Culture screening strep group a at HSHS St. Clare Memorial Hospital
855 S MAIN STREET, OCONTO FALLS, WI · Hshs · · NPI 1851477913
$55.44
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.
$84.00
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.
$6.63 with UNITY HEALTH PLAN vs $75.00 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 →
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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 |
|---|---|---|---|
| UNITY HEALTH PLAN | UNITY HOSPICE | $6.63 | ↓ -88% |
| ANTHEM | ANTEHM MEDICAID | $6.85 | ↓ -88% |
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $6.85 | ↓ -88% |
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $6.85 | ↓ -88% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $6.85 | ↓ -88% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $6.85 | ↓ -88% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $7.26 | ↓ -87% |
| TRIOLOGY | TRILOGY MEDICAID | $7.26 | ↓ -87% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $7.96 | ↓ -86% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $7.96 | ↓ -86% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $7.96 | ↓ -86% |
| PREVEA HEALTH NETWORK | PREVEA360 | $8.62 | ↓ -84% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $8.62 | ↓ -84% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $8.62 | ↓ -84% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $8.62 | ↓ -84% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $18.00 | ↓ -68% |
| AETNA | AETNA MEDICARE | $18.00 | ↓ -68% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $18.00 | ↓ -68% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $18.00 | ↓ -68% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $18.00 | ↓ -68% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $18.18 | ↓ -67% |
| ANTHEM | ANTHEM PPO | $23.21 | ↓ -58% |
| ANTHEM | ANTHEM POS/HMO | $23.21 | ↓ -58% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $36.45 | ↓ -34% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $37.50 | ↓ -32% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $40.50 | ↓ -27% |
| CIGNA | ALL COMMERCIAL CIGNA | $46.88 | ↓ -15% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $47.87 | ↓ -14% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $59.25 | ↑ +7% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $60.00 | ↑ +8% |
| ARISE HEALTH PLAN | ALL COMMERCIAL ARISE HEALTH PLAN | $60.00 | ↑ +8% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $61.50 | ↑ +11% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $61.50 | ↑ +11% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $63.00 | ↑ +14% |
| HUMANA | HUMANA NATIIONAL POS HMO | $63.75 | ↑ +15% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $63.75 | ↑ +15% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $63.75 | ↑ +15% |
| HUMANA | HUMANA CHOICE CARE PPO | $63.75 | ↑ +15% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $66.75 | ↑ +20% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $66.75 | ↑ +20% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $67.50 | ↑ +22% |
| COFINITY | COFINITY | $67.50 | ↑ +22% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $67.50 | ↑ +22% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $69.00 | ↑ +24% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $71.25 | ↑ +29% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $71.25 | ↑ +29% |
| AETNA | ALL COMMERCIAL AETNA | $75.00 | ↑ +35% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $75.00 | ↑ +35% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $75.00 | ↑ +35% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $75.00 | ↑ +35% |
Visitor-reported prices
Comments
Culture screening strep group a 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 | $61.48 | $6.63 – $28.64 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $61.48 | $6.63 – $28.64 |
| UnityPoint Health - Meriter Hospital | Madison | $89.08 | $3.98 – $34.74 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | $95.93 | $6.43 – $11.88 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $161.15 | $4.97 – $65.89 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $217.25 | $4.97 – $52.71 |
| SSM Health St. Mary's Hospital - Madison | Madison | $113.85 | $4.97 – $53.92 |
| SSM Health Monroe Hospital | Monroe | $57.20 | $6.63 – $11.60 |