Ins/rpl pm gen exist dual lead at HSHS St. Vincent Hospital
835 S. Van Buren St., Green Bay, WI · Hshs · · NPI 1114908001
$12,087.24
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.
$18,314.00
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.
$3,606.83 with ANTHEM vs $22,842.82 with NAPHCARE — 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 |
|---|---|---|---|
| ANTHEM | ANTEHM MEDICAID | $3,606.83 | ↓ -70% |
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $3,606.83 | ↓ -70% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $3,606.83 | ↓ -70% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $3,606.83 | ↓ -70% |
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $3,606.83 | ↓ -70% |
| TRIOLOGY | TRILOGY MEDICAID | $3,823.24 | ↓ -68% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $3,823.24 | ↓ -68% |
| HUMANA | HUMANA NATIIONAL POS HMO | $7,250.00 | ↓ -40% |
| HUMANA | HUMANA CHOICE CARE HMO | $7,250.00 | ↓ -40% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $8,900.60 | ↓ -26% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $9,157.00 | ↓ -24% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $10,152.36 | ↓ -16% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $10,152.36 | ↓ -16% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $10,152.36 | ↓ -16% |
| UNITY HEALTH PLAN | UNITY HOSPICE | $10,152.36 | ↓ -16% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $10,152.36 | ↓ -16% |
| MEDICARE MANAGED | MANAGED MEDICARE NO SEQUESTRATION | $10,152.36 | ↓ -16% |
| AETNA | AETNA MEDICARE | $10,152.36 | ↓ -16% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $10,253.88 | ↓ -15% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $10,988.40 | ↓ -9% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $11,354.68 | ↓ -6% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $11,689.83 | ↓ -3% |
| AETNA | AETNA HSHS | $11,830.84 | ↓ -2% |
| CIGNA | ALL COMMERCIAL CIGNA | $12,819.80 | ↑ +6% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $13,002.94 | ↑ +8% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $13,186.08 | ↑ +9% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $13,186.08 | ↑ +9% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $13,186.08 | ↑ +9% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $13,186.08 | ↑ +9% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $13,369.22 | ↑ +11% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $13,369.22 | ↑ +11% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $13,735.50 | ↑ +14% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $15,383.76 | ↑ +27% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $15,383.76 | ↑ +27% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $15,566.90 | ↑ +29% |
| HUMANA | HUMANA CHOICE CARE PPO | $15,566.90 | ↑ +29% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $15,566.90 | ↑ +29% |
| ANTHEM | ANTHEM POS/HMO | $15,932.00 | ↑ +32% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $16,848.88 | ↑ +39% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $17,398.30 | ↑ +44% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $18,314.00 | ↑ +52% |
| COFINITY | COFINITY | $18,314.00 | ↑ +52% |
| ANTHEM | ANTHEM PPO | $18,314.00 | ↑ +52% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $18,314.00 | ↑ +52% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $18,314.00 | ↑ +52% |
| CENPATICO | ALL MEDICAID CENPATICO | $18,314.00 | ↑ +52% |
| AETNA | ALL COMMERCIAL AETNA | $18,314.00 | ↑ +52% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $18,314.00 | ↑ +52% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $18,314.00 | ↑ +52% |
| PREVEA HEALTH NETWORK | PREVEA360 | $18,314.00 | ↑ +52% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $18,314.00 | ↑ +52% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $18,314.00 | ↑ +52% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $18,314.00 | ↑ +52% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $22,842.82 | ↑ +89% |
Visitor-reported prices
Comments
Ins/rpl pm gen exist dual lead at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | $12,087.24 | $3,478.75 – $22,963.91 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $16,561.97 | $516.51 – $30,617.00 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $16,561.97 | $516.51 – $30,617.00 |
| UnityPoint Health - Meriter Hospital | Madison | $23,408.50 | $293.32 – $9,129.31 |
| SSM Health St. Mary's Hospital - Madison | Madison | $9,471.00 | $7,614.27 – $27,690.00 |
| SSM Health Monroe Hospital | Monroe | $11,950.95 | $10,152.36 – $25,004.00 |
| Midwest Orthopedic Specialty Hospital | Franklin | $9,206.10 | $1,253.39 – $22,160.00 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $24,201.06 | $337.01 – $26,705.00 |