Inj, gadopiclenol, 1 ml at HSHS St. Vincent Hospital
835 S. Van Buren St., Green Bay, WI · Hshs · · NPI 1114908001
$18.80
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.
$28.49
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.
$5.45 with UNITED HEALTHCARE vs $26.71 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 |
|---|---|---|---|
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $5.45 | ↓ -71% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $5.45 | ↓ -71% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $5.45 | ↓ -71% |
| ANTHEM | ANTHEM POS/HMO | $5.61 | ↓ -70% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $5.91 | ↓ -69% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $5.91 | ↓ -69% |
| PREVEA HEALTH NETWORK | PREVEA360 | $5.91 | ↓ -69% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $5.91 | ↓ -69% |
| HUMANA | HUMANA NATIIONAL POS HMO | $6.65 | ↓ -65% |
| HUMANA | HUMANA CHOICE CARE HMO | $6.65 | ↓ -65% |
| ANTHEM | ANTHEM PPO | $6.93 | ↓ -63% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $12.98 | ↓ -31% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $13.36 | ↓ -29% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $16.03 | ↓ -15% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $16.56 | ↓ -12% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $17.05 | ↓ -9% |
| AETNA | AETNA HSHS | $17.25 | ↓ -8% |
| CIGNA | ALL COMMERCIAL CIGNA | $18.70 | ↓ -1% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $18.96 | ↑ +1% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $19.23 | ↑ +2% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $19.23 | ↑ +2% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $19.23 | ↑ +2% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $19.23 | ↑ +2% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $19.50 | ↑ +4% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $19.50 | ↑ +4% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $20.03 | ↑ +7% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $22.44 | ↑ +19% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $22.44 | ↑ +19% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $22.70 | ↑ +21% |
| HUMANA | HUMANA CHOICE CARE PPO | $22.70 | ↑ +21% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $22.70 | ↑ +21% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $24.57 | ↑ +31% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $25.37 | ↑ +35% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $26.71 | ↑ +42% |
| AETNA | ALL COMMERCIAL AETNA | $26.71 | ↑ +42% |
| CENPATICO | ALL MEDICAID CENPATICO | $26.71 | ↑ +42% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $26.71 | ↑ +42% |
| COFINITY | COFINITY | $26.71 | ↑ +42% |
Visitor-reported prices
Comments
Inj, gadopiclenol, 1 ml at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | $19.25 | $5.45 – $6.65 |
| Aurora Baycare Medical Center | Green Bay | not published | $3.47 – $8.74 |
| UnityPoint Health - Meriter Hospital | Madison | $29.14 | $1.27 – $4.71 |
| Adventhealth Durand | Durand | $303.51 | not published |
| HSHS St. Nicholas Hospital | SHEBOYGAN | $18.80 | $5.45 – $6.65 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $5.03 – $6.62 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $5.03 – $6.62 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $5.03 – $6.62 |