Tissue culture skin/biopsy at HSHS St. Mary's Hospital Medical Center
1726 SHAWANO AVE, GREEN BAY, WI · Hshs · · NPI 1649246877
$735.24
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.
$1,114.00
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.
$70.04 with COMMUNITY CARE FAMILY CARE vs $486.00 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 →
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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 | $70.04 | ↓ -90% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $70.04 | ↓ -90% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $70.04 | ↓ -90% |
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $70.04 | ↓ -90% |
| ANTHEM | ANTEHM MEDICAID | $70.04 | ↓ -90% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $74.24 | ↓ -90% |
| TRIOLOGY | TRILOGY MEDICAID | $74.24 | ↓ -90% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $140.73 | ↓ -81% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $140.73 | ↓ -81% |
| UNITY HEALTH PLAN | UNITY HOSPICE | $140.73 | ↓ -81% |
| AETNA | AETNA MEDICARE | $140.73 | ↓ -81% |
| MEDICARE MANAGED | MANAGED MEDICARE NO SEQUESTRATION | $140.73 | ↓ -81% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $140.73 | ↓ -81% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $140.73 | ↓ -81% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $142.14 | ↓ -81% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $168.88 | ↓ -77% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $168.88 | ↓ -77% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $168.88 | ↓ -77% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $182.95 | ↓ -75% |
| PREVEA HEALTH NETWORK | PREVEA360 | $182.95 | ↓ -75% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $182.95 | ↓ -75% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $182.95 | ↓ -75% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $236.20 | ↓ -68% |
| HUMANA | HUMANA NATIIONAL POS HMO | $239.24 | ↓ -67% |
| HUMANA | HUMANA CHOICE CARE HMO | $239.24 | ↓ -67% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $243.00 | ↓ -67% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $291.60 | ↓ -60% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $301.32 | ↓ -59% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $310.21 | ↓ -58% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $316.64 | ↓ -57% |
| CIGNA | ALL COMMERCIAL CIGNA | $340.20 | ↓ -54% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $345.06 | ↓ -53% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $349.92 | ↓ -52% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $349.92 | ↓ -52% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $349.92 | ↓ -52% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $349.92 | ↓ -52% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $354.78 | ↓ -52% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $354.78 | ↓ -52% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $364.50 | ↓ -50% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $408.24 | ↓ -44% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $408.24 | ↓ -44% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $413.10 | ↓ -44% |
| HUMANA | HUMANA CHOICE CARE PPO | $413.10 | ↓ -44% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $413.10 | ↓ -44% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $447.12 | ↓ -39% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $461.70 | ↓ -37% |
| CENPATICO | ALL MEDICAID CENPATICO | $486.00 | ↓ -34% |
| AETNA | AETNA HSHS | $486.00 | ↓ -34% |
| ANTHEM | ANTHEM POS/HMO | $486.00 | ↓ -34% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $486.00 | ↓ -34% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $486.00 | ↓ -34% |
| ANTHEM | ANTHEM PPO | $486.00 | ↓ -34% |
| COFINITY | COFINITY | $486.00 | ↓ -34% |
| AETNA | ALL COMMERCIAL AETNA | $486.00 | ↓ -34% |
Visitor-reported prices
Comments
Tissue culture skin/biopsy at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Baycare Medical Center | Green Bay | $575.00 | $112.58 – $493.91 |
| HSHS St. Vincent Hospital | Green Bay | $735.24 | $70.04 – $316.64 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $544.84 | $117.97 – $543.75 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $544.84 | $117.97 – $543.75 |
| UnityPoint Health - Meriter Hospital | Madison | $372.00 | $82.94 – $140.73 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $632.50 | $105.55 – $495.11 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $532.40 | $105.55 – $396.07 |
| SSM Health St. Mary's Hospital - Madison | Madison | $545.60 | $105.55 – $405.09 |