Revasc lithotr-ather tib/per 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

$18,078.06

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.

$27,391.00

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.

$4,903.29 with ANTHEM vs $40,063.76 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 →

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
ANTHEM ANTEHM MEDICAID $4,903.29 ↓ -73%
MANAGED HEALTH SERVICES MANAGED HEALTH SERVICES MEDICAID $4,903.29 ↓ -73%
CONTINUUS MEDICAID MANAGED CONTINUUS MEDICAID MANAGED $4,903.29 ↓ -73%
COMMUNITY CARE FAMILY CARE COMMUNITY CARE FAMILY CARE MEDICAID MANAGED $4,903.29 ↓ -73%
MERIDIAN HEALTH PLAN MERIDIAN HMO MCD $4,903.29 ↓ -73%
TRIOLOGY TRILOGY MEDICAID $5,197.48 ↓ -71%
MOLINA HEALTHCARE MOLINA MEDICAID $5,197.49 ↓ -71%
HUMANA HUMANA CHOICE CARE HMO $7,604.00 ↓ -58%
HUMANA HUMANA NATIIONAL POS HMO $7,604.00 ↓ -58%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $11,200.86 ↓ -38%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $11,200.86 ↓ -38%
PREVEA HEALTH NETWORK PREVEA360 $11,200.86 ↓ -38%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $11,200.86 ↓ -38%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $12,669.60 ↓ -30%
UNITED HEALTHCARE UHC ONEIDA NATION $12,669.60 ↓ -30%
UNITED HEALTHCARE UNITED HEALTHCARE $12,669.60 ↓ -30%
HSHS EMPLOYEES HSHS EMPLOYEES $13,312.03 ↓ -26%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $13,695.50 ↓ -24%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $16,434.60 ↓ -9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $16,982.42 ↓ -6%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $17,483.68 ↓ -3%
AETNA AETNA HSHS $17,694.59 ↓ -2%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $17,806.11 ↓ -2%
HUMANA HUMANA MEDICARE ADVANTAGE $17,806.11 ↓ -2%
AETNA AETNA MEDICARE $17,806.11 ↓ -2%
MOLINA HEALTHCARE MOLINA MEDICARE $17,806.11 ↓ -2%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $17,806.11 ↓ -2%
MEDICARE MANAGED MANAGED MEDICARE NO SEQUESTRATION $17,806.11 ↓ -2%
UNITY HEALTH PLAN UNITY HOSPICE $17,806.11 ↓ -2%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $17,984.17 ↓ -1%
ANTHEM ANTHEM POS/HMO $18,410.00 ↑ +2%
CIGNA ALL COMMERCIAL CIGNA $19,173.70 ↑ +6%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $19,447.61 ↑ +8%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $19,721.52 ↑ +9%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $19,721.52 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $19,721.52 ↑ +9%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $19,721.52 ↑ +9%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $19,995.43 ↑ +11%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $19,995.43 ↑ +11%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $20,543.25 ↑ +14%
ANTHEM ANTHEM PPO $22,500.00 ↑ +24%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $23,008.44 ↑ +27%
HEALTH CARE ALLIANCE THE ALLIANCE $23,008.44 ↑ +27%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $23,282.35 ↑ +29%
HUMANA HUMANA CHOICE CARE PPO $23,282.35 ↑ +29%
CHOICECARE ALL COMMERCIAL CHOICE CARE $23,282.35 ↑ +29%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $25,199.72 ↑ +39%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $26,021.45 ↑ +44%
CENPATICO ALL MEDICAID CENPATICO $27,391.00 ↑ +52%
COFINITY COFINITY $27,391.00 ↑ +52%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $27,391.00 ↑ +52%
AETNA ALL COMMERCIAL AETNA $27,391.00 ↑ +52%
LIVE360 LIVE360 HSHS HEALTHY PLAN $27,391.00 ↑ +52%
NAPHCARE ALL COMMERICAL NAPHCARE $40,063.76 ↑ +122%

Visitor-reported prices

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Revasc lithotr-ather tib/per at other Wisconsin hospitals

Hospital City Cash price Negotiated range
HSHS St. Mary's Hospital Medical Center GREEN BAY $18,078.06 $4,729.17 – $40,276.14
SSM Health St. Mary's Hospital - Madison Madison $14,782.90 $13,354.59 – $27,690.00
SSM Health Monroe Hospital Monroe $18,564.70 $17,806.11 – $25,004.00
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee $17,620.00 not published
Aurora Medical Center Sheboygan County Sheboygan $17,620.00 not published
HSHS St. Nicholas Hospital SHEBOYGAN $18,078.06 $4,729.17 – $40,336.82
UnityPoint Health - Meriter Hospital Madison not published $8,650.00 – $19,686.00
SSM Health St. Clare Hospital - Baraboo Baraboo not published $13,354.59 – $23,826.00

All Wisconsin hospitals for this procedure →