Dextrose 5 % IV bolus 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

$69.96

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.

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What you pay up front if you don't use insurance.

$106.00

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.

$4.85 with UNITED HEALTHCARE vs $106.00 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
UNITED HEALTHCARE UHC ONEIDA NATION $4.85 ↓ -93%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $4.85 ↓ -93%
UNITED HEALTHCARE UNITED HEALTHCARE $4.85 ↓ -93%
ANTHEM ANTHEM POS/HMO $5.00 ↓ -93%
PREVEA HEALTH NETWORK PREVEA360 $5.26 ↓ -92%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $5.26 ↓ -92%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $5.26 ↓ -92%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $5.26 ↓ -92%
ANTHEM ANTHEM PPO $6.17 ↓ -91%
MOLINA HEALTHCARE MOLINA MEDICARE $25.44 ↓ -64%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $25.44 ↓ -64%
AETNA AETNA MEDICARE $25.44 ↓ -64%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $25.44 ↓ -64%
HUMANA HUMANA MEDICARE ADVANTAGE $25.44 ↓ -64%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $25.69 ↓ -63%
HSHS EMPLOYEES HSHS EMPLOYEES $51.52 ↓ -26%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $53.00 ↓ -24%
NAPHCARE ALL COMMERICAL NAPHCARE $57.24 ↓ -18%
CIGNA ALL COMMERCIAL CIGNA $66.25 ↓ -5%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $67.66 ↓ -3%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $83.74 ↑ +20%
ARISE HEALTH PLAN ALL COMMERCIAL ARISE HEALTH PLAN $84.80 ↑ +21%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $84.80 ↑ +21%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $86.92 ↑ +24%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $86.92 ↑ +24%
HEALTH CARE ALLIANCE THE ALLIANCE $89.04 ↑ +27%
HUMANA HUMANA NATIIONAL POS HMO $90.10 ↑ +29%
CHOICECARE ALL COMMERCIAL CHOICE CARE $90.10 ↑ +29%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $90.10 ↑ +29%
HUMANA HUMANA CHOICE CARE PPO $90.10 ↑ +29%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $94.34 ↑ +35%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $94.34 ↑ +35%
COFINITY COFINITY $95.40 ↑ +36%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $95.40 ↑ +36%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $95.40 ↑ +36%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $97.52 ↑ +39%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $100.70 ↑ +44%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $100.70 ↑ +44%
AETNA ALL COMMERCIAL AETNA $106.00 ↑ +52%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $106.00 ↑ +52%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $106.00 ↑ +52%
LIVE360 LIVE360 HSHS HEALTHY PLAN $106.00 ↑ +52%

Visitor-reported prices

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Dextrose 5 % IV bolus at other Wisconsin hospitals

Hospital City Cash price Negotiated range
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $4.24 $3.65 – $7.35
UnityPoint Health - Meriter Hospital Madison $48.00 $3.04 – $51.00
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee $107.80 $3.64 – $8.78
Aurora Medical Center Summit Summit $71.74 $3.64 – $8.78
Aurora Baycare Medical Center Green Bay $64.03 $3.64 – $8.78
Aurora Medical Center Manitowoc Two Rivers $44.84 $3.64 – $8.78
Aurora West Allis Medical Center West Allis $73.78 $3.64 – $8.78
Aurora Medical Center Burlington Burlington $65.55 $3.64 – $8.78

All Wisconsin hospitals for this procedure →