Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative at HSHS St. Mary's Hospital Medical Center
1726 SHAWANO AVE, GREEN BAY, WI · Hshs · · NPI 1649246877
$753.06
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.
$1,141.00
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.
$163.96 with HUMANA vs $723.00 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 |
|---|---|---|---|
| HUMANA | HUMANA MEDICARE ADVANTAGE | $163.96 | ↓ -78% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $163.96 | ↓ -78% |
| UNITY HEALTH PLAN | UNITY HOSPICE | $163.96 | ↓ -78% |
| AETNA | AETNA MEDICARE | $163.96 | ↓ -78% |
| MEDICARE MANAGED | MANAGED MEDICARE NO SEQUESTRATION | $163.96 | ↓ -78% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $163.96 | ↓ -78% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $163.96 | ↓ -78% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $165.60 | ↓ -78% |
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $169.42 | ↓ -78% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $169.42 | ↓ -78% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $169.42 | ↓ -78% |
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $169.42 | ↓ -78% |
| ANTHEM | ANTEHM MEDICAID | $169.42 | ↓ -78% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $179.59 | ↓ -76% |
| TRIOLOGY | TRILOGY MEDICAID | $179.59 | ↓ -76% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $196.75 | ↓ -74% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $196.75 | ↓ -74% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $196.75 | ↓ -74% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $213.15 | ↓ -72% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $213.15 | ↓ -72% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $213.15 | ↓ -72% |
| PREVEA HEALTH NETWORK | PREVEA360 | $213.15 | ↓ -72% |
| HUMANA | HUMANA NATIIONAL POS HMO | $278.73 | ↓ -63% |
| HUMANA | HUMANA CHOICE CARE HMO | $278.73 | ↓ -63% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $351.38 | ↓ -53% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $361.50 | ↓ -52% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $368.91 | ↓ -51% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $433.80 | ↓ -42% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $448.26 | ↓ -40% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $461.49 | ↓ -39% |
| CIGNA | ALL COMMERCIAL CIGNA | $506.10 | ↓ -33% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $513.33 | ↓ -32% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $520.56 | ↓ -31% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $520.56 | ↓ -31% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $520.56 | ↓ -31% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $520.56 | ↓ -31% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $527.79 | ↓ -30% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $527.79 | ↓ -30% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $542.25 | ↓ -28% |
| ANTHEM | ANTHEM PPO | $573.86 | ↓ -24% |
| ANTHEM | ANTHEM POS/HMO | $573.86 | ↓ -24% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $607.32 | ↓ -19% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $607.32 | ↓ -19% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $614.55 | ↓ -18% |
| HUMANA | HUMANA CHOICE CARE PPO | $614.55 | ↓ -18% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $614.55 | ↓ -18% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $665.16 | ↓ -12% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $686.85 | ↓ -9% |
| CENPATICO | ALL MEDICAID CENPATICO | $723.00 | ↓ -4% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $723.00 | ↓ -4% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $723.00 | ↓ -4% |
| AETNA | ALL COMMERCIAL AETNA | $723.00 | ↓ -4% |
| COFINITY | COFINITY | $723.00 | ↓ -4% |
| AETNA | AETNA HSHS | $723.00 | ↓ -4% |
Visitor-reported prices
Comments
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Baycare Medical Center | Green Bay | $445.00 | $131.17 – $575.43 |
| HSHS St. Vincent Hospital | Green Bay | $753.06 | $163.96 – $368.91 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $546.96 | $163.96 – $714.09 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $546.96 | $163.96 – $714.09 |
| UnityPoint Health - Meriter Hospital | Madison | $212.00 | $59.80 – $163.96 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $1,172.60 | $122.97 – $1,629.76 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $1,134.65 | $122.97 – $1,303.81 |
| SSM Health St. Mary's Hospital - Madison | Madison | $838.20 | $122.97 – $1,333.43 |