Tebentafusp-tebn 100 mcg/0.5 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

$39,522.98

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.

$59,883.30

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.

$222.21 with HUMANA vs $59,883.30 with CATERPILLAR, INC. — 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
HUMANA HUMANA MEDICARE ADVANTAGE $222.21 ↓ -99%
MOLINA HEALTHCARE MOLINA MEDICARE $222.21 ↓ -99%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $222.21 ↓ -99%
UNITY HEALTH PLAN UNITY HOSPICE $222.21 ↓ -99%
AETNA AETNA MEDICARE $222.21 ↓ -99%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $222.21 ↓ -99%
MEDICARE MANAGED MANAGED MEDICARE NO SEQUESTRATION $222.21 ↓ -99%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $224.43 ↓ -99%
HUMANA HUMANA CHOICE CARE HMO $364.75 ↓ -99%
HUMANA HUMANA NATIIONAL POS HMO $364.75 ↓ -99%
UNITED HEALTHCARE UHC ONEIDA NATION $366.65 ↓ -99%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $366.65 ↓ -99%
UNITED HEALTHCARE UNITED HEALTHCARE $366.65 ↓ -99%
ANTHEM ANTHEM POS/HMO $377.76 ↓ -99%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $397.76 ↓ -99%
PREVEA HEALTH NETWORK PREVEA360 $397.76 ↓ -99%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $397.76 ↓ -99%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $397.76 ↓ -99%
ANTHEM ANTHEM PPO $466.64 ↓ -99%
NAPHCARE ALL COMMERICAL NAPHCARE $499.97 ↓ -99%
CONTINUUS MEDICAID MANAGED CONTINUUS MEDICAID MANAGED $7,228.28 ↓ -82%
ANTHEM ANTEHM MEDICAID $7,228.28 ↓ -82%
MERIDIAN HEALTH PLAN MERIDIAN HMO MCD $7,228.28 ↓ -82%
MANAGED HEALTH SERVICES MANAGED HEALTH SERVICES MEDICAID $7,228.28 ↓ -82%
COMMUNITY CARE FAMILY CARE COMMUNITY CARE FAMILY CARE MEDICAID MANAGED $7,228.28 ↓ -82%
MOLINA HEALTHCARE MOLINA MEDICAID $7,661.98 ↓ -81%
TRIOLOGY TRILOGY MEDICAID $7,661.98 ↓ -81%
HSHS EMPLOYEES HSHS EMPLOYEES $29,103.28 ↓ -26%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $29,941.65 ↓ -24%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $35,929.98 ↓ -9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $37,127.65 ↓ -6%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $38,223.51 ↓ -3%
AETNA AETNA HSHS $38,684.61 ↓ -2%
CIGNA ALL COMMERCIAL CIGNA $41,918.31 ↑ +6%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $42,517.14 ↑ +8%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $43,115.98 ↑ +9%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $43,115.98 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $43,115.98 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $43,115.98 ↑ +9%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $43,714.81 ↑ +11%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $43,714.81 ↑ +11%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $44,912.48 ↑ +14%
HEALTH CARE ALLIANCE THE ALLIANCE $50,301.97 ↑ +27%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $50,301.97 ↑ +27%
HUMANA HUMANA CHOICE CARE PPO $50,900.81 ↑ +29%
CHOICECARE ALL COMMERCIAL CHOICE CARE $50,900.81 ↑ +29%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $50,900.81 ↑ +29%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $55,092.64 ↑ +39%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $56,889.14 ↑ +44%
LIVE360 LIVE360 HSHS HEALTHY PLAN $59,883.30 ↑ +52%
COFINITY COFINITY $59,883.30 ↑ +52%
CENPATICO ALL MEDICAID CENPATICO $59,883.30 ↑ +52%
AETNA ALL COMMERCIAL AETNA $59,883.30 ↑ +52%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $59,883.30 ↑ +52%

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Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution at other Wisconsin hospitals

Hospital City Cash price Negotiated range
UnityPoint Health - Meriter Hospital Madison not published $214.56 – $230.22
SSM Health St. Clare Hospital - Baraboo Baraboo not published $171.00 – $412.47
SSM Health St. Mary's Hospital - Janesville Janesville not published $171.00 – $412.47
SSM Health St. Mary's Hospital - Madison Madison not published $171.00 – $412.47
SSM Health Monroe Hospital Monroe not published $214.76 – $584.68
SSM Health Ripon Community Hospital Ripon not published $232.52 – $584.68
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $171.00 – $584.68
SSM Health Waupun Memorial Hospital Waupun not published $232.52 – $584.68

All Wisconsin hospitals for this procedure →