Ablate bone tumor(s) cryo perq 20983 at HSHS St. Nicholas Hospital
3100 SUPERIOR AVE, SHEBOYGAN, WI · Hshs · · NPI 1730184342
$8,251.32
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.
$12,502.00
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.
$791.17 with CONTINUUS MEDICAID MANAGED vs $15,966.53 with NAPHCARE — 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 |
|---|---|---|---|
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $791.17 | ↓ -90% |
| ANTHEM | ANTEHM MEDICAID | $791.17 | ↓ -90% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $791.17 | ↓ -90% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $791.17 | ↓ -90% |
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $791.17 | ↓ -90% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $838.64 | ↓ -90% |
| TRIOLOGY | TRILOGY MEDICAID | $838.64 | ↓ -90% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $6,075.97 | ↓ -26% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $6,251.00 | ↓ -24% |
| MEDICARE MANAGED | MANAGED MEDICARE NO SEQUESTRATION | $7,096.24 | ↓ -14% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $7,096.24 | ↓ -14% |
| AETNA | AETNA MEDICARE | $7,096.24 | ↓ -14% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $7,096.24 | ↓ -14% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $7,096.24 | ↓ -14% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $7,096.24 | ↓ -14% |
| MEDICA | MEDICA MEDICARE ADVANTAGE | $7,096.24 | ↓ -14% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $7,167.20 | ↓ -13% |
| ARISE HEALTH PLAN | ALL COMMERCIAL ARISE HEALTH PLAN | $7,501.20 | ↓ -9% |
| HUMANA | HUMANA NATIIONAL POS HMO | $7,604.00 | ↓ -8% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $7,604.00 | ↓ -8% |
| HUMANA | HUMANA CHOICE CARE HMO | $7,604.00 | ↓ -8% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $7,751.24 | ↓ -6% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $7,980.03 | ↓ -3% |
| CIGNA | ALL COMMERCIAL CIGNA | $8,751.40 | ↑ +6% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $8,751.40 | ↑ +6% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $9,001.44 | ↑ +9% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $9,001.44 | ↑ +9% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $9,001.44 | ↑ +9% |
| PREVEA HEALTH NETWORK | PREVEA360 | $9,056.00 | ↑ +10% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $9,376.50 | ↑ +14% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $9,376.50 | ↑ +14% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $9,376.50 | ↑ +14% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $9,798.59 | ↑ +19% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $9,798.59 | ↑ +19% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $9,798.59 | ↑ +19% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $9,876.58 | ↑ +20% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $10,001.60 | ↑ +21% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $10,149.00 | ↑ +23% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $10,149.00 | ↑ +23% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $10,149.00 | ↑ +23% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $10,501.68 | ↑ +27% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $10,501.68 | ↑ +27% |
| HUMANA | HUMANA CHOICE CARE PPO | $10,626.70 | ↑ +29% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $10,626.70 | ↑ +29% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $11,501.84 | ↑ +39% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $11,876.90 | ↑ +44% |
| AETNA | ALL COMMERCIAL AETNA | $12,502.00 | ↑ +52% |
| ANTHEM | ANTHEM POS/HMO | $12,502.00 | ↑ +52% |
| ANTHEM | ANTHEM PPO | $12,502.00 | ↑ +52% |
| COFINITY | COFINITY | $12,502.00 | ↑ +52% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $12,502.00 | ↑ +52% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $12,502.00 | ↑ +52% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $15,966.53 | ↑ +94% |
Visitor-reported prices
Comments
Ablate bone tumor(s) cryo perq 20983 at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Medical Center Sheboygan County | Sheboygan | $5,285.00 | not published |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $5,285.00 | not published |
| Aurora Medical Center Summit | Summit | $5,285.00 | not published |
| Aurora Medical Center Burlington | Burlington | $5,285.00 | not published |
| Aurora Medical Center Washington County | Hartford | $5,285.00 | not published |
| Aurora Medical Center Grafton | Grafton | $5,285.00 | not published |
| Aurora Medical Center Kenosha | Kenosha | $5,285.00 | not published |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | $8,251.32 | $791.17 – $15,942.51 |