Pt re-evaluation patient/family at HSHS St. Mary's Hospital Medical Center
1726 SHAWANO AVE, GREEN BAY, WI · Hshs · · NPI 1649246877
$89.10
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.
$135.00
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.
$56.86 with HSHS EMPLOYEES vs $147.98 with NAPHCARE — 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 | $56.86 | ↓ -36% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $58.50 | ↓ -34% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $65.77 | ↓ -26% |
| AETNA | AETNA MEDICARE | $65.77 | ↓ -26% |
| UNITY HEALTH PLAN | UNITY HOSPICE | $65.77 | ↓ -26% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $65.77 | ↓ -26% |
| MEDICARE MANAGED | MANAGED MEDICARE NO SEQUESTRATION | $65.77 | ↓ -26% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $65.77 | ↓ -26% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $65.77 | ↓ -26% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $66.43 | ↓ -25% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $70.20 | ↓ -21% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $72.54 | ↓ -19% |
| HUMANA | HUMANA CHOICE CARE HMO | $74.30 | ↓ -17% |
| HUMANA | HUMANA NATIIONAL POS HMO | $74.30 | ↓ -17% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $74.68 | ↓ -16% |
| CIGNA | ALL COMMERCIAL CIGNA | $81.90 | ↓ -8% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $83.07 | ↓ -7% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $84.24 | ↓ -5% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $84.24 | ↓ -5% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $84.24 | ↓ -5% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $84.24 | ↓ -5% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $85.41 | ↓ -4% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $85.41 | ↓ -4% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $87.75 | ↓ -2% |
| TRIOLOGY | TRILOGY MEDICAID | $88.79 | ↓ -0% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $98.28 | ↑ +10% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $98.28 | ↑ +10% |
| HUMANA | HUMANA CHOICE CARE PPO | $99.45 | ↑ +12% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $99.45 | ↑ +12% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $99.45 | ↑ +12% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $107.64 | ↑ +21% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $111.15 | ↑ +25% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $117.00 | ↑ +31% |
| ANTHEM | ANTHEM PPO | $117.00 | ↑ +31% |
| ANTHEM | ANTHEM POS/HMO | $117.00 | ↑ +31% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $117.00 | ↑ +31% |
| CENPATICO | ALL MEDICAID CENPATICO | $117.00 | ↑ +31% |
| AETNA | ALL COMMERCIAL AETNA | $117.00 | ↑ +31% |
| AETNA | AETNA HSHS | $117.00 | ↑ +31% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $117.00 | ↑ +31% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $117.00 | ↑ +31% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $117.00 | ↑ +31% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $117.00 | ↑ +31% |
| COFINITY | COFINITY | $117.00 | ↑ +31% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $117.00 | ↑ +31% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $117.00 | ↑ +31% |
| PREVEA HEALTH NETWORK | PREVEA360 | $117.00 | ↑ +31% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $147.98 | ↑ +66% |
Visitor-reported prices
Comments
Pt re-evaluation patient/family at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Baycare Medical Center | Green Bay | $125.00 | not published |
| HSHS St. Vincent Hospital | Green Bay | $89.10 | $65.77 – $147.98 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $82.68 | $65.63 – $175.79 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $82.68 | $65.63 – $175.79 |
| UnityPoint Health - Meriter Hospital | Madison | $456.05 | $57.90 – $205.22 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $158.40 | $49.33 – $65.77 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $109.45 | not published |
| SSM Health St. Mary's Hospital - Madison | Madison | $142.45 | $49.33 – $65.77 |