X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation 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

$708.84

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.

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

$1,074.00

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.

$54.25 with MERIDIAN HEALTH PLAN vs $1,074.00 with COFINITY — 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
MERIDIAN HEALTH PLAN MERIDIAN HMO MCD $54.25 ↓ -92%
MANAGED HEALTH SERVICES MANAGED HEALTH SERVICES MEDICAID $54.25 ↓ -92%
CONTINUUS MEDICAID MANAGED CONTINUUS MEDICAID MANAGED $54.25 ↓ -92%
COMMUNITY CARE FAMILY CARE COMMUNITY CARE FAMILY CARE MEDICAID MANAGED $54.25 ↓ -92%
ANTHEM ANTEHM MEDICAID $54.25 ↓ -92%
TRIOLOGY TRILOGY MEDICAID $57.50 ↓ -92%
MOLINA HEALTHCARE MOLINA MEDICAID $57.51 ↓ -92%
HUMANA HUMANA CHOICE CARE HMO $105.37 ↓ -85%
HUMANA HUMANA NATIIONAL POS HMO $105.37 ↓ -85%
ANTHEM ANTHEM POS/HMO $216.57 ↓ -69%
ANTHEM ANTHEM PPO $216.57 ↓ -69%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $338.87 ↓ -52%
AETNA AETNA MEDICARE $338.87 ↓ -52%
MEDICARE MANAGED MANAGED MEDICARE NO SEQUESTRATION $338.87 ↓ -52%
HUMANA HUMANA MEDICARE ADVANTAGE $338.87 ↓ -52%
MOLINA HEALTHCARE MOLINA MEDICARE $338.87 ↓ -52%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $338.87 ↓ -52%
UNITY HEALTH PLAN UNITY HOSPICE $338.87 ↓ -52%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $342.26 ↓ -52%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $456.60 ↓ -36%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $456.60 ↓ -36%
PREVEA HEALTH NETWORK PREVEA360 $456.60 ↓ -36%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $456.60 ↓ -36%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $495.60 ↓ -30%
UNITED HEALTHCARE UNITED HEALTHCARE $495.60 ↓ -30%
UNITED HEALTHCARE UHC ONEIDA NATION $495.60 ↓ -30%
HSHS EMPLOYEES HSHS EMPLOYEES $521.96 ↓ -26%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $537.00 ↓ -24%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $644.40 ↓ -9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $665.88 ↓ -6%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $685.53 ↓ -3%
AETNA AETNA HSHS $693.80 ↓ -2%
CIGNA ALL COMMERCIAL CIGNA $751.80 ↑ +6%
NAPHCARE ALL COMMERICAL NAPHCARE $762.46 ↑ +8%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $762.54 ↑ +8%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $773.28 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $773.28 ↑ +9%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $773.28 ↑ +9%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $773.28 ↑ +9%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $784.02 ↑ +11%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $784.02 ↑ +11%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $805.50 ↑ +14%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $902.16 ↑ +27%
HEALTH CARE ALLIANCE THE ALLIANCE $902.16 ↑ +27%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $912.90 ↑ +29%
HUMANA HUMANA CHOICE CARE PPO $912.90 ↑ +29%
CHOICECARE ALL COMMERCIAL CHOICE CARE $912.90 ↑ +29%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $988.08 ↑ +39%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $1,020.30 ↑ +44%
LIVE360 LIVE360 HSHS HEALTHY PLAN $1,074.00 ↑ +52%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $1,074.00 ↑ +52%
CENPATICO ALL MEDICAID CENPATICO $1,074.00 ↑ +52%
AETNA ALL COMMERCIAL AETNA $1,074.00 ↑ +52%
COFINITY COFINITY $1,074.00 ↑ +52%

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X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at other Wisconsin hospitals

Hospital City Cash price Negotiated range
Aurora Baycare Medical Center Green Bay $925.00 not published
HSHS St. Mary's Hospital Medical Center GREEN BAY $708.84 $52.32 – $766.50
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $539.01 $40.17 – $828.27
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $541.66 $40.17 – $828.27
UnityPoint Health - Meriter Hospital Madison $2,142.95 $20.70 – $835.75
SSM Health St. Clare Hospital - Baraboo Baraboo $467.50 $254.15 – $3,775.89
SSM Health St. Mary's Hospital - Janesville Janesville $765.60 $263.55 – $2,709.74
SSM Health St. Mary's Hospital - Madison Madison $801.35 $254.15 – $2,843.03

All Wisconsin hospitals for this procedure →