Chloride 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

$54.12

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.

$82.00

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.

$4.60 with UNITY HEALTH PLAN vs $82.00 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 →

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 $4.60 ↓ -92%
MANAGED HEALTH SERVICES MANAGED HEALTH SERVICES MEDICAID $4.75 ↓ -91%
ANTHEM ANTEHM MEDICAID $4.75 ↓ -91%
COMMUNITY CARE FAMILY CARE COMMUNITY CARE FAMILY CARE MEDICAID MANAGED $4.75 ↓ -91%
MERIDIAN HEALTH PLAN MERIDIAN HMO MCD $4.75 ↓ -91%
CONTINUUS MEDICAID MANAGED CONTINUUS MEDICAID MANAGED $4.75 ↓ -91%
MOLINA HEALTHCARE MOLINA MEDICAID $5.04 ↓ -91%
TRIOLOGY TRILOGY MEDICAID $5.04 ↓ -91%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $5.52 ↓ -90%
UNITED HEALTHCARE UNITED HEALTHCARE $5.52 ↓ -90%
UNITED HEALTHCARE UHC ONEIDA NATION $5.52 ↓ -90%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $5.98 ↓ -89%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $5.98 ↓ -89%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $5.98 ↓ -89%
PREVEA HEALTH NETWORK PREVEA360 $5.98 ↓ -89%
ANTHEM ANTHEM PPO $16.10 ↓ -70%
ANTHEM ANTHEM POS/HMO $16.10 ↓ -70%
HUMANA HUMANA MEDICARE ADVANTAGE $19.68 ↓ -64%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $19.68 ↓ -64%
AETNA AETNA MEDICARE $19.68 ↓ -64%
MOLINA HEALTHCARE MOLINA MEDICARE $19.68 ↓ -64%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $19.68 ↓ -64%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $19.88 ↓ -63%
HSHS EMPLOYEES HSHS EMPLOYEES $39.85 ↓ -26%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $41.00 ↓ -24%
NAPHCARE ALL COMMERICAL NAPHCARE $44.28 ↓ -18%
CIGNA ALL COMMERCIAL CIGNA $51.25 ↓ -5%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $52.34 ↓ -3%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $64.78 ↑ +20%
ARISE HEALTH PLAN ALL COMMERCIAL ARISE HEALTH PLAN $65.60 ↑ +21%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $65.60 ↑ +21%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $67.24 ↑ +24%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $67.24 ↑ +24%
HEALTH CARE ALLIANCE THE ALLIANCE $68.88 ↑ +27%
HUMANA HUMANA CHOICE CARE PPO $69.70 ↑ +29%
CHOICECARE ALL COMMERCIAL CHOICE CARE $69.70 ↑ +29%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $69.70 ↑ +29%
HUMANA HUMANA NATIIONAL POS HMO $69.70 ↑ +29%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $72.98 ↑ +35%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $72.98 ↑ +35%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $73.80 ↑ +36%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $73.80 ↑ +36%
COFINITY COFINITY $73.80 ↑ +36%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $75.44 ↑ +39%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $77.90 ↑ +44%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $77.90 ↑ +44%
AETNA ALL COMMERCIAL AETNA $82.00 ↑ +52%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $82.00 ↑ +52%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $82.00 ↑ +52%
LIVE360 LIVE360 HSHS HEALTHY PLAN $82.00 ↑ +52%

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