Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 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

$126.06

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.

$191.00

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.

$43.44 with MOLINA HEALTHCARE vs $181.00 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
MOLINA HEALTHCARE MOLINA MEDICARE $43.44 ↓ -66%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $43.44 ↓ -66%
AETNA AETNA MEDICARE $43.44 ↓ -66%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $43.44 ↓ -66%
HUMANA HUMANA MEDICARE ADVANTAGE $43.44 ↓ -66%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $43.87 ↓ -65%
CONTINUUS MEDICAID MANAGED CONTINUUS MEDICAID MANAGED $51.31 ↓ -59%
COMMUNITY CARE FAMILY CARE COMMUNITY CARE FAMILY CARE MEDICAID MANAGED $51.31 ↓ -59%
ANTHEM ANTEHM MEDICAID $51.31 ↓ -59%
MANAGED HEALTH SERVICES MANAGED HEALTH SERVICES MEDICAID $51.31 ↓ -59%
UNITY HEALTH PLAN UNITY HOSPICE $51.31 ↓ -59%
MERIDIAN HEALTH PLAN MERIDIAN HMO MCD $51.31 ↓ -59%
MOLINA HEALTHCARE MOLINA MEDICAID $54.39 ↓ -57%
TRIOLOGY TRILOGY MEDICAID $54.39 ↓ -57%
UNITED HEALTHCARE UNITED HEALTHCARE $61.57 ↓ -51%
UNITED HEALTHCARE UHC ONEIDA NATION $61.57 ↓ -51%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $61.57 ↓ -51%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $66.70 ↓ -47%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $66.70 ↓ -47%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $66.70 ↓ -47%
PREVEA HEALTH NETWORK PREVEA360 $66.70 ↓ -47%
HSHS EMPLOYEES HSHS EMPLOYEES $87.97 ↓ -30%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $90.50 ↓ -28%
NAPHCARE ALL COMMERICAL NAPHCARE $97.74 ↓ -22%
CIGNA ALL COMMERCIAL CIGNA $113.13 ↓ -10%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $115.53 ↓ -8%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $142.99 ↑ +13%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $144.80 ↑ +15%
ARISE HEALTH PLAN ALL COMMERCIAL ARISE HEALTH PLAN $144.80 ↑ +15%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $148.42 ↑ +18%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $148.42 ↑ +18%
HEALTH CARE ALLIANCE THE ALLIANCE $152.04 ↑ +21%
HUMANA HUMANA NATIIONAL POS HMO $153.85 ↑ +22%
HUMANA HUMANA CHOICE CARE PPO $153.85 ↑ +22%
CHOICECARE ALL COMMERCIAL CHOICE CARE $153.85 ↑ +22%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $153.85 ↑ +22%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $161.09 ↑ +28%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $161.09 ↑ +28%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $162.90 ↑ +29%
COFINITY COFINITY $162.90 ↑ +29%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $162.90 ↑ +29%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $166.52 ↑ +32%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $171.95 ↑ +36%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $171.95 ↑ +36%
ANTHEM ANTHEM PPO $179.59 ↑ +42%
ANTHEM ANTHEM POS/HMO $179.59 ↑ +42%
LIVE360 LIVE360 HSHS HEALTHY PLAN $181.00 ↑ +44%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $181.00 ↑ +44%
AETNA ALL COMMERCIAL AETNA $181.00 ↑ +44%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $181.00 ↑ +44%

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Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 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 $109.18 $48.23 – $161.87
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $109.18 $48.23 – $161.87
UnityPoint Health - Meriter Hospital Madison $132.21 $37.95 – $60.32
Orthopaedic Hospital of Wisconsin, LLC Glendale $95.40 $53.67 – $53.67
SSM Health St. Clare Hospital - Baraboo Baraboo $139.15 $38.48 – $374.38
SSM Health St. Mary's Hospital - Janesville Janesville $188.10 $38.48 – $299.87
SSM Health St. Mary's Hospital - Madison Madison $130.35 $38.48 – $306.59
SSM Health Monroe Hospital Monroe $130.35 $51.31 – $89.79

All Wisconsin hospitals for this procedure →