $23.80 $4.37 – $6.96

All Wisconsin hospitals for this procedure →