Apl(pml-rara) quant - sendout at HSHS St. Clare Memorial Hospital

855 S MAIN STREET, OCONTO FALLS, WI · Hshs · · NPI 1851477913

Source: hospital's published price file ↗ · Published Mar 24, 2026 · Ingested Sep 16, 2026

$861.96

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.

$1,306.00

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.

$183.84 with MOLINA HEALTHCARE vs $766.00 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
MOLINA HEALTHCARE MOLINA MEDICARE $183.84 ↓ -79%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $183.84 ↓ -79%
AETNA AETNA MEDICARE $183.84 ↓ -79%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $183.84 ↓ -79%
HUMANA HUMANA MEDICARE ADVANTAGE $183.84 ↓ -79%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $185.68 ↓ -78%
UNITY HEALTH PLAN UNITY HOSPICE $207.31 ↓ -76%
COMMUNITY CARE FAMILY CARE COMMUNITY CARE FAMILY CARE MEDICAID MANAGED $214.21 ↓ -75%
ANTHEM ANTEHM MEDICAID $214.21 ↓ -75%
MANAGED HEALTH SERVICES MANAGED HEALTH SERVICES MEDICAID $214.21 ↓ -75%
CONTINUUS MEDICAID MANAGED CONTINUUS MEDICAID MANAGED $214.21 ↓ -75%
MERIDIAN HEALTH PLAN MERIDIAN HMO MCD $214.21 ↓ -75%
TRIOLOGY TRILOGY MEDICAID $227.06 ↓ -74%
MOLINA HEALTHCARE MOLINA MEDICAID $227.06 ↓ -74%
UNITED HEALTHCARE UNITED HEALTHCARE $248.77 ↓ -71%
UNITED HEALTHCARE UHC ONEIDA NATION $248.77 ↓ -71%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $248.77 ↓ -71%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $269.50 ↓ -69%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $269.50 ↓ -69%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $269.50 ↓ -69%
PREVEA HEALTH NETWORK PREVEA360 $269.50 ↓ -69%
HSHS EMPLOYEES HSHS EMPLOYEES $372.28 ↓ -57%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $383.00 ↓ -56%
NAPHCARE ALL COMMERICAL NAPHCARE $413.64 ↓ -52%
CIGNA ALL COMMERCIAL CIGNA $478.75 ↓ -44%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $488.94 ↓ -43%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $605.14 ↓ -30%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $612.80 ↓ -29%
ARISE HEALTH PLAN ALL COMMERCIAL ARISE HEALTH PLAN $612.80 ↓ -29%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $628.12 ↓ -27%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $628.12 ↓ -27%
HEALTH CARE ALLIANCE THE ALLIANCE $643.44 ↓ -25%
HUMANA HUMANA NATIIONAL POS HMO $651.10 ↓ -24%
HUMANA HUMANA CHOICE CARE PPO $651.10 ↓ -24%
CHOICECARE ALL COMMERCIAL CHOICE CARE $651.10 ↓ -24%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $651.10 ↓ -24%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $681.74 ↓ -21%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $681.74 ↓ -21%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $689.40 ↓ -20%
COFINITY COFINITY $689.40 ↓ -20%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $689.40 ↓ -20%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $704.72 ↓ -18%
ANTHEM ANTHEM PPO $725.59 ↓ -16%
ANTHEM ANTHEM POS/HMO $725.59 ↓ -16%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $727.70 ↓ -16%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $727.70 ↓ -16%
LIVE360 LIVE360 HSHS HEALTHY PLAN $766.00 ↓ -11%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $766.00 ↓ -11%
AETNA ALL COMMERCIAL AETNA $766.00 ↓ -11%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $766.00 ↓ -11%

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Apl(pml-rara) quant - sendout 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 $1,829.56 $207.31 – $903.23
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $1,829.56 $207.31 – $903.23
UnityPoint Health - Meriter Hospital Madison $621.99 $124.39 – $283.78
SSM Health St. Clare Hospital - Baraboo Baraboo $1,567.50 $155.48 – $2,060.62
SSM Health St. Mary's Hospital - Janesville Janesville $1,516.90 $155.48 – $1,648.50
SSM Health St. Mary's Hospital - Madison Madison $1,283.70 $155.48 – $1,685.98
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee $540.00 $165.85 – $727.57
Aurora Medical Center Summit Summit $540.00 $165.85 – $727.57

All Wisconsin hospitals for this procedure →