Mayo mgle voltage-gated calcium channel antibody each at HSHS St. Clare Memorial Hospital
855 S MAIN STREET, OCONTO FALLS, WI · Hshs · · NPI 1851477913
$217.80
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.
$330.00
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.
$12.05 with CONTINUUS MEDICAID MANAGED vs $77.00 with AETNA — 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 |
|---|---|---|---|
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $12.05 | ↓ -94% |
| ANTHEM | ANTEHM MEDICAID | $12.05 | ↓ -94% |
| UNITY HEALTH PLAN | UNITY HOSPICE | $12.05 | ↓ -94% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $12.05 | ↓ -94% |
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $12.05 | ↓ -94% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $12.05 | ↓ -94% |
| TRIOLOGY | TRILOGY MEDICAID | $12.77 | ↓ -94% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $12.77 | ↓ -94% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $14.46 | ↓ -93% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $14.46 | ↓ -93% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $14.46 | ↓ -93% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $15.67 | ↓ -93% |
| PREVEA HEALTH NETWORK | PREVEA360 | $15.67 | ↓ -93% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $15.67 | ↓ -93% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $15.67 | ↓ -93% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $18.48 | ↓ -92% |
| AETNA | AETNA MEDICARE | $18.48 | ↓ -92% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $18.48 | ↓ -92% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $18.48 | ↓ -92% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $18.48 | ↓ -92% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $18.66 | ↓ -91% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $37.42 | ↓ -83% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $38.50 | ↓ -82% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $41.58 | ↓ -81% |
| CIGNA | ALL COMMERCIAL CIGNA | $48.13 | ↓ -78% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $49.15 | ↓ -77% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $60.83 | ↓ -72% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $61.60 | ↓ -72% |
| ARISE HEALTH PLAN | ALL COMMERCIAL ARISE HEALTH PLAN | $61.60 | ↓ -72% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $63.14 | ↓ -71% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $63.14 | ↓ -71% |
| ANTHEM | ANTHEM PPO | $64.40 | ↓ -70% |
| ANTHEM | ANTHEM POS/HMO | $64.40 | ↓ -70% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $64.68 | ↓ -70% |
| HUMANA | HUMANA CHOICE CARE PPO | $65.45 | ↓ -70% |
| HUMANA | HUMANA NATIIONAL POS HMO | $65.45 | ↓ -70% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $65.45 | ↓ -70% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $65.45 | ↓ -70% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $68.53 | ↓ -69% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $68.53 | ↓ -69% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $69.30 | ↓ -68% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $69.30 | ↓ -68% |
| COFINITY | COFINITY | $69.30 | ↓ -68% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $70.84 | ↓ -67% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $73.15 | ↓ -66% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $73.15 | ↓ -66% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $77.00 | ↓ -65% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $77.00 | ↓ -65% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $77.00 | ↓ -65% |
| AETNA | ALL COMMERCIAL AETNA | $77.00 | ↓ -65% |
Visitor-reported prices
Comments
Mayo mgle voltage-gated calcium channel antibody each at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $54.67 | $11.04 – $24.60 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $89.10 | $9.04 – $134.25 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $105.05 | $9.04 – $107.31 |
| SSM Health St. Mary's Hospital - Madison | Madison | $141.35 | $9.04 – $109.94 |
| SSM Health Monroe Hospital | Monroe | $91.85 | $12.05 – $21.90 |
| SSM Health Ripon Community Hospital | Ripon | $30.25 | $15.06 – $27.34 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $30.25 | $9.04 – $23.26 |
| SSM Health Waupun Memorial Hospital | Waupun | $30.25 | $15.06 – $27.34 |