Dx bronchoscope/brush 31623 at HSHS St. Vincent Hospital
835 S. Van Buren St., Green Bay, WI · Hshs · · NPI 1114908001
$2,970.00
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.
$4,500.00
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.
$821.51 with MERIDIAN HEALTH PLAN vs $3,889.96 with NAPHCARE — 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 |
|---|---|---|---|
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $821.51 | ↓ -72% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $821.51 | ↓ -72% |
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $821.51 | ↓ -72% |
| ANTHEM | ANTEHM MEDICAID | $821.51 | ↓ -72% |
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $821.51 | ↓ -72% |
| TRIOLOGY | TRILOGY MEDICAID | $870.80 | ↓ -71% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $870.80 | ↓ -71% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $1,718.01 | ↓ -42% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $1,728.87 | ↓ -42% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $1,728.87 | ↓ -42% |
| UNITY HEALTH PLAN | UNITY HOSPICE | $1,728.87 | ↓ -42% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $1,728.87 | ↓ -42% |
| AETNA | AETNA MEDICARE | $1,728.87 | ↓ -42% |
| MEDICARE MANAGED | MANAGED MEDICARE NO SEQUESTRATION | $1,728.87 | ↓ -42% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $1,728.87 | ↓ -42% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $1,746.16 | ↓ -41% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $1,767.50 | ↓ -40% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $2,121.00 | ↓ -29% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $2,191.70 | ↓ -26% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $2,256.39 | ↓ -24% |
| AETNA | AETNA HSHS | $2,283.61 | ↓ -23% |
| CIGNA | ALL COMMERCIAL CIGNA | $2,474.50 | ↓ -17% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $2,509.85 | ↓ -15% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $2,545.20 | ↓ -14% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $2,545.20 | ↓ -14% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $2,545.20 | ↓ -14% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $2,545.20 | ↓ -14% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $2,580.55 | ↓ -13% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $2,580.55 | ↓ -13% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $2,651.25 | ↓ -11% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $2,969.40 | ↓ -0% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $2,969.40 | ↓ -0% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $3,004.75 | ↑ +1% |
| HUMANA | HUMANA CHOICE CARE PPO | $3,004.75 | ↑ +1% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $3,004.75 | ↑ +1% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $3,252.20 | ↑ +10% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $3,358.25 | ↑ +13% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,535.00 | ↑ +19% |
| HUMANA | HUMANA NATIIONAL POS HMO | $3,535.00 | ↑ +19% |
| COFINITY | COFINITY | $3,535.00 | ↑ +19% |
| HUMANA | HUMANA CHOICE CARE HMO | $3,535.00 | ↑ +19% |
| ANTHEM | ANTHEM PPO | $3,535.00 | ↑ +19% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $3,535.00 | ↑ +19% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $3,535.00 | ↑ +19% |
| ANTHEM | ANTHEM POS/HMO | $3,535.00 | ↑ +19% |
| CENPATICO | ALL MEDICAID CENPATICO | $3,535.00 | ↑ +19% |
| AETNA | ALL COMMERCIAL AETNA | $3,535.00 | ↑ +19% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $3,535.00 | ↑ +19% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $3,535.00 | ↑ +19% |
| PREVEA HEALTH NETWORK | PREVEA360 | $3,535.00 | ↑ +19% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $3,535.00 | ↑ +19% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $3,535.00 | ↑ +19% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $3,535.00 | ↑ +19% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $3,889.96 | ↑ +31% |
Visitor-reported prices
Comments
Dx bronchoscope/brush 31623 at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | $2,970.00 | $792.34 – $3,910.59 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $3,904.51 | $209.68 – $1,170.96 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $3,904.51 | $209.68 – $1,170.96 |
| SSM Health St. Mary's Hospital - Madison | Madison | $1,651.10 | $1,296.65 – $4,982.00 |
| Midwest Orthopedic Specialty Hospital | Franklin | $1,077.49 | $1,206.54 – $1,206.54 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $2,672.16 | $136.93 – $983.29 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $1,077.49 | $1,206.54 – $1,206.54 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $1,077.49 | $1,206.54 – $1,206.54 |