Gamunex-c/gammaked at HSHS St. Vincent Hospital
835 S. Van Buren St., Green Bay, WI · Hshs · · NPI 1114908001
$135.48
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.
$205.27
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.
$49.08 with UNITED HEALTHCARE vs $213.57 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 →
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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 |
|---|---|---|---|
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $49.08 | ↓ -64% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $49.08 | ↓ -64% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $49.08 | ↓ -64% |
| MEDICARE MANAGED | MANAGED MEDICARE NO SEQUESTRATION | $49.08 | ↓ -64% |
| AETNA | AETNA MEDICARE | $49.08 | ↓ -64% |
| UNITY HEALTH PLAN | UNITY HOSPICE | $49.08 | ↓ -64% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $49.08 | ↓ -64% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $49.57 | ↓ -63% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $80.98 | ↓ -40% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $80.98 | ↓ -40% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $80.98 | ↓ -40% |
| ANTHEM | ANTHEM POS/HMO | $83.44 | ↓ -38% |
| HUMANA | HUMANA CHOICE CARE HMO | $84.29 | ↓ -38% |
| HUMANA | HUMANA NATIIONAL POS HMO | $84.29 | ↓ -38% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $87.85 | ↓ -35% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $87.85 | ↓ -35% |
| PREVEA HEALTH NETWORK | PREVEA360 | $87.85 | ↓ -35% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $87.85 | ↓ -35% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $97.92 | ↓ -28% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $100.74 | ↓ -26% |
| ANTHEM | ANTHEM PPO | $103.07 | ↓ -24% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $110.42 | ↓ -18% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $120.89 | ↓ -11% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $124.92 | ↓ -8% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $128.60 | ↓ -5% |
| AETNA | AETNA HSHS | $130.16 | ↓ -4% |
| CIGNA | ALL COMMERCIAL CIGNA | $141.04 | ↑ +4% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $143.05 | ↑ +6% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $145.07 | ↑ +7% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $145.07 | ↑ +7% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $145.07 | ↑ +7% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $145.07 | ↑ +7% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $147.08 | ↑ +9% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $147.08 | ↑ +9% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $151.11 | ↑ +12% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $169.24 | ↑ +25% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $169.24 | ↑ +25% |
| HUMANA | HUMANA CHOICE CARE PPO | $171.26 | ↑ +26% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $171.26 | ↑ +26% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $171.26 | ↑ +26% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $185.36 | ↑ +37% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $191.41 | ↑ +41% |
| TRIOLOGY | TRILOGY MEDICAID | $201.48 | ↑ +49% |
| AETNA | ALL COMMERCIAL AETNA | $201.48 | ↑ +49% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $201.48 | ↑ +49% |
| COFINITY | COFINITY | $201.48 | ↑ +49% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $201.48 | ↑ +49% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $201.48 | ↑ +49% |
| ANTHEM | ANTEHM MEDICAID | $201.48 | ↑ +49% |
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $201.48 | ↑ +49% |
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $201.48 | ↑ +49% |
| CENPATICO | ALL MEDICAID CENPATICO | $201.48 | ↑ +49% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $201.48 | ↑ +49% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $213.57 | ↑ +58% |
Visitor-reported prices
Comments
Gamunex-c/gammaked at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Durand | Durand | $5,629.28 | not published |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $36.76 – $91.26 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $36.76 – $91.26 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $36.76 – $91.26 |
| SSM Health Monroe Hospital | Monroe | not published | $48.35 – $131.64 |
| SSM Health Ripon Community Hospital | Ripon | not published | $53.06 – $133.44 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $36.76 – $133.44 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $53.06 – $133.44 |