Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous 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

$13.00

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.

$19.70

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.

$2.51 with UNITED HEALTHCARE vs $19.70 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
UNITED HEALTHCARE UHC ONEIDA NATION $2.51 ↓ -81%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $2.51 ↓ -81%
UNITED HEALTHCARE UNITED HEALTHCARE $2.51 ↓ -81%
ANTHEM ANTHEM POS/HMO $2.58 ↓ -80%
PREVEA HEALTH NETWORK PREVEA360 $2.72 ↓ -79%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $2.72 ↓ -79%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $2.72 ↓ -79%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $2.72 ↓ -79%
ANTHEM ANTHEM PPO $3.19 ↓ -75%
MOLINA HEALTHCARE MOLINA MEDICARE $4.73 ↓ -64%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $4.73 ↓ -64%
AETNA AETNA MEDICARE $4.73 ↓ -64%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $4.73 ↓ -64%
HUMANA HUMANA MEDICARE ADVANTAGE $4.73 ↓ -64%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $4.78 ↓ -63%
HSHS EMPLOYEES HSHS EMPLOYEES $9.57 ↓ -26%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $9.85 ↓ -24%
NAPHCARE ALL COMMERICAL NAPHCARE $10.64 ↓ -18%
CIGNA ALL COMMERCIAL CIGNA $12.31 ↓ -5%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $12.57 ↓ -3%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $15.56 ↑ +20%
ARISE HEALTH PLAN ALL COMMERCIAL ARISE HEALTH PLAN $15.76 ↑ +21%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $15.76 ↑ +21%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $16.15 ↑ +24%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $16.15 ↑ +24%
HEALTH CARE ALLIANCE THE ALLIANCE $16.55 ↑ +27%
HUMANA HUMANA NATIIONAL POS HMO $16.75 ↑ +29%
CHOICECARE ALL COMMERCIAL CHOICE CARE $16.75 ↑ +29%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $16.75 ↑ +29%
HUMANA HUMANA CHOICE CARE PPO $16.75 ↑ +29%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $17.53 ↑ +35%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $17.53 ↑ +35%
COFINITY COFINITY $17.73 ↑ +36%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $17.73 ↑ +36%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $17.73 ↑ +36%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $18.12 ↑ +39%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $18.72 ↑ +44%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $18.72 ↑ +44%
AETNA ALL COMMERCIAL AETNA $19.70 ↑ +52%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $19.70 ↑ +52%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $19.70 ↑ +52%
LIVE360 LIVE360 HSHS HEALTHY PLAN $19.70 ↑ +52%

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