Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm 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

$9,058.50

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.

$13,725.00

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.

$1,620.83 with MOLINA HEALTHCARE vs $6,753.47 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
MOLINA HEALTHCARE MOLINA MEDICARE $1,620.83 ↓ -82%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $1,620.83 ↓ -82%
HUMANA HUMANA MEDICARE ADVANTAGE $1,620.83 ↓ -82%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $1,620.83 ↓ -82%
AETNA AETNA MEDICARE $1,620.83 ↓ -82%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $1,637.04 ↓ -82%
ANTHEM ANTHEM POS/HMO $2,540.50 ↓ -72%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $2,674.99 ↓ -70%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $2,674.99 ↓ -70%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $2,674.99 ↓ -70%
PREVEA HEALTH NETWORK PREVEA360 $2,674.99 ↓ -70%
ANTHEM ANTHEM PPO $3,138.26 ↓ -65%
HSHS EMPLOYEES HSHS EMPLOYEES $3,282.19 ↓ -64%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $3,376.74 ↓ -63%
NAPHCARE ALL COMMERICAL NAPHCARE $3,646.87 ↓ -60%
CIGNA ALL COMMERCIAL CIGNA $4,220.92 ↓ -53%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $4,310.74 ↓ -52%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $4,670.36 ↓ -48%
UNITED HEALTHCARE UHC ONEIDA NATION $4,670.36 ↓ -48%
UNITED HEALTHCARE UNITED HEALTHCARE $4,670.36 ↓ -48%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $5,335.24 ↓ -41%
ARISE HEALTH PLAN ALL COMMERCIAL ARISE HEALTH PLAN $5,402.78 ↓ -40%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $5,402.78 ↓ -40%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $5,537.85 ↓ -39%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $5,537.85 ↓ -39%
HEALTH CARE ALLIANCE THE ALLIANCE $5,672.91 ↓ -37%
HUMANA HUMANA NATIIONAL POS HMO $5,740.45 ↓ -37%
CHOICECARE ALL COMMERCIAL CHOICE CARE $5,740.45 ↓ -37%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $5,740.45 ↓ -37%
HUMANA HUMANA CHOICE CARE PPO $5,740.45 ↓ -37%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $6,010.59 ↓ -34%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $6,010.59 ↓ -34%
COFINITY COFINITY $6,078.12 ↓ -33%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $6,078.12 ↓ -33%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $6,078.12 ↓ -33%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $6,213.19 ↓ -31%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $6,415.80 ↓ -29%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $6,415.80 ↓ -29%
AETNA ALL COMMERCIAL AETNA $6,753.47 ↓ -25%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $6,753.47 ↓ -25%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $6,753.47 ↓ -25%
LIVE360 LIVE360 HSHS HEALTHY PLAN $6,753.47 ↓ -25%

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Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm at other Wisconsin hospitals

Hospital City Cash price Negotiated range
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee $1,775.00 $1,583.77 – $3,905.48
Aurora West Allis Medical Center West Allis $1,775.00 $1,583.77 – $3,905.48
Aurora Medical Center Burlington Burlington $1,775.00 $1,583.77 – $3,905.48
Aurora Medical Center Grafton Grafton $1,775.00 $1,583.77 – $3,905.48
HSHS St. Nicholas Hospital SHEBOYGAN $4,457.29 $2,465.78 – $4,670.36
HSHS St. Vincent Hospital Green Bay $4,457.29 $2,540.50 – $4,670.36
SSM Health St. Clare Hospital - Baraboo Baraboo not published $2,166.81 – $2,961.13
SSM Health St. Mary's Hospital - Janesville Janesville not published $2,166.81 – $2,961.13

All Wisconsin hospitals for this procedure →