Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution 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

$24.18

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.

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

$36.63

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.

$17.80 with HSHS EMPLOYEES vs $36.63 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.

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
HSHS EMPLOYEES HSHS EMPLOYEES $17.80 ↓ -26%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $18.32 ↓ -24%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $21.98 ↓ -9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $22.71 ↓ -6%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $23.38 ↓ -3%
AETNA AETNA HSHS $23.66 ↓ -2%
UNITED HEALTHCARE UNITED HEALTHCARE $24.34 ↑ +1%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $24.34 ↑ +1%
UNITED HEALTHCARE UHC ONEIDA NATION $24.34 ↑ +1%
HUMANA HUMANA CHOICE CARE HMO $25.04 ↑ +4%
HUMANA HUMANA NATIIONAL POS HMO $25.04 ↑ +4%
ANTHEM ANTHEM POS/HMO $25.08 ↑ +4%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $26.01 ↑ +8%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $26.37 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $26.37 ↑ +9%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $26.37 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $26.37 ↑ +9%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $26.40 ↑ +9%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $26.40 ↑ +9%
PREVEA HEALTH NETWORK PREVEA360 $26.40 ↑ +9%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $26.40 ↑ +9%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $26.74 ↑ +11%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $26.74 ↑ +11%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $27.47 ↑ +14%
HEALTH CARE ALLIANCE THE ALLIANCE $30.77 ↑ +27%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $30.77 ↑ +27%
ANTHEM ANTHEM PPO $30.98 ↑ +28%
CHOICECARE ALL COMMERCIAL CHOICE CARE $31.14 ↑ +29%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $31.14 ↑ +29%
HUMANA HUMANA CHOICE CARE PPO $31.14 ↑ +29%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $33.70 ↑ +39%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $34.80 ↑ +44%
AETNA ALL COMMERCIAL AETNA $36.63 ↑ +51%
LIVE360 LIVE360 HSHS HEALTHY PLAN $36.63 ↑ +51%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $36.63 ↑ +51%
COFINITY COFINITY $36.63 ↑ +51%
CENPATICO ALL MEDICAID CENPATICO $36.63 ↑ +51%

Visitor-reported prices

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Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution at other Wisconsin hospitals

Hospital City Cash price Negotiated range
HSHS St. Mary's Hospital Medical Center GREEN BAY $24.18 $24.34 – $26.40
Aurora Baycare Medical Center Green Bay not published $14.71 – $35.87
UnityPoint Health - Meriter Hospital Madison $26.37 $7.56 – $27.96
Adventhealth Durand Durand $705.38 not published
HSHS St. Nicholas Hospital SHEBOYGAN $24.18 $24.34 – $26.40
HSHS St. Clare Memorial Hospital OCONTO FALLS $24.18 $24.34 – $26.40
SSM Health St. Clare Hospital - Baraboo Baraboo not published $21.33 – $27.94
SSM Health St. Mary's Hospital - Janesville Janesville not published $21.33 – $27.94

All Wisconsin hospitals for this procedure →