Administration vaccine influenza virus at HSHS St. Clare Memorial Hospital
855 S MAIN STREET, OCONTO FALLS, WI · Hshs · · NPI 1851477913
$53.46
Cash price 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.
?
What you pay up front if you don't use insurance.
$81.00
Gross charge 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.
?
The hospital's undiscounted list price — almost no one pays this.
$16.80 with ANTHEM vs $70.00 with LIVE360 — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 ?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 ?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 | ANTHEM MEDICARE ADVANTAGE HMO | $16.80 | ↓ -69% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $16.80 | ↓ -69% |
| AETNA | AETNA MEDICARE | $16.80 | ↓ -69% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $16.80 | ↓ -69% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $16.97 | ↓ -68% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $19.44 | ↓ -64% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $34.02 | ↓ -36% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $35.00 | ↓ -35% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $37.80 | ↓ -29% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $42.00 | ↓ -21% |
| PREVEA HEALTH NETWORK | PREVEA360 | $42.00 | ↓ -21% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $42.00 | ↓ -21% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $42.00 | ↓ -21% |
| CIGNA | ALL COMMERCIAL CIGNA | $43.75 | ↓ -18% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $44.68 | ↓ -16% |
| ANTHEM | ANTHEM POS/HMO | $47.60 | ↓ -11% |
| ANTHEM | ANTHEM PPO | $47.60 | ↓ -11% |
| UNITY HEALTH PLAN | UNITY HOSPICE | $47.84 | ↓ -11% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $55.30 | ↑ +3% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $56.00 | ↑ +5% |
| ARISE HEALTH PLAN | ALL COMMERCIAL ARISE HEALTH PLAN | $56.00 | ↑ +5% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $57.40 | ↑ +7% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $57.40 | ↑ +7% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $58.80 | ↑ +10% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $59.50 | ↑ +11% |
| HUMANA | HUMANA NATIIONAL POS HMO | $59.50 | ↑ +11% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $59.50 | ↑ +11% |
| HUMANA | HUMANA CHOICE CARE PPO | $59.50 | ↑ +11% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $62.30 | ↑ +17% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $62.30 | ↑ +17% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $63.00 | ↑ +18% |
| COFINITY | COFINITY | $63.00 | ↑ +18% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $63.00 | ↑ +18% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $63.08 | ↑ +18% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $63.08 | ↑ +18% |
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $63.08 | ↑ +18% |
| ANTHEM | ANTEHM MEDICAID | $63.08 | ↑ +18% |
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $63.08 | ↑ +18% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $64.40 | ↑ +20% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $66.50 | ↑ +24% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $66.50 | ↑ +24% |
| TRIOLOGY | TRILOGY MEDICAID | $66.86 | ↑ +25% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $66.86 | ↑ +25% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $70.00 | ↑ +31% |
| AETNA | ALL COMMERCIAL AETNA | $70.00 | ↑ +31% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $70.00 | ↑ +31% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $70.00 | ↑ +31% |
Visitor-reported prices
Comments
Administration vaccine influenza virus at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $38.69 | $37.13 – $52.82 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $45.05 | $37.13 – $52.82 |
| UnityPoint Health - Meriter Hospital | Madison | $173.12 | $10.12 – $67.51 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $61.05 | $34.11 – $45.48 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $90.20 | $35.37 – $47.17 |
| SSM Health St. Mary's Hospital - Madison | Madison | $133.65 | $34.11 – $45.48 |
| SSM Health Monroe Hospital | Monroe | $29.15 | $45.48 – $45.48 |
| SSM Health Ripon Community Hospital | Ripon | $49.50 | not published |