Mayo gabapentin bld/srm/plasma therapeutic drug level 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

$77.22

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.

$117.00

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.

Full explanation →

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

$14.48 with COMMUNITY CARE FAMILY CARE vs $117.00 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
COMMUNITY CARE FAMILY CARE COMMUNITY CARE FAMILY CARE MEDICAID MANAGED $14.48 ↓ -81%
ANTHEM ANTEHM MEDICAID $14.48 ↓ -81%
CONTINUUS MEDICAID MANAGED CONTINUUS MEDICAID MANAGED $14.48 ↓ -81%
MERIDIAN HEALTH PLAN MERIDIAN HMO MCD $14.48 ↓ -81%
MANAGED HEALTH SERVICES MANAGED HEALTH SERVICES MEDICAID $14.48 ↓ -81%
TRIOLOGY TRILOGY MEDICAID $15.35 ↓ -80%
MOLINA HEALTHCARE MOLINA MEDICAID $15.35 ↓ -80%
UNITY HEALTH PLAN UNITY HOSPICE $21.67 ↓ -72%
UNITED HEALTHCARE UHC ONEIDA NATION $26.00 ↓ -66%
UNITED HEALTHCARE UNITED HEALTHCARE $26.00 ↓ -66%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $26.00 ↓ -66%
HUMANA HUMANA MEDICARE ADVANTAGE $28.08 ↓ -64%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $28.08 ↓ -64%
AETNA AETNA MEDICARE $28.08 ↓ -64%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $28.08 ↓ -64%
MOLINA HEALTHCARE MOLINA MEDICARE $28.08 ↓ -64%
PREVEA HEALTH NETWORK PREVEA360 $28.17 ↓ -64%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $28.17 ↓ -64%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $28.17 ↓ -64%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $28.17 ↓ -64%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $28.36 ↓ -63%
HSHS EMPLOYEES HSHS EMPLOYEES $56.86 ↓ -26%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $58.50 ↓ -24%
NAPHCARE ALL COMMERICAL NAPHCARE $63.18 ↓ -18%
CIGNA ALL COMMERCIAL CIGNA $73.13 ↓ -5%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $74.68 ↓ -3%
ANTHEM ANTHEM PPO $75.85 ↓ -2%
ANTHEM ANTHEM POS/HMO $75.85 ↓ -2%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $92.43 ↑ +20%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $93.60 ↑ +21%
ARISE HEALTH PLAN ALL COMMERCIAL ARISE HEALTH PLAN $93.60 ↑ +21%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $95.94 ↑ +24%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $95.94 ↑ +24%
HEALTH CARE ALLIANCE THE ALLIANCE $98.28 ↑ +27%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $99.45 ↑ +29%
CHOICECARE ALL COMMERCIAL CHOICE CARE $99.45 ↑ +29%
HUMANA HUMANA NATIIONAL POS HMO $99.45 ↑ +29%
HUMANA HUMANA CHOICE CARE PPO $99.45 ↑ +29%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $104.13 ↑ +35%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $104.13 ↑ +35%
COFINITY COFINITY $105.30 ↑ +36%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $105.30 ↑ +36%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $105.30 ↑ +36%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $107.64 ↑ +39%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $111.15 ↑ +44%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $111.15 ↑ +44%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $117.00 ↑ +52%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $117.00 ↑ +52%
AETNA ALL COMMERCIAL AETNA $117.00 ↑ +52%
LIVE360 LIVE360 HSHS HEALTHY PLAN $117.00 ↑ +52%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Mayo gabapentin bld/srm/plasma therapeutic drug level 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 $127.20 $21.67 – $67.82
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $127.20 $21.67 – $67.82
UnityPoint Health - Meriter Hospital Madison $185.15 $13.00 – $72.21
Orthopaedic Hospital of Wisconsin, LLC Glendale $69.96 $18.73 – $23.03
SSM Health St. Clare Hospital - Baraboo Baraboo $31.35 $16.25 – $131.78
SSM Health St. Mary's Hospital - Janesville Janesville $41.25 $16.25 – $105.44
SSM Health St. Mary's Hospital - Madison Madison $29.70 $16.25 – $107.83
SSM Health Monroe Hospital Monroe $102.85 $21.67 – $37.92

All Wisconsin hospitals for this procedure →