Revasc lithotrip-stent-ather 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

$20,739.84

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.

Full explanation →

What you pay up front if you don't use insurance.

$31,424.00

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.

Full explanation →

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

$4,729.17 with ANTHEM vs $40,276.14 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 →

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
ANTHEM ANTEHM MEDICAID $4,729.17 ↓ -77%
MANAGED HEALTH SERVICES MANAGED HEALTH SERVICES MEDICAID $4,729.17 ↓ -77%
CONTINUUS MEDICAID MANAGED CONTINUUS MEDICAID MANAGED $4,729.17 ↓ -77%
COMMUNITY CARE FAMILY CARE COMMUNITY CARE FAMILY CARE MEDICAID MANAGED $4,729.17 ↓ -77%
MERIDIAN HEALTH PLAN MERIDIAN HMO MCD $4,729.17 ↓ -77%
MOLINA HEALTHCARE MOLINA MEDICAID $5,012.92 ↓ -76%
TRIOLOGY TRILOGY MEDICAID $5,012.92 ↓ -76%
HUMANA HUMANA CHOICE CARE HMO $7,604.00 ↓ -63%
HUMANA HUMANA NATIIONAL POS HMO $7,604.00 ↓ -63%
PREVEA HEALTH NETWORK PREVEA360 $11,200.86 ↓ -46%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $11,200.86 ↓ -46%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $11,200.86 ↓ -46%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $11,200.86 ↓ -46%
HSHS EMPLOYEES HSHS EMPLOYEES $15,272.06 ↓ -26%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $15,712.00 ↓ -24%
UNITY HEALTH PLAN UNITY HOSPICE $17,900.51 ↓ -14%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $17,900.51 ↓ -14%
MEDICARE MANAGED MANAGED MEDICARE NO SEQUESTRATION $17,900.51 ↓ -14%
AETNA AETNA MEDICARE $17,900.51 ↓ -14%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $17,900.51 ↓ -14%
MOLINA HEALTHCARE MOLINA MEDICARE $17,900.51 ↓ -14%
HUMANA HUMANA MEDICARE ADVANTAGE $17,900.51 ↓ -14%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $18,079.52 ↓ -13%
ANTHEM ANTHEM POS/HMO $18,410.00 ↓ -11%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $18,854.40 ↓ -9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $19,482.88 ↓ -6%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $20,057.94 ↓ -3%
CIGNA ALL COMMERCIAL CIGNA $21,996.80 ↑ +6%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $22,311.04 ↑ +8%
ANTHEM ANTHEM PPO $22,500.00 ↑ +8%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $22,625.28 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $22,625.28 ↑ +9%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $22,625.28 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $22,625.28 ↑ +9%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $22,939.52 ↑ +11%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $22,939.52 ↑ +11%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $23,568.00 ↑ +14%
HEALTH CARE ALLIANCE THE ALLIANCE $26,396.16 ↑ +27%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $26,396.16 ↑ +27%
CHOICECARE ALL COMMERCIAL CHOICE CARE $26,710.40 ↑ +29%
HUMANA HUMANA CHOICE CARE PPO $26,710.40 ↑ +29%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $26,710.40 ↑ +29%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $28,910.08 ↑ +39%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $29,852.80 ↑ +44%
COFINITY COFINITY $31,424.00 ↑ +52%
LIVE360 LIVE360 HSHS HEALTHY PLAN $31,424.00 ↑ +52%
AETNA AETNA HSHS $31,424.00 ↑ +52%
CENPATICO ALL MEDICAID CENPATICO $31,424.00 ↑ +52%
AETNA ALL COMMERCIAL AETNA $31,424.00 ↑ +52%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $31,424.00 ↑ +52%
NAPHCARE ALL COMMERICAL NAPHCARE $40,276.14 ↑ +94%

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Revasc lithotrip-stent-ather at other Wisconsin hospitals

Hospital City Cash price Negotiated range
HSHS St. Vincent Hospital Green Bay $20,739.84 $4,903.29 – $40,063.76
SSM Health St. Mary's Hospital - Madison Madison $19,044.30 $13,354.59 – $27,690.00
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee $20,040.00 not published
Aurora West Allis Medical Center West Allis $20,040.00 not published
Aurora Medical Center Sheboygan County Sheboygan $20,040.00 not published
Aurora Medical Center Grafton Grafton $20,040.00 not published
Aurora Medical Center Kenosha Kenosha $20,040.00 not published
UnityPoint Health - Meriter Hospital Madison not published $8,650.00 – $19,686.00

All Wisconsin hospitals for this procedure →