Ravulizumab-cwvz 100 mg/ml intravenous solution at HSHS St. Vincent Hospital

835 S. Van Buren St., Green Bay, WI · Hshs · · NPI 1114908001

Source: hospital's published price file ↗ · Published Mar 24, 2026 · Ingested Sep 16, 2026

$422.49

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$640.14

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$224.80 with UNITY HEALTH PLAN vs $678.55 with MOLINA HEALTHCARE — 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 →

Payer
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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
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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
UNITY HEALTH PLAN UNITY HOSPICE $224.80 ↓ -47%
MEDICARE MANAGED MANAGED MEDICARE NO SEQUESTRATION $224.80 ↓ -47%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $224.80 ↓ -47%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $224.80 ↓ -47%
MOLINA HEALTHCARE MOLINA MEDICARE $224.80 ↓ -47%
AETNA AETNA MEDICARE $224.80 ↓ -47%
HUMANA HUMANA MEDICARE ADVANTAGE $224.80 ↓ -47%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $227.05 ↓ -46%
HSHS EMPLOYEES HSHS EMPLOYEES $311.11 ↓ -26%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $320.07 ↓ -24%
UNITED HEALTHCARE UNITED HEALTHCARE $370.92 ↓ -12%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $370.92 ↓ -12%
UNITED HEALTHCARE UHC ONEIDA NATION $370.92 ↓ -12%
HUMANA HUMANA NATIIONAL POS HMO $376.06 ↓ -11%
HUMANA HUMANA CHOICE CARE HMO $376.06 ↓ -11%
ANTHEM ANTHEM POS/HMO $382.16 ↓ -10%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $384.08 ↓ -9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $396.89 ↓ -6%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $402.39 ↓ -5%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $402.39 ↓ -5%
PREVEA HEALTH NETWORK PREVEA360 $402.39 ↓ -5%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $402.39 ↓ -5%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $408.60 ↓ -3%
AETNA AETNA HSHS $413.53 ↓ -2%
CIGNA ALL COMMERCIAL CIGNA $448.10 ↑ +6%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $454.50 ↑ +8%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $460.90 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $460.90 ↑ +9%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $460.90 ↑ +9%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $460.90 ↑ +9%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $467.30 ↑ +11%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $467.30 ↑ +11%
ANTHEM ANTHEM PPO $472.08 ↑ +12%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $480.11 ↑ +14%
NAPHCARE ALL COMMERICAL NAPHCARE $505.81 ↑ +20%
HEALTH CARE ALLIANCE THE ALLIANCE $537.72 ↑ +27%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $537.72 ↑ +27%
HUMANA HUMANA CHOICE CARE PPO $544.12 ↑ +29%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $544.12 ↑ +29%
CHOICECARE ALL COMMERCIAL CHOICE CARE $544.12 ↑ +29%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $588.93 ↑ +39%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $608.13 ↑ +44%
MERIDIAN HEALTH PLAN MERIDIAN HMO MCD $640.14 ↑ +52%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $640.14 ↑ +52%
LIVE360 LIVE360 HSHS HEALTHY PLAN $640.14 ↑ +52%
COMMUNITY CARE FAMILY CARE COMMUNITY CARE FAMILY CARE MEDICAID MANAGED $640.14 ↑ +52%
CONTINUUS MEDICAID MANAGED CONTINUUS MEDICAID MANAGED $640.14 ↑ +52%
MANAGED HEALTH SERVICES MANAGED HEALTH SERVICES MEDICAID $640.14 ↑ +52%
ANTHEM ANTEHM MEDICAID $640.14 ↑ +52%
CENPATICO ALL MEDICAID CENPATICO $640.14 ↑ +52%
TRIOLOGY TRILOGY MEDICAID $640.14 ↑ +52%
AETNA ALL COMMERCIAL AETNA $640.14 ↑ +52%
COFINITY COFINITY $640.14 ↑ +52%
MOLINA HEALTHCARE MOLINA MEDICAID $678.55 ↑ +61%

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Ravulizumab-cwvz 100 mg/ml intravenous solution at other Wisconsin hospitals

Hospital City Cash price Negotiated range
Adventhealth Durand Durand $12,885.64 not published
SSM Health St. Clare Hospital - Baraboo Baraboo not published $170.19 – $427.87
SSM Health St. Mary's Hospital - Janesville Janesville not published $170.19 – $427.87
SSM Health St. Mary's Hospital - Madison Madison not published $170.19 – $427.87
SSM Health Monroe Hospital Monroe not published $220.32 – $599.82
SSM Health Ripon Community Hospital Ripon not published $238.84 – $600.55
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $170.19 – $600.55
SSM Health Waupun Memorial Hospital Waupun not published $238.84 – $600.55

All Wisconsin hospitals for this procedure →