Triamcinolone acetonide 40 mg/ml suspension for injection 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

$11.40

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.

$17.28

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.

$1.22 with UNITED HEALTHCARE vs $15.69 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 $1.22 ↓ -89%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $1.22 ↓ -89%
UNITED HEALTHCARE UNITED HEALTHCARE $1.22 ↓ -89%
ANTHEM ANTHEM POS/HMO $1.26 ↓ -89%
PREVEA HEALTH NETWORK PREVEA360 $1.32 ↓ -88%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $1.32 ↓ -88%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $1.32 ↓ -88%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $1.32 ↓ -88%
ANTHEM ANTHEM PPO $1.55 ↓ -86%
MOLINA HEALTHCARE MOLINA MEDICARE $3.77 ↓ -67%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $3.77 ↓ -67%
AETNA AETNA MEDICARE $3.77 ↓ -67%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $3.77 ↓ -67%
HUMANA HUMANA MEDICARE ADVANTAGE $3.77 ↓ -67%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $3.81 ↓ -67%
HSHS EMPLOYEES HSHS EMPLOYEES $7.63 ↓ -33%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $7.85 ↓ -31%
NAPHCARE ALL COMMERICAL NAPHCARE $8.48 ↓ -26%
CIGNA ALL COMMERCIAL CIGNA $9.81 ↓ -14%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $10.01 ↓ -12%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $12.40 ↑ +9%
ARISE HEALTH PLAN ALL COMMERCIAL ARISE HEALTH PLAN $12.55 ↑ +10%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $12.55 ↑ +10%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $12.87 ↑ +13%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $12.87 ↑ +13%
HEALTH CARE ALLIANCE THE ALLIANCE $13.18 ↑ +16%
HUMANA HUMANA NATIIONAL POS HMO $13.34 ↑ +17%
CHOICECARE ALL COMMERCIAL CHOICE CARE $13.34 ↑ +17%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $13.34 ↑ +17%
HUMANA HUMANA CHOICE CARE PPO $13.34 ↑ +17%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $13.96 ↑ +22%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $13.96 ↑ +22%
COFINITY COFINITY $14.12 ↑ +24%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $14.12 ↑ +24%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $14.12 ↑ +24%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $14.43 ↑ +27%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $14.91 ↑ +31%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $14.91 ↑ +31%
AETNA ALL COMMERCIAL AETNA $15.69 ↑ +38%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $15.69 ↑ +38%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $15.69 ↑ +38%
LIVE360 LIVE360 HSHS HEALTHY PLAN $15.69 ↑ +38%

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