Mayo prmb primidone 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

$174.24

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.

$264.00

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.

$16.59 with UNITY HEALTH PLAN vs $118.00 with HEALTHSMART — 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
UNITY HEALTH PLAN UNITY HOSPICE $16.59 ↓ -90%
ANTHEM ANTEHM MEDICAID $17.14 ↓ -90%
COMMUNITY CARE FAMILY CARE COMMUNITY CARE FAMILY CARE MEDICAID MANAGED $17.14 ↓ -90%
MERIDIAN HEALTH PLAN MERIDIAN HMO MCD $17.14 ↓ -90%
CONTINUUS MEDICAID MANAGED CONTINUUS MEDICAID MANAGED $17.14 ↓ -90%
MANAGED HEALTH SERVICES MANAGED HEALTH SERVICES MEDICAID $17.14 ↓ -90%
MOLINA HEALTHCARE MOLINA MEDICAID $18.17 ↓ -90%
TRIOLOGY TRILOGY MEDICAID $18.17 ↓ -90%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $19.91 ↓ -89%
UNITED HEALTHCARE UHC ONEIDA NATION $19.91 ↓ -89%
UNITED HEALTHCARE UNITED HEALTHCARE $19.91 ↓ -89%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $21.57 ↓ -88%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $21.57 ↓ -88%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $21.57 ↓ -88%
PREVEA HEALTH NETWORK PREVEA360 $21.57 ↓ -88%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $28.32 ↓ -84%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $28.32 ↓ -84%
HUMANA HUMANA MEDICARE ADVANTAGE $28.32 ↓ -84%
AETNA AETNA MEDICARE $28.32 ↓ -84%
MOLINA HEALTHCARE MOLINA MEDICARE $28.32 ↓ -84%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $28.60 ↓ -84%
HSHS EMPLOYEES HSHS EMPLOYEES $57.35 ↓ -67%
ANTHEM ANTHEM PPO $58.07 ↓ -67%
ANTHEM ANTHEM POS/HMO $58.07 ↓ -67%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $59.00 ↓ -66%
NAPHCARE ALL COMMERICAL NAPHCARE $63.72 ↓ -63%
CIGNA ALL COMMERCIAL CIGNA $73.75 ↓ -58%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $75.32 ↓ -57%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $93.22 ↓ -46%
ARISE HEALTH PLAN ALL COMMERCIAL ARISE HEALTH PLAN $94.40 ↓ -46%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $94.40 ↓ -46%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $96.76 ↓ -44%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $96.76 ↓ -44%
HEALTH CARE ALLIANCE THE ALLIANCE $99.12 ↓ -43%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $100.30 ↓ -42%
HUMANA HUMANA NATIIONAL POS HMO $100.30 ↓ -42%
CHOICECARE ALL COMMERCIAL CHOICE CARE $100.30 ↓ -42%
HUMANA HUMANA CHOICE CARE PPO $100.30 ↓ -42%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $105.02 ↓ -40%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $105.02 ↓ -40%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $106.20 ↓ -39%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $106.20 ↓ -39%
COFINITY COFINITY $106.20 ↓ -39%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $108.56 ↓ -38%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $112.10 ↓ -36%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $112.10 ↓ -36%
AETNA ALL COMMERCIAL AETNA $118.00 ↓ -32%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $118.00 ↓ -32%
LIVE360 LIVE360 HSHS HEALTHY PLAN $118.00 ↓ -32%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $118.00 ↓ -32%

Visitor-reported prices

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Mayo prmb primidone 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 $137.27 $16.59 – $72.23
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $137.27 $16.59 – $72.23
UnityPoint Health - Meriter Hospital Madison $71.20 $9.95 – $22.71
SSM Health St. Clare Hospital - Baraboo Baraboo $13.75 $12.44 – $164.96
SSM Health St. Mary's Hospital - Janesville Janesville $11.55 $12.44 – $131.99
SSM Health St. Mary's Hospital - Madison Madison $12.10 $12.44 – $134.99
SSM Health Ripon Community Hospital Ripon $106.15 $16.59 – $33.59
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac $106.15 $12.44 – $32.02

All Wisconsin hospitals for this procedure →