Epidrm autogrft t/a/l add-on 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

$180.18

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.

$273.00

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.

$113.00 with HUMANA vs $289.38 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
HUMANA HUMANA CHOICE CARE HMO $113.00 ↓ -37%
HUMANA HUMANA NATIIONAL POS HMO $113.00 ↓ -37%
UNITED HEALTHCARE UHC ONEIDA NATION $116.60 ↓ -35%
UNITED HEALTHCARE UNITED HEALTHCARE $116.60 ↓ -35%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $116.60 ↓ -35%
HSHS EMPLOYEES HSHS EMPLOYEES $132.68 ↓ -26%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $136.50 ↓ -24%
ANTHEM ANTHEM PPO $154.00 ↓ -15%
ANTHEM ANTHEM POS/HMO $154.00 ↓ -15%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $163.80 ↓ -9%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $163.80 ↓ -9%
PREVEA HEALTH NETWORK PREVEA360 $163.80 ↓ -9%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $163.80 ↓ -9%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $163.80 ↓ -9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $169.26 ↓ -6%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $174.26 ↓ -3%
AETNA AETNA HSHS $176.36 ↓ -2%
CIGNA ALL COMMERCIAL CIGNA $191.10 ↑ +6%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $193.83 ↑ +8%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $196.56 ↑ +9%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $196.56 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $196.56 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $196.56 ↑ +9%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $199.29 ↑ +11%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $199.29 ↑ +11%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $204.75 ↑ +14%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $229.32 ↑ +27%
HEALTH CARE ALLIANCE THE ALLIANCE $229.32 ↑ +27%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $232.05 ↑ +29%
CHOICECARE ALL COMMERCIAL CHOICE CARE $232.05 ↑ +29%
HUMANA HUMANA CHOICE CARE PPO $232.05 ↑ +29%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $251.16 ↑ +39%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $259.35 ↑ +44%
MERIDIAN HEALTH PLAN MERIDIAN HMO MCD $273.00 ↑ +52%
MANAGED HEALTH SERVICES MANAGED HEALTH SERVICES MEDICAID $273.00 ↑ +52%
CENPATICO ALL MEDICAID CENPATICO $273.00 ↑ +52%
CONTINUUS MEDICAID MANAGED CONTINUUS MEDICAID MANAGED $273.00 ↑ +52%
COMMUNITY CARE FAMILY CARE COMMUNITY CARE FAMILY CARE MEDICAID MANAGED $273.00 ↑ +52%
LIVE360 LIVE360 HSHS HEALTHY PLAN $273.00 ↑ +52%
TRIOLOGY TRILOGY MEDICAID $273.00 ↑ +52%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $273.00 ↑ +52%
ANTHEM ANTEHM MEDICAID $273.00 ↑ +52%
AETNA ALL COMMERCIAL AETNA $273.00 ↑ +52%
COFINITY COFINITY $273.00 ↑ +52%
MOLINA HEALTHCARE MOLINA MEDICAID $289.38 ↑ +61%

Visitor-reported prices

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Epidrm autogrft t/a/l add-on at other Wisconsin hospitals

Hospital City Cash price Negotiated range
HSHS St. Nicholas Hospital SHEBOYGAN $180.18 $95.40 – $289.38
HSHS St. Clare Memorial Hospital OCONTO FALLS $180.18 $95.40 – $289.38
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $156.13 – $441.65
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon not published $156.13 – $441.65
UnityPoint Health - Meriter Hospital Madison not published $88.28 – $294.86
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $949.00 – $16,897.00
SSM Health St. Clare Hospital - Baraboo Baraboo not published $1,676.00 – $1,676.00
SSM Health St. Mary's Hospital - Janesville Janesville not published $1,704.00 – $1,704.00

All Wisconsin hospitals for this procedure →