Chloride 24 hour urine 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

$38.94

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.

$59.00

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.

$5.75 with UNITY HEALTH PLAN vs $59.00 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
UNITY HEALTH PLAN UNITY HOSPICE $5.75 ↓ -85%
COMMUNITY CARE FAMILY CARE COMMUNITY CARE FAMILY CARE MEDICAID MANAGED $5.94 ↓ -85%
CONTINUUS MEDICAID MANAGED CONTINUUS MEDICAID MANAGED $5.94 ↓ -85%
MERIDIAN HEALTH PLAN MERIDIAN HMO MCD $5.94 ↓ -85%
MANAGED HEALTH SERVICES MANAGED HEALTH SERVICES MEDICAID $5.94 ↓ -85%
ANTHEM ANTEHM MEDICAID $5.94 ↓ -85%
MOLINA HEALTHCARE MOLINA MEDICAID $6.30 ↓ -84%
TRIOLOGY TRILOGY MEDICAID $6.30 ↓ -84%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $6.90 ↓ -82%
UNITED HEALTHCARE UHC ONEIDA NATION $6.90 ↓ -82%
UNITED HEALTHCARE UNITED HEALTHCARE $6.90 ↓ -82%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $7.48 ↓ -81%
PREVEA HEALTH NETWORK PREVEA360 $7.48 ↓ -81%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $7.48 ↓ -81%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $7.48 ↓ -81%
AETNA AETNA MEDICARE $14.16 ↓ -64%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $14.16 ↓ -64%
HUMANA HUMANA MEDICARE ADVANTAGE $14.16 ↓ -64%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $14.16 ↓ -64%
MOLINA HEALTHCARE MOLINA MEDICARE $14.16 ↓ -64%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $14.30 ↓ -63%
ANTHEM ANTHEM POS/HMO $20.13 ↓ -48%
ANTHEM ANTHEM PPO $20.13 ↓ -48%
HSHS EMPLOYEES HSHS EMPLOYEES $28.67 ↓ -26%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $29.50 ↓ -24%
NAPHCARE ALL COMMERICAL NAPHCARE $31.86 ↓ -18%
CIGNA ALL COMMERCIAL CIGNA $36.88 ↓ -5%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $37.66 ↓ -3%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $46.61 ↑ +20%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $47.20 ↑ +21%
ARISE HEALTH PLAN ALL COMMERCIAL ARISE HEALTH PLAN $47.20 ↑ +21%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $48.38 ↑ +24%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $48.38 ↑ +24%
HEALTH CARE ALLIANCE THE ALLIANCE $49.56 ↑ +27%
HUMANA HUMANA NATIIONAL POS HMO $50.15 ↑ +29%
CHOICECARE ALL COMMERCIAL CHOICE CARE $50.15 ↑ +29%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $50.15 ↑ +29%
HUMANA HUMANA CHOICE CARE PPO $50.15 ↑ +29%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $52.51 ↑ +35%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $52.51 ↑ +35%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $53.10 ↑ +36%
COFINITY COFINITY $53.10 ↑ +36%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $53.10 ↑ +36%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $54.28 ↑ +39%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $56.05 ↑ +44%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $56.05 ↑ +44%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $59.00 ↑ +52%
AETNA ALL COMMERCIAL AETNA $59.00 ↑ +52%
LIVE360 LIVE360 HSHS HEALTHY PLAN $59.00 ↑ +52%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $59.00 ↑ +52%

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