Mitomycin 40 mg intravenous solution at HSHS St. Vincent Hospital
835 S. Van Buren St., Green Bay, WI · Hshs · · NPI 1114908001
$688.18
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.
$1,042.70
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.
$26.10 with ANTHEM vs $378.83 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 |
|---|---|---|---|
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $26.10 | ↓ -96% |
| MEDICARE MANAGED | MANAGED MEDICARE NO SEQUESTRATION | $26.10 | ↓ -96% |
| AETNA | AETNA MEDICARE | $26.10 | ↓ -96% |
| UNITY HEALTH PLAN | UNITY HOSPICE | $26.10 | ↓ -96% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $26.10 | ↓ -96% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $26.10 | ↓ -96% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $26.10 | ↓ -96% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $26.36 | ↓ -96% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $43.07 | ↓ -94% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $43.07 | ↓ -94% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $43.07 | ↓ -94% |
| ANTHEM | ANTHEM POS/HMO | $44.37 | ↓ -94% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $46.72 | ↓ -93% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $46.72 | ↓ -93% |
| PREVEA HEALTH NETWORK | PREVEA360 | $46.72 | ↓ -93% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $46.72 | ↓ -93% |
| ANTHEM | ANTHEM PPO | $54.81 | ↓ -92% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $58.73 | ↓ -91% |
| HUMANA | HUMANA CHOICE CARE HMO | $92.07 | ↓ -87% |
| HUMANA | HUMANA NATIIONAL POS HMO | $92.07 | ↓ -87% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $134.30 | ↓ -80% |
| ANTHEM | ANTEHM MEDICAID | $134.30 | ↓ -80% |
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $134.30 | ↓ -80% |
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $134.30 | ↓ -80% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $134.30 | ↓ -80% |
| TRIOLOGY | TRILOGY MEDICAID | $142.36 | ↓ -79% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $142.36 | ↓ -79% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $184.11 | ↓ -73% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $189.42 | ↓ -72% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $227.30 | ↓ -67% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $234.87 | ↓ -66% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $241.81 | ↓ -65% |
| AETNA | AETNA HSHS | $244.72 | ↓ -64% |
| CIGNA | ALL COMMERCIAL CIGNA | $265.18 | ↓ -61% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $268.97 | ↓ -61% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $272.76 | ↓ -60% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $272.76 | ↓ -60% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $272.76 | ↓ -60% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $272.76 | ↓ -60% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $276.55 | ↓ -60% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $276.55 | ↓ -60% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $284.12 | ↓ -59% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $318.22 | ↓ -54% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $318.22 | ↓ -54% |
| HUMANA | HUMANA CHOICE CARE PPO | $322.01 | ↓ -53% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $322.01 | ↓ -53% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $322.01 | ↓ -53% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $348.52 | ↓ -49% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $359.89 | ↓ -48% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $378.83 | ↓ -45% |
| CENPATICO | ALL MEDICAID CENPATICO | $378.83 | ↓ -45% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $378.83 | ↓ -45% |
| AETNA | ALL COMMERCIAL AETNA | $378.83 | ↓ -45% |
| COFINITY | COFINITY | $378.83 | ↓ -45% |
Visitor-reported prices
Comments
Mitomycin 40 mg intravenous solution at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Baycare Medical Center | Green Bay | not published | $25.60 – $199.85 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $171.01 | $51.14 – $241.01 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $161.68 | $51.14 – $241.01 |
| UnityPoint Health - Meriter Hospital | Madison | $575.84 | $12.65 – $224.58 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $195.66 | $4.20 – $114.93 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $272.39 | $51.14 – $141.37 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $262.93 | $51.14 – $141.37 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | $224.63 | $4.20 – $114.93 |