Albumin (human), 5%, 250 ml at HSHS St. Clare Memorial Hospital
855 S MAIN STREET, OCONTO FALLS, WI · Hshs · · NPI 1851477913
$337.92
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.
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What you pay up front if you don't use insurance.
$512.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$53.08 with UNITY HEALTH PLAN vs $363.47 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 →
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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 ?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 |
|---|---|---|---|
| UNITY HEALTH PLAN | UNITY HOSPICE | $53.08 | ↓ -84% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $82.30 | ↓ -76% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $82.30 | ↓ -76% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $82.30 | ↓ -76% |
| AETNA | AETNA MEDICARE | $82.30 | ↓ -76% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $82.30 | ↓ -76% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $83.12 | ↓ -75% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $87.58 | ↓ -74% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $87.58 | ↓ -74% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $87.58 | ↓ -74% |
| ANTHEM | ANTHEM POS/HMO | $90.24 | ↓ -73% |
| PREVEA HEALTH NETWORK | PREVEA360 | $95.01 | ↓ -72% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $95.01 | ↓ -72% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $95.01 | ↓ -72% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $95.01 | ↓ -72% |
| ANTHEM | ANTHEM PPO | $111.47 | ↓ -67% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $166.65 | ↓ -51% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $171.45 | ↓ -49% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $185.18 | ↓ -45% |
| CIGNA | ALL COMMERCIAL CIGNA | $214.31 | ↓ -37% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $218.87 | ↓ -35% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $270.89 | ↓ -20% |
| ARISE HEALTH PLAN | ALL COMMERCIAL ARISE HEALTH PLAN | $274.32 | ↓ -19% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $274.32 | ↓ -19% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $281.18 | ↓ -17% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $281.18 | ↓ -17% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $288.04 | ↓ -15% |
| HUMANA | HUMANA NATIIONAL POS HMO | $291.47 | ↓ -14% |
| HUMANA | HUMANA CHOICE CARE PPO | $291.47 | ↓ -14% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $291.47 | ↓ -14% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $291.47 | ↓ -14% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $305.18 | ↓ -10% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $305.18 | ↓ -10% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $308.61 | ↓ -9% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $308.61 | ↓ -9% |
| COFINITY | COFINITY | $308.61 | ↓ -9% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $315.47 | ↓ -7% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $325.76 | ↓ -4% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $325.76 | ↓ -4% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $342.90 | ↑ +1% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $342.90 | ↑ +1% |
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $342.90 | ↑ +1% |
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $342.90 | ↑ +1% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $342.90 | ↑ +1% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $342.90 | ↑ +1% |
| ANTHEM | ANTEHM MEDICAID | $342.90 | ↑ +1% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $342.90 | ↑ +1% |
| TRIOLOGY | TRILOGY MEDICAID | $342.90 | ↑ +1% |
| AETNA | ALL COMMERCIAL AETNA | $342.90 | ↑ +1% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $363.47 | ↑ +8% |
Visitor-reported prices
Comments
Albumin (human), 5%, 250 ml 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 | $109.12 | $69.00 – $144.84 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $109.12 | $69.00 – $144.84 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $196.23 | $53.08 – $129.51 |
| Aurora Medical Center Summit | Summit | $152.36 | $53.08 – $129.51 |
| Aurora Baycare Medical Center | Green Bay | $123.13 | $53.08 – $129.51 |
| Aurora Medical Center Manitowoc | Two Rivers | $108.98 | $53.08 – $129.51 |
| Aurora West Allis Medical Center | West Allis | $166.52 | $53.08 – $129.51 |
| Midwest Orthopedic Specialty Hospital | Franklin | $109.12 | $65.28 – $144.84 |