Nushield 1 square cm at HSHS St. Clare Memorial Hospital
855 S MAIN STREET, OCONTO FALLS, WI · Hshs · · NPI 1851477913
$508.86
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.
?
What you pay up front if you don't use insurance.
$771.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$127.14 with UNITY HEALTH PLAN vs $734.00 with PREVEA HEALTH NETWORK — 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 →
?
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 |
|---|---|---|---|
| UNITY HEALTH PLAN | UNITY HOSPICE | $127.14 | ↓ -75% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $176.16 | ↓ -65% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $176.16 | ↓ -65% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $176.16 | ↓ -65% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $176.16 | ↓ -65% |
| AETNA | AETNA MEDICARE | $176.16 | ↓ -65% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $177.92 | ↓ -65% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $209.78 | ↓ -59% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $209.78 | ↓ -59% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $209.78 | ↓ -59% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $356.72 | ↓ -30% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $367.00 | ↓ -28% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $396.36 | ↓ -22% |
| CIGNA | ALL COMMERCIAL CIGNA | $458.75 | ↓ -10% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $468.51 | ↓ -8% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $579.86 | ↑ +14% |
| ARISE HEALTH PLAN | ALL COMMERCIAL ARISE HEALTH PLAN | $587.20 | ↑ +15% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $587.20 | ↑ +15% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $601.88 | ↑ +18% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $601.88 | ↑ +18% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $616.56 | ↑ +21% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $623.90 | ↑ +23% |
| HUMANA | HUMANA NATIIONAL POS HMO | $623.90 | ↑ +23% |
| HUMANA | HUMANA CHOICE CARE PPO | $623.90 | ↑ +23% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $623.90 | ↑ +23% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $653.26 | ↑ +28% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $653.26 | ↑ +28% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $660.60 | ↑ +30% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $660.60 | ↑ +30% |
| COFINITY | COFINITY | $660.60 | ↑ +30% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $675.28 | ↑ +33% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $697.30 | ↑ +37% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $697.30 | ↑ +37% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $734.00 | ↑ +44% |
| ANTHEM | ANTHEM PPO | $734.00 | ↑ +44% |
| ANTHEM | ANTHEM POS/HMO | $734.00 | ↑ +44% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $734.00 | ↑ +44% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $734.00 | ↑ +44% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $734.00 | ↑ +44% |
| AETNA | ALL COMMERCIAL AETNA | $734.00 | ↑ +44% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $734.00 | ↑ +44% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $734.00 | ↑ +44% |
| PREVEA HEALTH NETWORK | PREVEA360 | $734.00 | ↑ +44% |
Visitor-reported prices
Comments
Nushield 1 square cm at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $230.40 | $66.24 – $530.00 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $2,342.13 | $134.76 – $1,400.00 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $4,703.75 | $108.17 – $497.70 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | $2,342.13 | $134.76 – $1,400.00 |
| HSHS St. Nicholas Hospital | SHEBOYGAN | $508.86 | $121.70 – $771.00 |
| HSHS St. Vincent Hospital | Green Bay | $508.86 | $120.88 – $771.00 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $90.66 – $1,007.00 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $94.01 – $1,007.00 |