Tx atrial fib pulm vein isol at HSHS St. Mary's Hospital Medical Center
1726 SHAWANO AVE, GREEN BAY, WI · Hshs · · NPI 1649246877
$17,666.22
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.
$26,767.00
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.
$7,726.98 with ANTHEM vs $57,427.06 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 |
|---|---|---|---|
| ANTHEM | ANTEHM MEDICAID | $7,726.98 | ↓ -56% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $7,726.98 | ↓ -56% |
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $7,726.98 | ↓ -56% |
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $7,726.98 | ↓ -56% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $7,726.98 | ↓ -56% |
| TRIOLOGY | TRILOGY MEDICAID | $8,190.59 | ↓ -54% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $8,190.60 | ↓ -54% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $13,008.76 | ↓ -26% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $13,383.50 | ↓ -24% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $16,060.20 | ↓ -9% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $16,595.54 | ↓ -6% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $17,085.38 | ↓ -3% |
| HUMANA | HUMANA CHOICE CARE HMO | $17,372.00 | ↓ -2% |
| HUMANA | HUMANA NATIIONAL POS HMO | $17,372.00 | ↓ -2% |
| CIGNA | ALL COMMERCIAL CIGNA | $18,736.90 | ↑ +6% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $19,004.57 | ↑ +8% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $19,272.24 | ↑ +9% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $19,272.24 | ↑ +9% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $19,272.24 | ↑ +9% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $19,272.24 | ↑ +9% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $19,539.91 | ↑ +11% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $19,539.91 | ↑ +11% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $20,075.25 | ↑ +14% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $20,383.90 | ↑ +15% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $20,383.90 | ↑ +15% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $20,383.90 | ↑ +15% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $20,603.44 | ↑ +17% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $20,603.44 | ↑ +17% |
| PREVEA HEALTH NETWORK | PREVEA360 | $20,603.44 | ↑ +17% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $20,603.44 | ↑ +17% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $22,484.28 | ↑ +27% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $22,484.28 | ↑ +27% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $22,751.95 | ↑ +29% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $22,751.95 | ↑ +29% |
| HUMANA | HUMANA CHOICE CARE PPO | $22,751.95 | ↑ +29% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $24,625.64 | ↑ +39% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $25,428.65 | ↑ +44% |
| UNITY HEALTH PLAN | UNITY HOSPICE | $25,523.14 | ↑ +44% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $25,523.14 | ↑ +44% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $25,523.14 | ↑ +44% |
| AETNA | AETNA MEDICARE | $25,523.14 | ↑ +44% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $25,523.14 | ↑ +44% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $25,523.14 | ↑ +44% |
| MEDICARE MANAGED | MANAGED MEDICARE NO SEQUESTRATION | $25,523.14 | ↑ +44% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $25,778.37 | ↑ +46% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $26,767.00 | ↑ +52% |
| ANTHEM | ANTHEM POS/HMO | $26,767.00 | ↑ +52% |
| CENPATICO | ALL MEDICAID CENPATICO | $26,767.00 | ↑ +52% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $26,767.00 | ↑ +52% |
| COFINITY | COFINITY | $26,767.00 | ↑ +52% |
| AETNA | AETNA HSHS | $26,767.00 | ↑ +52% |
| AETNA | ALL COMMERCIAL AETNA | $26,767.00 | ↑ +52% |
| ANTHEM | ANTHEM PPO | $26,767.00 | ↑ +52% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $57,427.06 | ↑ +225% |
Visitor-reported prices
Comments
Tx atrial fib pulm vein isol at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HSHS St. Vincent Hospital | Green Bay | $17,666.22 | $8,011.46 – $57,124.24 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $56,211.80 | $1,443.40 – $18,652.00 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $56,211.80 | $1,443.40 – $18,652.00 |
| UnityPoint Health - Meriter Hospital | Madison | $44,770.17 | $804.59 – $17,460.37 |
| SSM Health St. Mary's Hospital - Madison | Madison | $22,629.75 | $14,021.00 – $40,147.00 |
| SSM Health Ripon Community Hospital | Ripon | $25,527.15 | $41,120.00 – $43,643.00 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $25,527.15 | $19,389.90 – $49,896.68 |
| SSM Health Waupun Memorial Hospital | Waupun | $25,527.15 | $41,120.00 – $43,643.00 |