Blood draw capillary 36416 at HSHS St. Clare Memorial Hospital
855 S MAIN STREET, OCONTO FALLS, WI · Hshs · · NPI 1851477913
$27.06
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.
$41.00
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.
$4.36 with COMMUNITY CARE FAMILY CARE vs $32.00 with LIVE360 — 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 |
|---|---|---|---|
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $4.36 | ↓ -84% |
| ANTHEM | ANTEHM MEDICAID | $4.36 | ↓ -84% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $4.36 | ↓ -84% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $4.36 | ↓ -84% |
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $4.36 | ↓ -84% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $4.62 | ↓ -83% |
| TRIOLOGY | TRILOGY MEDICAID | $4.62 | ↓ -83% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $7.68 | ↓ -72% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $7.68 | ↓ -72% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $7.68 | ↓ -72% |
| AETNA | AETNA MEDICARE | $7.68 | ↓ -72% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $7.68 | ↓ -72% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $7.76 | ↓ -71% |
| ANTHEM | ANTHEM POS/HMO | $10.00 | ↓ -63% |
| ANTHEM | ANTHEM PPO | $10.00 | ↓ -63% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $10.16 | ↓ -62% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $10.16 | ↓ -62% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $10.16 | ↓ -62% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $15.55 | ↓ -43% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $16.00 | ↓ -41% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $17.28 | ↓ -36% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $19.20 | ↓ -29% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $19.20 | ↓ -29% |
| PREVEA HEALTH NETWORK | PREVEA360 | $19.20 | ↓ -29% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $19.20 | ↓ -29% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $20.43 | ↓ -25% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $25.28 | ↓ -7% |
| ARISE HEALTH PLAN | ALL COMMERCIAL ARISE HEALTH PLAN | $25.60 | ↓ -5% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $25.60 | ↓ -5% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $26.24 | ↓ -3% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $26.24 | ↓ -3% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $26.88 | ↓ -1% |
| HUMANA | HUMANA NATIIONAL POS HMO | $27.20 | ↑ +1% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $27.20 | ↑ +1% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $27.20 | ↑ +1% |
| HUMANA | HUMANA CHOICE CARE PPO | $27.20 | ↑ +1% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $28.48 | ↑ +5% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $28.48 | ↑ +5% |
| COFINITY | COFINITY | $28.80 | ↑ +6% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $28.80 | ↑ +6% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $28.80 | ↑ +6% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $29.44 | ↑ +9% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $30.40 | ↑ +12% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $30.40 | ↑ +12% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $32.00 | ↑ +18% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $32.00 | ↑ +18% |
| AETNA | ALL COMMERCIAL AETNA | $32.00 | ↑ +18% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $32.00 | ↑ +18% |
Visitor-reported prices
Comments
Blood draw capillary 36416 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 | $15.90 | $3.00 – $7.61 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $15.90 | $3.00 – $7.61 |
| UnityPoint Health - Meriter Hospital | Madison | $35.20 | $1.64 – $23.45 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | $14.84 | $2.83 – $3.65 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $21.45 | not published |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $29.15 | not published |
| SSM Health St. Mary's Hospital - Madison | Madison | $28.60 | not published |
| SSM Health Monroe Hospital | Monroe | $21.45 | not published |