Aminophylline 25 mg/ml intravenous solution (wrapper) at HSHS St. Nicholas Hospital

3100 SUPERIOR AVE, SHEBOYGAN, WI · Hshs · · NPI 1730184342

Source: hospital's published price file ↗ · Published Mar 24, 2026 · Ingested Sep 16, 2026

$97.38

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.

Full explanation →

What you pay up front if you don't use insurance.

$147.55

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$17.18 with PREVEA HEALTH NETWORK vs $147.55 with CATERPILLAR, INC. — 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 →

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
PREVEA HEALTH NETWORK PREVEA360 $17.18 ↓ -82%
UNITED HEALTHCARE UHC ONEIDA NATION $17.18 ↓ -82%
UNITED HEALTHCARE UNITED HEALTHCARE $17.18 ↓ -82%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $17.18 ↓ -82%
ANTHEM ANTHEM POS/HMO $17.70 ↓ -82%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $18.63 ↓ -81%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $18.63 ↓ -81%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $18.63 ↓ -81%
ANTHEM ANTHEM PPO $21.86 ↓ -78%
HUMANA HUMANA CHOICE CARE HMO $22.41 ↓ -77%
HUMANA HUMANA NATIIONAL POS HMO $22.41 ↓ -77%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $22.41 ↓ -77%
HSHS EMPLOYEES HSHS EMPLOYEES $71.71 ↓ -26%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $73.78 ↓ -24%
ARISE HEALTH PLAN ALL COMMERCIAL ARISE HEALTH PLAN $88.53 ↓ -9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $91.48 ↓ -6%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $94.18 ↓ -3%
CIGNA ALL COMMERCIAL CIGNA $103.29 ↑ +6%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $103.29 ↑ +6%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $106.24 ↑ +9%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $106.24 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $106.24 ↑ +9%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $110.66 ↑ +14%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $110.66 ↑ +14%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $110.66 ↑ +14%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $116.56 ↑ +20%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $118.04 ↑ +21%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $123.94 ↑ +27%
HEALTH CARE ALLIANCE THE ALLIANCE $123.94 ↑ +27%
CHOICECARE ALL COMMERCIAL CHOICE CARE $125.42 ↑ +29%
HUMANA HUMANA CHOICE CARE PPO $125.42 ↑ +29%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $135.75 ↑ +39%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $140.17 ↑ +44%
AETNA ALL COMMERCIAL AETNA $147.55 ↑ +52%
LIVE360 LIVE360 HSHS HEALTHY PLAN $147.55 ↑ +52%
COFINITY COFINITY $147.55 ↑ +52%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $147.55 ↑ +52%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Aminophylline 25 mg/ml intravenous solution (wrapper) at other Wisconsin hospitals

All Wisconsin hospitals for this procedure →