Perq dev breast 1st mr guide at HSHS St. Vincent Hospital
835 S. Van Buren St., Green Bay, WI · Hshs · · NPI 1114908001
$2,034.78
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.
$3,083.00
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.
$231.34 with HSHS EMPLOYEES vs $1,547.62 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 |
|---|---|---|---|
| HSHS EMPLOYEES | HSHS EMPLOYEES | $231.34 | ↓ -89% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $238.00 | ↓ -88% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $285.60 | ↓ -86% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $295.12 | ↓ -85% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $303.83 | ↓ -85% |
| AETNA | AETNA HSHS | $307.50 | ↓ -85% |
| CIGNA | ALL COMMERCIAL CIGNA | $333.20 | ↓ -84% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $337.96 | ↓ -83% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $342.72 | ↓ -83% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $342.72 | ↓ -83% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $342.72 | ↓ -83% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $342.72 | ↓ -83% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $347.48 | ↓ -83% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $347.48 | ↓ -83% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $357.00 | ↓ -82% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $399.84 | ↓ -80% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $399.84 | ↓ -80% |
| HUMANA | HUMANA CHOICE CARE PPO | $404.60 | ↓ -80% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $404.60 | ↓ -80% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $404.60 | ↓ -80% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $437.92 | ↓ -78% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $452.20 | ↓ -78% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $476.00 | ↓ -77% |
| ANTHEM | ANTEHM MEDICAID | $476.00 | ↓ -77% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $476.00 | ↓ -77% |
| ANTHEM | ANTHEM POS/HMO | $476.00 | ↓ -77% |
| ANTHEM | ANTHEM PPO | $476.00 | ↓ -77% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $476.00 | ↓ -77% |
| HUMANA | HUMANA CHOICE CARE HMO | $476.00 | ↓ -77% |
| HUMANA | HUMANA NATIIONAL POS HMO | $476.00 | ↓ -77% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $476.00 | ↓ -77% |
| COFINITY | COFINITY | $476.00 | ↓ -77% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $476.00 | ↓ -77% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $476.00 | ↓ -77% |
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $476.00 | ↓ -77% |
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $476.00 | ↓ -77% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $476.00 | ↓ -77% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $476.00 | ↓ -77% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $476.00 | ↓ -77% |
| PREVEA HEALTH NETWORK | PREVEA360 | $476.00 | ↓ -77% |
| TRIOLOGY | TRILOGY MEDICAID | $476.00 | ↓ -77% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $476.00 | ↓ -77% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $476.00 | ↓ -77% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $476.00 | ↓ -77% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $476.00 | ↓ -77% |
| AETNA | ALL COMMERCIAL AETNA | $476.00 | ↓ -77% |
| CENPATICO | ALL MEDICAID CENPATICO | $476.00 | ↓ -77% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $504.56 | ↓ -75% |
| UNITY HEALTH PLAN | UNITY HOSPICE | $687.83 | ↓ -66% |
| MEDICARE MANAGED | MANAGED MEDICARE NO SEQUESTRATION | $687.83 | ↓ -66% |
| AETNA | AETNA MEDICARE | $687.83 | ↓ -66% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $687.83 | ↓ -66% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $694.71 | ↓ -66% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $1,547.62 | ↓ -24% |
Visitor-reported prices
Comments
Perq dev breast 1st mr guide at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Baycare Medical Center | Green Bay | $1,575.00 | not published |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | $2,034.78 | $476.00 – $1,555.83 |
| SSM Health St. Mary's Hospital - Madison | Madison | $2,028.95 | $515.87 – $4,198.00 |
| SSM Health Monroe Hospital | Monroe | $901.45 | $687.83 – $4,217.00 |
| SSM Health Ripon Community Hospital | Ripon | $653.40 | $2,654.00 – $3,030.00 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $653.40 | $525.32 – $3,030.00 |
| SSM Health Waupun Memorial Hospital | Waupun | $653.40 | $2,654.00 – $3,030.00 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $1,575.00 | not published |