Diazepam 5 mg/ml injection solution (wrapper) 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

$81.97

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.

$124.20

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.

$11.04 with UNITED HEALTHCARE vs $90.85 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 $11.04 ↓ -87%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $11.04 ↓ -87%
UNITED HEALTHCARE UNITED HEALTHCARE $11.04 ↓ -87%
ANTHEM ANTHEM POS/HMO $11.37 ↓ -86%
PREVEA HEALTH NETWORK PREVEA360 $11.98 ↓ -85%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $11.98 ↓ -85%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $11.98 ↓ -85%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $11.98 ↓ -85%
ANTHEM ANTHEM PPO $14.05 ↓ -83%
MOLINA HEALTHCARE MOLINA MEDICARE $21.80 ↓ -73%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $21.80 ↓ -73%
AETNA AETNA MEDICARE $21.80 ↓ -73%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $21.80 ↓ -73%
HUMANA HUMANA MEDICARE ADVANTAGE $21.80 ↓ -73%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $22.02 ↓ -73%
HSHS EMPLOYEES HSHS EMPLOYEES $44.15 ↓ -46%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $45.43 ↓ -45%
NAPHCARE ALL COMMERICAL NAPHCARE $49.05 ↓ -40%
CIGNA ALL COMMERCIAL CIGNA $56.78 ↓ -31%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $57.99 ↓ -29%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $71.77 ↓ -12%
ARISE HEALTH PLAN ALL COMMERCIAL ARISE HEALTH PLAN $72.68 ↓ -11%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $72.68 ↓ -11%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $74.50 ↓ -9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $74.50 ↓ -9%
HEALTH CARE ALLIANCE THE ALLIANCE $76.31 ↓ -7%
HUMANA HUMANA NATIIONAL POS HMO $77.22 ↓ -6%
CHOICECARE ALL COMMERCIAL CHOICE CARE $77.22 ↓ -6%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $77.22 ↓ -6%
HUMANA HUMANA CHOICE CARE PPO $77.22 ↓ -6%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $80.86 ↓ -1%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $80.86 ↓ -1%
COFINITY COFINITY $81.77 ↓ -0%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $81.77 ↓ -0%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $81.77 ↓ -0%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $83.58 ↑ +2%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $86.31 ↑ +5%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $86.31 ↑ +5%
AETNA ALL COMMERCIAL AETNA $90.85 ↑ +11%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $90.85 ↑ +11%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $90.85 ↑ +11%
LIVE360 LIVE360 HSHS HEALTHY PLAN $90.85 ↑ +11%

Visitor-reported prices

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Diazepam 5 mg/ml injection solution (wrapper) 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 $26.35 $7.58 – $16.68
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $26.35 $7.58 – $16.68
UnityPoint Health - Meriter Hospital Madison $94.27 $5.45 – $60.92
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee $72.26 $5.79 – $20.85
Aurora Medical Center Summit Summit $59.51 $5.79 – $20.85
Aurora Medical Center Manitowoc Two Rivers $17.38 $5.79 – $20.85
Aurora West Allis Medical Center West Allis $56.32 $5.79 – $20.85
Midwest Orthopedic Specialty Hospital Franklin $26.35 $4.26 – $26.08

All Wisconsin hospitals for this procedure →