Administration immunization 1 vaccine at HSHS St. Nicholas Hospital
3100 SUPERIOR AVE, SHEBOYGAN, WI · Hshs · · NPI 1730184342
$120.12
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.
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What you pay up front if you don't use insurance.
$182.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$17.18 with COMMUNITY CARE FAMILY CARE vs $158.43 with NAPHCARE — 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 →
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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 ?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 |
|---|---|---|---|
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $17.18 | ↓ -86% |
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $17.18 | ↓ -86% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $17.18 | ↓ -86% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $17.18 | ↓ -86% |
| ANTHEM | ANTEHM MEDICAID | $17.18 | ↓ -86% |
| TRIOLOGY | TRILOGY MEDICAID | $18.21 | ↓ -85% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $18.21 | ↓ -85% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $53.95 | ↓ -55% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $55.50 | ↓ -54% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $66.60 | ↓ -45% |
| PREVEA HEALTH NETWORK | PREVEA360 | $66.60 | ↓ -45% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $66.60 | ↓ -45% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $66.60 | ↓ -45% |
| ARISE HEALTH PLAN | ALL COMMERCIAL ARISE HEALTH PLAN | $66.60 | ↓ -45% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $68.82 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $70.41 | ↓ -41% |
| AETNA | AETNA MEDICARE | $70.41 | ↓ -41% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $70.41 | ↓ -41% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $70.41 | ↓ -41% |
| MEDICA | MEDICA MEDICARE ADVANTAGE | $70.41 | ↓ -41% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $70.41 | ↓ -41% |
| MEDICARE MANAGED | MANAGED MEDICARE NO SEQUESTRATION | $70.41 | ↓ -41% |
| HUMANA | HUMANA NATIIONAL POS HMO | $70.49 | ↓ -41% |
| HUMANA | HUMANA CHOICE CARE HMO | $70.49 | ↓ -41% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $70.49 | ↓ -41% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $70.85 | ↓ -41% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $71.11 | ↓ -41% |
| ANTHEM | ANTHEM POS/HMO | $75.48 | ↓ -37% |
| ANTHEM | ANTHEM PPO | $75.48 | ↓ -37% |
| CIGNA | ALL COMMERCIAL CIGNA | $77.70 | ↓ -35% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $77.70 | ↓ -35% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $79.92 | ↓ -33% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $79.92 | ↓ -33% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $79.92 | ↓ -33% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $83.25 | ↓ -31% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $83.25 | ↓ -31% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $83.25 | ↓ -31% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $87.69 | ↓ -27% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $88.80 | ↓ -26% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $93.24 | ↓ -22% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $93.24 | ↓ -22% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $94.35 | ↓ -21% |
| HUMANA | HUMANA CHOICE CARE PPO | $94.35 | ↓ -21% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $102.12 | ↓ -15% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $105.45 | ↓ -12% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $111.00 | ↓ -8% |
| COFINITY | COFINITY | $111.00 | ↓ -8% |
| AETNA | ALL COMMERCIAL AETNA | $111.00 | ↓ -8% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $111.00 | ↓ -8% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $158.43 | ↑ +32% |
Visitor-reported prices
Comments
Administration immunization 1 vaccine at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Medical Center Sheboygan County | Sheboygan | $32.50 | not published |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $38.69 | $32.96 – $152.42 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $38.69 | $32.96 – $152.42 |
| UnityPoint Health - Meriter Hospital | Madison | $100.96 | $10.12 – $41.15 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $61.05 | $52.45 – $69.94 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $64.35 | $54.39 – $72.52 |
| SSM Health St. Mary's Hospital - Madison | Madison | $133.10 | $52.45 – $69.94 |
| SSM Health Monroe Hospital | Monroe | $44.00 | $69.94 – $69.94 |