Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at HSHS St. Vincent Hospital
835 S. Van Buren St., Green Bay, WI · Hshs · · NPI 1114908001
$1,007.99
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.
$1,527.25
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.
$120.88 with HUMANA vs $524.00 with COFINITY — 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 |
|---|---|---|---|
| HUMANA | HUMANA MEDICARE ADVANTAGE | $120.88 | ↓ -88% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $120.88 | ↓ -88% |
| UNITY HEALTH PLAN | UNITY HOSPICE | $120.88 | ↓ -88% |
| AETNA | AETNA MEDICARE | $120.88 | ↓ -88% |
| MEDICARE MANAGED | MANAGED MEDICARE NO SEQUESTRATION | $120.88 | ↓ -88% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $120.88 | ↓ -88% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $120.88 | ↓ -88% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $122.09 | ↓ -88% |
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $170.56 | ↓ -83% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $170.56 | ↓ -83% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $170.56 | ↓ -83% |
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $170.56 | ↓ -83% |
| ANTHEM | ANTEHM MEDICAID | $170.56 | ↓ -83% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $180.79 | ↓ -82% |
| TRIOLOGY | TRILOGY MEDICAID | $180.79 | ↓ -82% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $209.78 | ↓ -79% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $209.78 | ↓ -79% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $209.78 | ↓ -79% |
| ANTHEM | ANTHEM POS/HMO | $235.86 | ↓ -77% |
| HUMANA | HUMANA CHOICE CARE HMO | $240.82 | ↓ -76% |
| HUMANA | HUMANA NATIIONAL POS HMO | $240.82 | ↓ -76% |
| PREVEA HEALTH NETWORK | PREVEA360 | $248.34 | ↓ -75% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $248.34 | ↓ -75% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $248.34 | ↓ -75% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $248.34 | ↓ -75% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $254.66 | ↓ -75% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $262.00 | ↓ -74% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $271.97 | ↓ -73% |
| ANTHEM | ANTHEM PPO | $291.35 | ↓ -71% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $314.40 | ↓ -69% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $324.88 | ↓ -68% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $334.47 | ↓ -67% |
| AETNA | AETNA HSHS | $338.50 | ↓ -66% |
| CIGNA | ALL COMMERCIAL CIGNA | $366.80 | ↓ -64% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $372.04 | ↓ -63% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $377.28 | ↓ -63% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $377.28 | ↓ -63% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $377.28 | ↓ -63% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $377.28 | ↓ -63% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $382.52 | ↓ -62% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $382.52 | ↓ -62% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $393.00 | ↓ -61% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $440.16 | ↓ -56% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $440.16 | ↓ -56% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $445.40 | ↓ -56% |
| HUMANA | HUMANA CHOICE CARE PPO | $445.40 | ↓ -56% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $445.40 | ↓ -56% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $482.08 | ↓ -52% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $497.80 | ↓ -51% |
| CENPATICO | ALL MEDICAID CENPATICO | $524.00 | ↓ -48% |
| AETNA | ALL COMMERCIAL AETNA | $524.00 | ↓ -48% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $524.00 | ↓ -48% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $524.00 | ↓ -48% |
| COFINITY | COFINITY | $524.00 | ↓ -48% |
Visitor-reported prices
Comments
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Baycare Medical Center | Green Bay | not published | $136.96 – $338.56 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $2,387.65 | $157.70 – $418.98 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $1,126.25 | $157.70 – $418.98 |
| UnityPoint Health - Meriter Hospital | Madison | $159.20 | $45.77 – $169.15 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $2,492.61 | $197.15 – $1,400.00 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $1,123.34 | $157.70 – $890.19 |
| Aurora Medical Center Fond du Lac | Fond Du Lac | $330.00 | $136.96 – $338.56 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $4,770.00 | $157.70 – $472.50 |