Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool at HSHS St. Clare Memorial Hospital
855 S MAIN STREET, OCONTO FALLS, WI · Hshs · · NPI 1851477913
$118.14
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.
$179.00
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.
$14.38 with UNITY HEALTH PLAN vs $158.00 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 | $14.38 | ↓ -88% |
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $14.86 | ↓ -87% |
| ANTHEM | ANTEHM MEDICAID | $14.86 | ↓ -87% |
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $14.86 | ↓ -87% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $14.86 | ↓ -87% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $14.86 | ↓ -87% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $15.75 | ↓ -87% |
| TRIOLOGY | TRILOGY MEDICAID | $15.75 | ↓ -87% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $17.26 | ↓ -85% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $17.26 | ↓ -85% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $17.26 | ↓ -85% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $18.69 | ↓ -84% |
| PREVEA HEALTH NETWORK | PREVEA360 | $18.69 | ↓ -84% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $18.69 | ↓ -84% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $18.69 | ↓ -84% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $37.92 | ↓ -68% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $37.92 | ↓ -68% |
| AETNA | AETNA MEDICARE | $37.92 | ↓ -68% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $37.92 | ↓ -68% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $37.92 | ↓ -68% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $38.30 | ↓ -68% |
| ANTHEM | ANTHEM PPO | $50.33 | ↓ -57% |
| ANTHEM | ANTHEM POS/HMO | $50.33 | ↓ -57% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $76.79 | ↓ -35% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $79.00 | ↓ -33% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $85.32 | ↓ -28% |
| CIGNA | ALL COMMERCIAL CIGNA | $98.75 | ↓ -16% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $100.85 | ↓ -15% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $124.82 | ↑ +6% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $126.40 | ↑ +7% |
| ARISE HEALTH PLAN | ALL COMMERCIAL ARISE HEALTH PLAN | $126.40 | ↑ +7% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $129.56 | ↑ +10% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $129.56 | ↑ +10% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $132.72 | ↑ +12% |
| HUMANA | HUMANA NATIIONAL POS HMO | $134.30 | ↑ +14% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $134.30 | ↑ +14% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $134.30 | ↑ +14% |
| HUMANA | HUMANA CHOICE CARE PPO | $134.30 | ↑ +14% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $140.62 | ↑ +19% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $140.62 | ↑ +19% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $142.20 | ↑ +20% |
| COFINITY | COFINITY | $142.20 | ↑ +20% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $142.20 | ↑ +20% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $145.36 | ↑ +23% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $150.10 | ↑ +27% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $150.10 | ↑ +27% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $158.00 | ↑ +34% |
| AETNA | ALL COMMERCIAL AETNA | $158.00 | ↑ +34% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $158.00 | ↑ +34% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $158.00 | ↑ +34% |
Visitor-reported prices
Comments
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool 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 | $152.64 | $14.38 – $63.05 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $152.64 | $14.38 – $63.05 |
| UnityPoint Health - Meriter Hospital | Madison | $169.87 | $8.63 – $66.25 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | $32.39 | $13.95 – $25.77 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $93.50 | $10.78 – $142.96 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $125.95 | $10.78 – $114.37 |
| SSM Health St. Mary's Hospital - Madison | Madison | $66.00 | $10.78 – $116.96 |
| SSM Health Monroe Hospital | Monroe | $40.15 | $14.38 – $25.17 |