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

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

$404.00

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.

$404.00

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.

$53.37 with ANTHEM vs $404.00 with UNITED 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 →

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
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

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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

All Wisconsin hospitals for this procedure →