Doxycycline hyclate 100 mg intravenous powder for solution 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

$1.23

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.

Full explanation →

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

$1.86

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.17 with ANTHEM vs $1.86 with LIVE360 — same scan, same building. Share

Negotiated rates by payer
?

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
ANTHEM ANTHEM POS/HMO $0.17 ↓ -86%
UNITED HEALTHCARE UHC ONEIDA NATION $0.17 ↓ -86%
UNITED HEALTHCARE UNITED HEALTHCARE $0.17 ↓ -86%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $0.17 ↓ -86%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $0.18 ↓ -85%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $0.18 ↓ -85%
PREVEA HEALTH NETWORK PREVEA360 $0.18 ↓ -85%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $0.18 ↓ -85%
ANTHEM ANTHEM PPO $0.21 ↓ -83%
MOLINA HEALTHCARE MOLINA MEDICARE $0.45 ↓ -63%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $0.45 ↓ -63%
AETNA AETNA MEDICARE $0.45 ↓ -63%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $0.45 ↓ -63%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $0.45 ↓ -63%
HUMANA HUMANA MEDICARE ADVANTAGE $0.45 ↓ -63%
HSHS EMPLOYEES HSHS EMPLOYEES $0.90 ↓ -27%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $0.93 ↓ -24%
NAPHCARE ALL COMMERICAL NAPHCARE $1.01 ↓ -18%
CIGNA ALL COMMERCIAL CIGNA $1.16 ↓ -6%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $1.19 ↓ -3%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $1.47 ↑ +20%
ARISE HEALTH PLAN ALL COMMERCIAL ARISE HEALTH PLAN $1.49 ↑ +21%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $1.49 ↑ +21%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $1.53 ↑ +24%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $1.53 ↑ +24%
HEALTH CARE ALLIANCE THE ALLIANCE $1.56 ↑ +27%
HUMANA HUMANA NATIIONAL POS HMO $1.58 ↑ +28%
CHOICECARE ALL COMMERCIAL CHOICE CARE $1.58 ↑ +28%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $1.58 ↑ +28%
HUMANA HUMANA CHOICE CARE PPO $1.58 ↑ +28%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $1.66 ↑ +35%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $1.66 ↑ +35%
COFINITY COFINITY $1.67 ↑ +36%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $1.67 ↑ +36%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $1.67 ↑ +36%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $1.71 ↑ +39%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $1.77 ↑ +44%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $1.77 ↑ +44%
AETNA ALL COMMERCIAL AETNA $1.86 ↑ +51%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $1.86 ↑ +51%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $1.86 ↑ +51%
LIVE360 LIVE360 HSHS HEALTHY PLAN $1.86 ↑ +51%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Doxycycline hyclate 100 mg intravenous powder for solution at other Wisconsin hospitals

Hospital City Cash price Negotiated range
SSM Health St. Clare Hospital - Baraboo Baraboo not published $0.17 – $0.22
SSM Health St. Mary's Hospital - Janesville Janesville not published $0.17 – $0.22
SSM Health St. Mary's Hospital - Madison Madison not published $0.17 – $0.22
SSM Health Monroe Hospital Monroe not published $0.12 – $0.36
SSM Health Ripon Community Hospital Ripon not published $0.13 – $0.22
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $0.13 – $0.22
SSM Health Waupun Memorial Hospital Waupun not published $0.13 – $0.22
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee not published $0.12 – $0.12

All Wisconsin hospitals for this procedure →