Ewho w/joint(s) cf at HSHS St. Vincent Hospital
835 S. Van Buren St., Green Bay, WI · Hshs · · NPI 1114908001
$573.54
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.
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What you pay up front if you don't use insurance.
$869.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$422.33 with HSHS EMPLOYEES vs $1,967.74 with NAPHCARE — 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 →
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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 ?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 |
|---|---|---|---|
| HSHS EMPLOYEES | HSHS EMPLOYEES | $422.33 | ↓ -26% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $434.50 | ↓ -24% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $521.40 | ↓ -9% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $538.78 | ↓ -6% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $554.68 | ↓ -3% |
| AETNA | AETNA HSHS | $561.37 | ↓ -2% |
| CIGNA | ALL COMMERCIAL CIGNA | $608.30 | ↑ +6% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $616.99 | ↑ +8% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $625.68 | ↑ +9% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $625.68 | ↑ +9% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $625.68 | ↑ +9% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $625.68 | ↑ +9% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $634.37 | ↑ +11% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $634.37 | ↑ +11% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $651.75 | ↑ +14% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $729.96 | ↑ +27% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $729.96 | ↑ +27% |
| HUMANA | HUMANA CHOICE CARE PPO | $738.65 | ↑ +29% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $738.65 | ↑ +29% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $738.65 | ↑ +29% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $799.48 | ↑ +39% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $825.55 | ↑ +44% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $869.00 | ↑ +52% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $869.00 | ↑ +52% |
| COFINITY | COFINITY | $869.00 | ↑ +52% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $869.00 | ↑ +52% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $869.00 | ↑ +52% |
| CENPATICO | ALL MEDICAID CENPATICO | $869.00 | ↑ +52% |
| AETNA | ALL COMMERCIAL AETNA | $869.00 | ↑ +52% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $869.00 | ↑ +52% |
| UNITY HEALTH PLAN | UNITY HOSPICE | $874.55 | ↑ +52% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $874.55 | ↑ +52% |
| MEDICARE MANAGED | MANAGED MEDICARE NO SEQUESTRATION | $874.55 | ↑ +52% |
| AETNA | AETNA MEDICARE | $874.55 | ↑ +52% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $883.30 | ↑ +54% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $1,967.74 | ↑ +243% |
Visitor-reported prices
Comments
Ewho w/joint(s) cf at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $1,820.55 | $714.04 – $1,032.79 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $1,820.55 | $714.04 – $1,032.79 |
| Midwest Orthopedic Specialty Hospital | Franklin | $1,820.55 | $1,066.77 – $1,066.77 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $1,957.95 | $714.04 – $714.04 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $1,820.55 | $1,066.77 – $1,066.77 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $1,820.55 | $1,066.77 – $1,066.77 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | $1,957.95 | $714.04 – $714.04 |
| Ascension Calumet Hospital, Inc. | Chilton | $1,957.95 | $714.04 – $714.04 |