Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution 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

$35.34

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.

$53.55

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.

$4.16 with UNITED HEALTHCARE vs $49.00 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 $4.16 ↓ -88%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $4.16 ↓ -88%
UNITED HEALTHCARE UNITED HEALTHCARE $4.16 ↓ -88%
ANTHEM ANTHEM POS/HMO $4.28 ↓ -88%
PREVEA HEALTH NETWORK PREVEA360 $4.51 ↓ -87%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $4.51 ↓ -87%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $4.51 ↓ -87%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $4.51 ↓ -87%
ANTHEM ANTHEM PPO $5.29 ↓ -85%
MOLINA HEALTHCARE MOLINA MEDICARE $11.76 ↓ -67%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $11.76 ↓ -67%
AETNA AETNA MEDICARE $11.76 ↓ -67%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $11.76 ↓ -67%
HUMANA HUMANA MEDICARE ADVANTAGE $11.76 ↓ -67%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $11.88 ↓ -66%
HSHS EMPLOYEES HSHS EMPLOYEES $23.81 ↓ -33%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $24.50 ↓ -31%
NAPHCARE ALL COMMERICAL NAPHCARE $26.46 ↓ -25%
CIGNA ALL COMMERCIAL CIGNA $30.63 ↓ -13%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $31.28 ↓ -11%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $38.71 ↑ +10%
ARISE HEALTH PLAN ALL COMMERCIAL ARISE HEALTH PLAN $39.20 ↑ +11%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $39.20 ↑ +11%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $40.18 ↑ +14%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $40.18 ↑ +14%
HEALTH CARE ALLIANCE THE ALLIANCE $41.16 ↑ +16%
HUMANA HUMANA NATIIONAL POS HMO $41.65 ↑ +18%
CHOICECARE ALL COMMERCIAL CHOICE CARE $41.65 ↑ +18%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $41.65 ↑ +18%
HUMANA HUMANA CHOICE CARE PPO $41.65 ↑ +18%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $43.61 ↑ +23%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $43.61 ↑ +23%
COFINITY COFINITY $44.10 ↑ +25%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $44.10 ↑ +25%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $44.10 ↑ +25%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $45.08 ↑ +28%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $46.55 ↑ +32%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $46.55 ↑ +32%
AETNA ALL COMMERCIAL AETNA $49.00 ↑ +39%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $49.00 ↑ +39%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $49.00 ↑ +39%
LIVE360 LIVE360 HSHS HEALTHY PLAN $49.00 ↑ +39%

Visitor-reported prices

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Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution at other Wisconsin hospitals

Hospital City Cash price Negotiated range
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $10.00 $3.39 – $10.46
UnityPoint Health - Meriter Hospital Madison $98.76 $0.35 – $1.29
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee $45.08 $2.92 – $16.07
Aurora Medical Center Summit Summit $32.52 $2.92 – $16.07
Aurora Baycare Medical Center Green Bay $26.43 $2.92 – $16.07
Aurora Medical Center Manitowoc Two Rivers $29.53 $2.92 – $16.07
Aurora West Allis Medical Center West Allis $33.57 $2.92 – $16.07
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh $14.60 $3.99 – $25.61

All Wisconsin hospitals for this procedure →