T4 (thyroxine) free 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

$130.02

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.

$197.00

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.

$9.02 with UNITY HEALTH PLAN vs $82.00 with CATERPILLAR, INC. — 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 $9.02 ↓ -93%
COMMUNITY CARE FAMILY CARE COMMUNITY CARE FAMILY CARE MEDICAID MANAGED $9.32 ↓ -93%
ANTHEM ANTEHM MEDICAID $9.32 ↓ -93%
CONTINUUS MEDICAID MANAGED CONTINUUS MEDICAID MANAGED $9.32 ↓ -93%
MERIDIAN HEALTH PLAN MERIDIAN HMO MCD $9.32 ↓ -93%
MANAGED HEALTH SERVICES MANAGED HEALTH SERVICES MEDICAID $9.32 ↓ -93%
MOLINA HEALTHCARE MOLINA MEDICAID $9.88 ↓ -92%
TRIOLOGY TRILOGY MEDICAID $9.88 ↓ -92%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $10.82 ↓ -92%
UNITED HEALTHCARE UHC ONEIDA NATION $10.82 ↓ -92%
UNITED HEALTHCARE UNITED HEALTHCARE $10.82 ↓ -92%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $11.73 ↓ -91%
PREVEA HEALTH NETWORK PREVEA360 $11.73 ↓ -91%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $11.73 ↓ -91%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $11.73 ↓ -91%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $19.68 ↓ -85%
MOLINA HEALTHCARE MOLINA MEDICARE $19.68 ↓ -85%
AETNA AETNA MEDICARE $19.68 ↓ -85%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $19.68 ↓ -85%
HUMANA HUMANA MEDICARE ADVANTAGE $19.68 ↓ -85%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $19.88 ↓ -85%
ANTHEM ANTHEM PPO $31.57 ↓ -76%
ANTHEM ANTHEM POS/HMO $31.57 ↓ -76%
HSHS EMPLOYEES HSHS EMPLOYEES $39.85 ↓ -69%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $41.00 ↓ -68%
NAPHCARE ALL COMMERICAL NAPHCARE $44.28 ↓ -66%
CIGNA ALL COMMERCIAL CIGNA $51.25 ↓ -61%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $52.34 ↓ -60%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $64.78 ↓ -50%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $65.60 ↓ -50%
ARISE HEALTH PLAN ALL COMMERCIAL ARISE HEALTH PLAN $65.60 ↓ -50%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $67.24 ↓ -48%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $67.24 ↓ -48%
HEALTH CARE ALLIANCE THE ALLIANCE $68.88 ↓ -47%
HUMANA HUMANA NATIIONAL POS HMO $69.70 ↓ -46%
CHOICECARE ALL COMMERCIAL CHOICE CARE $69.70 ↓ -46%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $69.70 ↓ -46%
HUMANA HUMANA CHOICE CARE PPO $69.70 ↓ -46%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $72.98 ↓ -44%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $72.98 ↓ -44%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $73.80 ↓ -43%
COFINITY COFINITY $73.80 ↓ -43%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $73.80 ↓ -43%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $75.44 ↓ -42%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $77.90 ↓ -40%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $77.90 ↓ -40%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $82.00 ↓ -37%
AETNA ALL COMMERCIAL AETNA $82.00 ↓ -37%
LIVE360 LIVE360 HSHS HEALTHY PLAN $82.00 ↓ -37%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $82.00 ↓ -37%

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T4 (thyroxine) free 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 $91.69 $9.02 – $38.96
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $91.69 $9.02 – $38.96
UnityPoint Health - Meriter Hospital Madison $121.18 $5.41 – $52.17
Orthopaedic Hospital of Wisconsin, LLC Glendale $88.51 $8.75 – $16.16
SSM Health St. Clare Hospital - Baraboo Baraboo $165.55 $6.76 – $89.62
SSM Health St. Mary's Hospital - Janesville Janesville $199.10 $6.76 – $71.68
SSM Health St. Mary's Hospital - Madison Madison $138.60 $6.76 – $73.31
SSM Health Monroe Hospital Monroe $76.45 $9.02 – $15.79

All Wisconsin hospitals for this procedure →