Avulsion nail plate partial/complete simple single nail plate at HSHS St. Clare Memorial Hospital
855 S MAIN STREET, OCONTO FALLS, WI · Hshs · · NPI 1851477913
$404.00
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.
$404.00
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.
$53.37 with ANTHEM vs $404.00 with UNITED HEALTHCARE — 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 | $53.37 | ↓ -87% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $53.37 | ↓ -87% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $53.37 | ↓ -87% |
| AETNA | AETNA MEDICARE | $53.37 | ↓ -87% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $53.37 | ↓ -87% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $53.90 | ↓ -87% |
| ANTHEM | ANTEHM MEDICAID | $107.97 | ↓ -73% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $107.97 | ↓ -73% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $107.97 | ↓ -73% |
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $107.97 | ↓ -73% |
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $107.97 | ↓ -73% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $114.45 | ↓ -72% |
| TRIOLOGY | TRILOGY MEDICAID | $114.45 | ↓ -72% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $120.08 | ↓ -70% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $169.13 | ↓ -58% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $174.00 | ↓ -57% |
| UNITY HEALTH PLAN | UNITY HOSPICE | $204.98 | ↓ -49% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $208.80 | ↓ -48% |
| PREVEA HEALTH NETWORK | PREVEA360 | $208.80 | ↓ -48% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $208.80 | ↓ -48% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $208.80 | ↓ -48% |
| CIGNA | ALL COMMERCIAL CIGNA | $217.50 | ↓ -46% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $222.13 | ↓ -45% |
| ANTHEM | ANTHEM PPO | $236.64 | ↓ -41% |
| ANTHEM | ANTHEM POS/HMO | $236.64 | ↓ -41% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $274.92 | ↓ -32% |
| ARISE HEALTH PLAN | ALL COMMERCIAL ARISE HEALTH PLAN | $278.40 | ↓ -31% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $278.40 | ↓ -31% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $285.36 | ↓ -29% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $285.36 | ↓ -29% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $292.32 | ↓ -28% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $295.80 | ↓ -27% |
| HUMANA | HUMANA CHOICE CARE PPO | $295.80 | ↓ -27% |
| HUMANA | HUMANA NATIIONAL POS HMO | $295.80 | ↓ -27% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $295.80 | ↓ -27% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $309.72 | ↓ -23% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $309.72 | ↓ -23% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $313.20 | ↓ -22% |
| COFINITY | COFINITY | $313.20 | ↓ -22% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $313.20 | ↓ -22% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $320.16 | ↓ -21% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $330.60 | ↓ -18% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $330.60 | ↓ -18% |
| AETNA | ALL COMMERCIAL AETNA | $348.00 | ↓ -14% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $348.00 | ↓ -14% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $348.00 | ↓ -14% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $348.00 | ↓ -14% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $404.00 | ↑ +0% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $404.00 | ↑ +0% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $404.00 | ↑ +0% |
Visitor-reported prices
Comments
Avulsion nail plate partial/complete simple single nail plate 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 | $368.35 | $86.38 – $440.50 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $368.35 | $86.38 – $440.50 |
| UnityPoint Health - Meriter Hospital | Madison | $799.04 | $14.03 – $311.62 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $205.70 | $146.16 – $4,401.00 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $223.85 | $151.57 – $4,074.00 |
| SSM Health St. Mary's Hospital - Madison | Madison | $246.95 | $146.16 – $4,198.00 |
| SSM Health Monroe Hospital | Monroe | $252.45 | $194.88 – $4,217.00 |
| SSM Health Ripon Community Hospital | Ripon | $275.55 | $1,887.00 – $2,654.00 |