Ultrasound chest at HSHS St. Mary's Hospital Medical Center
1726 SHAWANO AVE, GREEN BAY, WI · Hshs · · NPI 1649246877
$405.24
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.
?
What you pay up front if you don't use insurance.
$614.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$40.83 with MOLINA HEALTHCARE vs $614.00 with AETNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| MOLINA HEALTHCARE | MOLINA MEDICARE | $40.83 | ↓ -90% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $41.24 | ↓ -90% |
| ANTHEM | ANTEHM MEDICAID | $48.32 | ↓ -88% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $48.32 | ↓ -88% |
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $48.32 | ↓ -88% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $48.32 | ↓ -88% |
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $48.32 | ↓ -88% |
| TRIOLOGY | TRILOGY MEDICAID | $51.22 | ↓ -87% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $51.22 | ↓ -87% |
| HUMANA | HUMANA NATIIONAL POS HMO | $59.00 | ↓ -85% |
| HUMANA | HUMANA CHOICE CARE HMO | $59.00 | ↓ -85% |
| MEDICARE MANAGED | MANAGED MEDICARE NO SEQUESTRATION | $102.09 | ↓ -75% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $102.09 | ↓ -75% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $102.09 | ↓ -75% |
| UNITY HEALTH PLAN | UNITY HOSPICE | $102.09 | ↓ -75% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $102.09 | ↓ -75% |
| AETNA | AETNA MEDICARE | $102.09 | ↓ -75% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $229.70 | ↓ -43% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $298.40 | ↓ -26% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $307.00 | ↓ -24% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $368.40 | ↓ -9% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $380.68 | ↓ -6% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $391.92 | ↓ -3% |
| CIGNA | ALL COMMERCIAL CIGNA | $429.80 | ↑ +6% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $435.94 | ↑ +8% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $442.08 | ↑ +9% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $442.08 | ↑ +9% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $442.08 | ↑ +9% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $442.08 | ↑ +9% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $448.22 | ↑ +11% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $448.22 | ↑ +11% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $460.50 | ↑ +14% |
| ANTHEM | ANTHEM PPO | $500.00 | ↑ +23% |
| ANTHEM | ANTHEM POS/HMO | $500.00 | ↑ +23% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $515.76 | ↑ +27% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $515.76 | ↑ +27% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $521.52 | ↑ +29% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $521.52 | ↑ +29% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $521.52 | ↑ +29% |
| PREVEA HEALTH NETWORK | PREVEA360 | $521.52 | ↑ +29% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $521.90 | ↑ +29% |
| HUMANA | HUMANA CHOICE CARE PPO | $521.90 | ↑ +29% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $521.90 | ↑ +29% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $564.88 | ↑ +39% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $574.00 | ↑ +42% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $574.00 | ↑ +42% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $574.00 | ↑ +42% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $583.30 | ↑ +44% |
| COFINITY | COFINITY | $614.00 | ↑ +52% |
| CENPATICO | ALL MEDICAID CENPATICO | $614.00 | ↑ +52% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $614.00 | ↑ +52% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $614.00 | ↑ +52% |
| AETNA | AETNA HSHS | $614.00 | ↑ +52% |
| AETNA | ALL COMMERCIAL AETNA | $614.00 | ↑ +52% |
Visitor-reported prices
Comments
Ultrasound chest at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Baycare Medical Center | Green Bay | $352.50 | not published |
| HSHS St. Vincent Hospital | Green Bay | $405.24 | $40.62 – $521.52 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $504.03 | $45.12 – $245.18 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $504.03 | $45.12 – $245.18 |
| UnityPoint Health - Meriter Hospital | Madison | $919.47 | $25.29 – $381.58 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $707.30 | $76.16 – $662.10 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $884.40 | $78.98 – $475.14 |
| SSM Health St. Mary's Hospital - Madison | Madison | $748.00 | $76.16 – $498.51 |