Caffeine citrate 20 mg/ml inj for po 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

$4.87

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.

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What you pay up front if you don't use insurance.

$7.38

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.

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The hospital's undiscounted list price — almost no one pays this.

$1.24 with HUMANA vs $6.15 with CENPATICO — 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.

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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
HUMANA HUMANA NATIIONAL POS HMO $1.24 ↓ -75%
HUMANA HUMANA CHOICE CARE HMO $1.24 ↓ -75%
HSHS EMPLOYEES HSHS EMPLOYEES $2.99 ↓ -39%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $3.08 ↓ -37%
UNITED HEALTHCARE UNITED HEALTHCARE $3.35 ↓ -31%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $3.35 ↓ -31%
UNITED HEALTHCARE UHC ONEIDA NATION $3.35 ↓ -31%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $3.69 ↓ -24%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $3.69 ↓ -24%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $3.69 ↓ -24%
PREVEA HEALTH NETWORK PREVEA360 $3.69 ↓ -24%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $3.69 ↓ -24%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $3.81 ↓ -22%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $3.93 ↓ -19%
AETNA AETNA HSHS $3.97 ↓ -18%
ANTHEM ANTHEM PPO $4.18 ↓ -14%
ANTHEM ANTHEM POS/HMO $4.18 ↓ -14%
CIGNA ALL COMMERCIAL CIGNA $4.31 ↓ -11%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $4.37 ↓ -10%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $4.43 ↓ -9%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $4.43 ↓ -9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $4.43 ↓ -9%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $4.43 ↓ -9%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $4.49 ↓ -8%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $4.49 ↓ -8%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $4.61 ↓ -5%
HEALTH CARE ALLIANCE THE ALLIANCE $5.17 ↑ +6%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $5.17 ↑ +6%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $5.23 ↑ +7%
CHOICECARE ALL COMMERCIAL CHOICE CARE $5.23 ↑ +7%
HUMANA HUMANA CHOICE CARE PPO $5.23 ↑ +7%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $5.66 ↑ +16%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $5.84 ↑ +20%
LIVE360 LIVE360 HSHS HEALTHY PLAN $6.15 ↑ +26%
AETNA ALL COMMERCIAL AETNA $6.15 ↑ +26%
COFINITY COFINITY $6.15 ↑ +26%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $6.15 ↑ +26%
CENPATICO ALL MEDICAID CENPATICO $6.15 ↑ +26%

Visitor-reported prices

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Caffeine citrate 20 mg/ml inj for po at other Wisconsin hospitals

Hospital City Cash price Negotiated range
Aurora Baycare Medical Center Green Bay not published $1.42 – $2.28
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $3.42 $1.90 – $5.31
UnityPoint Health - Meriter Hospital Madison $20.78 $0.95 – $3.49
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee $19.44 $1.42 – $2.28
Ascension St. Francis Hospital, Inc. Milwaukee $10.66 $4.64 – $4.64
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee $10.39 $4.64 – $4.64
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton $5.23 $3.70 – $3.70
SSM Health Monroe Hospital Monroe not published $5.53 – $5.53

All Wisconsin hospitals for this procedure →