Belatacept 250 mg intravenous solution at HSHS St. Vincent Hospital

835 S. Van Buren St., Green Bay, WI · Hshs · · NPI 1114908001

Source: hospital's published price file ↗ · Published Mar 24, 2026 · Ingested Sep 16, 2026

$9.68

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.

$14.66

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.

$3.89 with UNITED HEALTHCARE vs $15.54 with MOLINA HEALTHCARE — 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
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $3.89 ↓ -60%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $3.89 ↓ -60%
HUMANA HUMANA MEDICARE ADVANTAGE $3.89 ↓ -60%
MEDICARE MANAGED MANAGED MEDICARE NO SEQUESTRATION $3.89 ↓ -60%
AETNA AETNA MEDICARE $3.89 ↓ -60%
UNITY HEALTH PLAN UNITY HOSPICE $3.89 ↓ -60%
MOLINA HEALTHCARE MOLINA MEDICARE $3.89 ↓ -60%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $3.93 ↓ -59%
UNITED HEALTHCARE UHC ONEIDA NATION $6.42 ↓ -34%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $6.42 ↓ -34%
UNITED HEALTHCARE UNITED HEALTHCARE $6.42 ↓ -34%
HUMANA HUMANA NATIIONAL POS HMO $6.59 ↓ -32%
HUMANA HUMANA CHOICE CARE HMO $6.59 ↓ -32%
ANTHEM ANTHEM POS/HMO $6.61 ↓ -32%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $6.96 ↓ -28%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $6.96 ↓ -28%
PREVEA HEALTH NETWORK PREVEA360 $6.96 ↓ -28%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $6.96 ↓ -28%
HSHS EMPLOYEES HSHS EMPLOYEES $7.12 ↓ -26%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $7.33 ↓ -24%
ANTHEM ANTHEM PPO $8.17 ↓ -16%
NAPHCARE ALL COMMERICAL NAPHCARE $8.76 ↓ -10%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $8.80 ↓ -9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $9.09 ↓ -6%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $9.36 ↓ -3%
AETNA AETNA HSHS $9.47 ↓ -2%
CIGNA ALL COMMERCIAL CIGNA $10.26 ↑ +6%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $10.41 ↑ +8%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $10.56 ↑ +9%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $10.56 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $10.56 ↑ +9%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $10.56 ↑ +9%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $10.70 ↑ +11%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $10.70 ↑ +11%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $11.00 ↑ +14%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $12.31 ↑ +27%
HEALTH CARE ALLIANCE THE ALLIANCE $12.31 ↑ +27%
HUMANA HUMANA CHOICE CARE PPO $12.46 ↑ +29%
CHOICECARE ALL COMMERCIAL CHOICE CARE $12.46 ↑ +29%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $12.46 ↑ +29%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $13.49 ↑ +39%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $13.93 ↑ +44%
TRIOLOGY TRILOGY MEDICAID $14.66 ↑ +51%
AETNA ALL COMMERCIAL AETNA $14.66 ↑ +51%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $14.66 ↑ +51%
COFINITY COFINITY $14.66 ↑ +51%
MERIDIAN HEALTH PLAN MERIDIAN HMO MCD $14.66 ↑ +51%
MANAGED HEALTH SERVICES MANAGED HEALTH SERVICES MEDICAID $14.66 ↑ +51%
ANTHEM ANTEHM MEDICAID $14.66 ↑ +51%
CONTINUUS MEDICAID MANAGED CONTINUUS MEDICAID MANAGED $14.66 ↑ +51%
COMMUNITY CARE FAMILY CARE COMMUNITY CARE FAMILY CARE MEDICAID MANAGED $14.66 ↑ +51%
CENPATICO ALL MEDICAID CENPATICO $14.66 ↑ +51%
LIVE360 LIVE360 HSHS HEALTHY PLAN $14.66 ↑ +51%
MOLINA HEALTHCARE MOLINA MEDICAID $15.54 ↑ +61%

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Belatacept 250 mg intravenous solution at other Wisconsin hospitals

Hospital City Cash price Negotiated range
UnityPoint Health - Meriter Hospital Madison not published $3.87 – $4.74
SSM Health St. Clare Hospital - Baraboo Baraboo not published $2.91 – $7.39
SSM Health St. Mary's Hospital - Janesville Janesville not published $2.91 – $7.39
SSM Health St. Mary's Hospital - Madison Madison not published $2.91 – $7.39
SSM Health Monroe Hospital Monroe not published $3.88 – $10.59
SSM Health Ripon Community Hospital Ripon not published $4.26 – $10.69
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $2.91 – $10.69
SSM Health Waupun Memorial Hospital Waupun not published $4.26 – $10.69

All Wisconsin hospitals for this procedure →