Sirolimus-protein bound 100 mg intravenous suspension 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

$154.80

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.

$234.54

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.

$87.11 with UNITY HEALTH PLAN vs $248.61 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 $87.11 ↓ -44%
MEDICARE MANAGED MANAGED MEDICARE NO SEQUESTRATION $87.11 ↓ -44%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $87.11 ↓ -44%
HUMANA HUMANA MEDICARE ADVANTAGE $87.11 ↓ -44%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $87.11 ↓ -44%
AETNA AETNA MEDICARE $87.11 ↓ -44%
MOLINA HEALTHCARE MOLINA MEDICARE $87.11 ↓ -44%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $87.98 ↓ -43%
HSHS EMPLOYEES HSHS EMPLOYEES $113.99 ↓ -26%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $117.27 ↓ -24%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $140.72 ↓ -9%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $143.73 ↓ -7%
UNITED HEALTHCARE UNITED HEALTHCARE $143.73 ↓ -7%
UNITED HEALTHCARE UHC ONEIDA NATION $143.73 ↓ -7%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $145.41 ↓ -6%
ANTHEM ANTHEM POS/HMO $148.09 ↓ -4%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $149.71 ↓ -3%
AETNA AETNA HSHS $151.51 ↓ -2%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $155.93 ↑ +1%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $155.93 ↑ +1%
PREVEA HEALTH NETWORK PREVEA360 $155.93 ↑ +1%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $155.93 ↑ +1%
CIGNA ALL COMMERCIAL CIGNA $164.18 ↑ +6%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $166.52 ↑ +8%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $168.87 ↑ +9%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $168.87 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $168.87 ↑ +9%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $168.87 ↑ +9%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $171.21 ↑ +11%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $171.21 ↑ +11%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $175.91 ↑ +14%
ANTHEM ANTHEM PPO $182.93 ↑ +18%
HUMANA HUMANA CHOICE CARE HMO $193.36 ↑ +25%
HUMANA HUMANA NATIIONAL POS HMO $193.36 ↑ +25%
NAPHCARE ALL COMMERICAL NAPHCARE $196.00 ↑ +27%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $197.01 ↑ +27%
HEALTH CARE ALLIANCE THE ALLIANCE $197.01 ↑ +27%
CHOICECARE ALL COMMERCIAL CHOICE CARE $199.36 ↑ +29%
HUMANA HUMANA CHOICE CARE PPO $199.36 ↑ +29%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $199.36 ↑ +29%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $215.78 ↑ +39%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $222.81 ↑ +44%
MERIDIAN HEALTH PLAN MERIDIAN HMO MCD $234.54 ↑ +52%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $234.54 ↑ +52%
LIVE360 LIVE360 HSHS HEALTHY PLAN $234.54 ↑ +52%
COMMUNITY CARE FAMILY CARE COMMUNITY CARE FAMILY CARE MEDICAID MANAGED $234.54 ↑ +52%
CONTINUUS MEDICAID MANAGED CONTINUUS MEDICAID MANAGED $234.54 ↑ +52%
MANAGED HEALTH SERVICES MANAGED HEALTH SERVICES MEDICAID $234.54 ↑ +52%
ANTHEM ANTEHM MEDICAID $234.54 ↑ +52%
TRIOLOGY TRILOGY MEDICAID $234.54 ↑ +52%
CENPATICO ALL MEDICAID CENPATICO $234.54 ↑ +52%
AETNA ALL COMMERCIAL AETNA $234.54 ↑ +52%
COFINITY COFINITY $234.54 ↑ +52%
MOLINA HEALTHCARE MOLINA MEDICAID $248.61 ↑ +61%

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Sirolimus-protein bound 100 mg intravenous suspension at other Wisconsin hospitals

Hospital City Cash price Negotiated range
Aurora Baycare Medical Center Green Bay not published $114.21 – $286.58
UnityPoint Health - Meriter Hospital Madison not published $84.53 – $121.00
SSM Health St. Clare Hospital - Baraboo Baraboo not published $68.27 – $217.28
SSM Health St. Mary's Hospital - Janesville Janesville not published $68.27 – $217.28
SSM Health St. Mary's Hospital - Madison Madison not published $68.27 – $217.28
SSM Health Monroe Hospital Monroe not published $91.03 – $320.25
SSM Health Ripon Community Hospital Ripon not published $127.17 – $319.75
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $68.27 – $319.75

All Wisconsin hospitals for this procedure →