Dicyclomine injection 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

$409.46

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.

$620.40

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.

$18.69 with UNITED HEALTHCARE vs $620.40 with COFINITY — 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 ALL COMMERCIAL UNITED HEALTHCARE $18.69 ↓ -95%
UNITED HEALTHCARE UHC ONEIDA NATION $18.69 ↓ -95%
UNITED HEALTHCARE UNITED HEALTHCARE $18.69 ↓ -95%
ANTHEM ANTHEM POS/HMO $19.26 ↓ -95%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $20.28 ↓ -95%
PREVEA HEALTH NETWORK PREVEA360 $20.28 ↓ -95%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $20.28 ↓ -95%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $20.28 ↓ -95%
ANTHEM ANTHEM PPO $23.79 ↓ -94%
HUMANA HUMANA NATIIONAL POS HMO $34.56 ↓ -92%
HUMANA HUMANA CHOICE CARE HMO $34.56 ↓ -92%
HSHS EMPLOYEES HSHS EMPLOYEES $301.51 ↓ -26%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $310.20 ↓ -24%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $372.24 ↓ -9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $384.65 ↓ -6%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $396.00 ↓ -3%
AETNA AETNA HSHS $400.78 ↓ -2%
CIGNA ALL COMMERCIAL CIGNA $434.28 ↑ +6%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $440.48 ↑ +8%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $446.69 ↑ +9%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $446.69 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $446.69 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $446.69 ↑ +9%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $452.89 ↑ +11%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $452.89 ↑ +11%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $465.30 ↑ +14%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $521.14 ↑ +27%
HEALTH CARE ALLIANCE THE ALLIANCE $521.14 ↑ +27%
CHOICECARE ALL COMMERCIAL CHOICE CARE $527.34 ↑ +29%
HUMANA HUMANA CHOICE CARE PPO $527.34 ↑ +29%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $527.34 ↑ +29%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $570.77 ↑ +39%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $589.38 ↑ +44%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $620.40 ↑ +52%
AETNA ALL COMMERCIAL AETNA $620.40 ↑ +52%
CENPATICO ALL MEDICAID CENPATICO $620.40 ↑ +52%
LIVE360 LIVE360 HSHS HEALTHY PLAN $620.40 ↑ +52%
COFINITY COFINITY $620.40 ↑ +52%

Visitor-reported prices

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Dicyclomine injection at other Wisconsin hospitals

Hospital City Cash price Negotiated range
HSHS St. Mary's Hospital Medical Center GREEN BAY $197.90 $18.69 – $34.56
Aurora Baycare Medical Center Green Bay not published $12.86 – $111.31
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $117.76 $20.63 – $77.59
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $117.76 $20.63 – $77.59
UnityPoint Health - Meriter Hospital Madison $204.52 $11.68 – $217.09
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh $153.53 $30.52 – $269.35
Ascension St. Francis Hospital, Inc. Milwaukee $117.76 $18.33 – $93.32
Aurora Medical Center Fond du Lac Fond Du Lac $55.91 $12.86 – $111.31

All Wisconsin hospitals for this procedure →