Bln 30frx10mmx12cm renal nephromax at HSHS St. Clare Memorial Hospital
855 S MAIN STREET, OCONTO FALLS, WI · Hshs · · NPI 1851477913
$2,655.18
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.
$4,023.00
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.
$102.89 with MOLINA HEALTHCARE vs $428.71 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 |
|---|---|---|---|
| MOLINA HEALTHCARE | MOLINA MEDICARE | $102.89 | ↓ -96% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $102.89 | ↓ -96% |
| AETNA | AETNA MEDICARE | $102.89 | ↓ -96% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $102.89 | ↓ -96% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $102.89 | ↓ -96% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $103.92 | ↓ -96% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $208.35 | ↓ -92% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $214.36 | ↓ -92% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $231.50 | ↓ -91% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $235.79 | ↓ -91% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $235.79 | ↓ -91% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $235.79 | ↓ -91% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $257.23 | ↓ -90% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $257.23 | ↓ -90% |
| PREVEA HEALTH NETWORK | PREVEA360 | $257.23 | ↓ -90% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $257.23 | ↓ -90% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $273.65 | ↓ -90% |
| ANTHEM | ANTHEM POS/HMO | $291.52 | ↓ -89% |
| ANTHEM | ANTHEM PPO | $291.52 | ↓ -89% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $338.68 | ↓ -87% |
| ARISE HEALTH PLAN | ALL COMMERCIAL ARISE HEALTH PLAN | $342.97 | ↓ -87% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $342.97 | ↓ -87% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $351.54 | ↓ -87% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $351.54 | ↓ -87% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $360.12 | ↓ -86% |
| HUMANA | HUMANA NATIIONAL POS HMO | $364.40 | ↓ -86% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $364.40 | ↓ -86% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $364.40 | ↓ -86% |
| HUMANA | HUMANA CHOICE CARE PPO | $364.40 | ↓ -86% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $381.55 | ↓ -86% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $381.55 | ↓ -86% |
| COFINITY | COFINITY | $385.84 | ↓ -85% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $385.84 | ↓ -85% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $385.84 | ↓ -85% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $394.41 | ↓ -85% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $407.27 | ↓ -85% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $407.27 | ↓ -85% |
| AETNA | ALL COMMERCIAL AETNA | $428.71 | ↓ -84% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $428.71 | ↓ -84% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $428.71 | ↓ -84% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $428.71 | ↓ -84% |
Visitor-reported prices
Comments
Bln 30frx10mmx12cm renal nephromax at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $1,238.83 | $66.51 – $245.79 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $340.60 | not published |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $2,795.43 | not published |
| SSM Health St. Mary's Hospital - Madison | Madison | $1,665.40 | not published |
| SSM Health Monroe Hospital | Monroe | $361.25 | not published |
| SSM Health Ripon Community Hospital | Ripon | $773.06 | not published |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $773.06 | not published |
| SSM Health Waupun Memorial Hospital | Waupun | $773.06 | not published |