Immunology procedure at HSHS St. Vincent Hospital
835 S. Van Buren St., Green Bay, WI · Hshs · · NPI 1114908001
$142.56
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.
$216.00
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.
$4.30 with MANAGED HEALTH SERVICES vs $84.00 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 |
|---|---|---|---|
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $4.30 | ↓ -97% |
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $4.30 | ↓ -97% |
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $4.30 | ↓ -97% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $4.30 | ↓ -97% |
| ANTHEM | ANTEHM MEDICAID | $4.30 | ↓ -97% |
| TRIOLOGY | TRILOGY MEDICAID | $4.55 | ↓ -97% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $4.56 | ↓ -97% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $40.82 | ↓ -71% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $42.00 | ↓ -71% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $50.40 | ↓ -65% |
| PREVEA HEALTH NETWORK | PREVEA360 | $50.40 | ↓ -65% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $50.40 | ↓ -65% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $50.40 | ↓ -65% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $50.40 | ↓ -65% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $50.40 | ↓ -65% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $52.08 | ↓ -63% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $53.62 | ↓ -62% |
| AETNA | AETNA HSHS | $54.26 | ↓ -62% |
| ANTHEM | ANTHEM PPO | $57.12 | ↓ -60% |
| ANTHEM | ANTHEM POS/HMO | $57.12 | ↓ -60% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $58.80 | ↓ -59% |
| CIGNA | ALL COMMERCIAL CIGNA | $58.80 | ↓ -59% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $59.64 | ↓ -58% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $60.48 | ↓ -58% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $60.48 | ↓ -58% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $60.48 | ↓ -58% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $60.48 | ↓ -58% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $61.32 | ↓ -57% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $61.32 | ↓ -57% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $63.00 | ↓ -56% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $70.56 | ↓ -51% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $70.56 | ↓ -51% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $71.40 | ↓ -50% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $71.40 | ↓ -50% |
| HUMANA | HUMANA CHOICE CARE PPO | $71.40 | ↓ -50% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $77.28 | ↓ -46% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $79.80 | ↓ -44% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $84.00 | ↓ -41% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $84.00 | ↓ -41% |
| AETNA | ALL COMMERCIAL AETNA | $84.00 | ↓ -41% |
| CENPATICO | ALL MEDICAID CENPATICO | $84.00 | ↓ -41% |
| COFINITY | COFINITY | $84.00 | ↓ -41% |
Visitor-reported prices
Comments
Immunology procedure at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | $142.56 | $4.14 – $50.40 |
| Aurora Baycare Medical Center | Green Bay | not published | $44.82 – $44.82 |
| Adventhealth Durand | Durand | $281.45 | not published |
| HSHS St. Nicholas Hospital | SHEBOYGAN | $142.56 | $4.14 – $50.40 |
| HSHS St. Clare Memorial Hospital | OCONTO FALLS | $55.44 | $15.21 – $50.40 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $6,662.00 – $7,655.00 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $6,662.00 – $7,655.00 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | not published | $44.82 – $44.82 |