Fibrinolysins/coagulopathy screen interpretation/report 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

$294.36

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.

$446.00

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.

$7.27 with ANTHEM vs $144.00 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 →

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
ANTHEM ANTEHM MEDICAID $7.27 ↓ -98%
COMMUNITY CARE FAMILY CARE COMMUNITY CARE FAMILY CARE MEDICAID MANAGED $7.27 ↓ -98%
CONTINUUS MEDICAID MANAGED CONTINUUS MEDICAID MANAGED $7.27 ↓ -98%
MERIDIAN HEALTH PLAN MERIDIAN HMO MCD $7.27 ↓ -98%
MANAGED HEALTH SERVICES MANAGED HEALTH SERVICES MEDICAID $7.27 ↓ -98%
MOLINA HEALTHCARE MOLINA MEDICAID $7.71 ↓ -97%
TRIOLOGY TRILOGY MEDICAID $7.71 ↓ -97%
UNITY HEALTH PLAN UNITY HOSPICE $15.48 ↓ -95%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $18.58 ↓ -94%
UNITED HEALTHCARE UNITED HEALTHCARE $18.58 ↓ -94%
UNITED HEALTHCARE UHC ONEIDA NATION $18.58 ↓ -94%
PREVEA HEALTH NETWORK PREVEA360 $20.12 ↓ -93%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $20.12 ↓ -93%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $20.12 ↓ -93%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $20.12 ↓ -93%
MOLINA HEALTHCARE MOLINA MEDICARE $34.56 ↓ -88%
AETNA AETNA MEDICARE $34.56 ↓ -88%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $34.56 ↓ -88%
HUMANA HUMANA MEDICARE ADVANTAGE $34.56 ↓ -88%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $34.56 ↓ -88%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $34.91 ↓ -88%
ANTHEM ANTHEM PPO $54.18 ↓ -82%
ANTHEM ANTHEM POS/HMO $54.18 ↓ -82%
HSHS EMPLOYEES HSHS EMPLOYEES $69.98 ↓ -76%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $72.00 ↓ -76%
NAPHCARE ALL COMMERICAL NAPHCARE $77.76 ↓ -74%
CIGNA ALL COMMERCIAL CIGNA $90.00 ↓ -69%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $91.92 ↓ -69%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $113.76 ↓ -61%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $115.20 ↓ -61%
ARISE HEALTH PLAN ALL COMMERCIAL ARISE HEALTH PLAN $115.20 ↓ -61%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $118.08 ↓ -60%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $118.08 ↓ -60%
HEALTH CARE ALLIANCE THE ALLIANCE $120.96 ↓ -59%
HUMANA HUMANA NATIIONAL POS HMO $122.40 ↓ -58%
CHOICECARE ALL COMMERCIAL CHOICE CARE $122.40 ↓ -58%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $122.40 ↓ -58%
HUMANA HUMANA CHOICE CARE PPO $122.40 ↓ -58%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $128.16 ↓ -56%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $128.16 ↓ -56%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $129.60 ↓ -56%
COFINITY COFINITY $129.60 ↓ -56%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $129.60 ↓ -56%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $132.48 ↓ -55%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $136.80 ↓ -54%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $136.80 ↓ -54%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $144.00 ↓ -51%
AETNA ALL COMMERCIAL AETNA $144.00 ↓ -51%
LIVE360 LIVE360 HSHS HEALTHY PLAN $144.00 ↓ -51%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $144.00 ↓ -51%

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