Angio tib/peroneal/init ves/unila 37228 at HSHS St. Nicholas Hospital
3100 SUPERIOR AVE, SHEBOYGAN, WI · Hshs · · NPI 1730184342
$11,100.54
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.
$16,819.00
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.
$2,731.45 with CONTINUUS MEDICAID MANAGED vs $16,819.00 with AETNA — 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 |
|---|---|---|---|
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $2,731.45 | ↓ -75% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $2,731.45 | ↓ -75% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $2,731.45 | ↓ -75% |
| ANTHEM | ANTEHM MEDICAID | $2,731.45 | ↓ -75% |
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $2,731.45 | ↓ -75% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $2,895.34 | ↓ -74% |
| TRIOLOGY | TRILOGY MEDICAID | $2,895.34 | ↓ -74% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $7,604.00 | ↓ -31% |
| HUMANA | HUMANA NATIIONAL POS HMO | $7,604.00 | ↓ -31% |
| HUMANA | HUMANA CHOICE CARE HMO | $7,604.00 | ↓ -31% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $8,174.03 | ↓ -26% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $8,409.50 | ↓ -24% |
| PREVEA HEALTH NETWORK | PREVEA360 | $9,056.00 | ↓ -18% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $9,798.59 | ↓ -12% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $9,798.59 | ↓ -12% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $9,798.59 | ↓ -12% |
| ARISE HEALTH PLAN | ALL COMMERCIAL ARISE HEALTH PLAN | $10,091.40 | ↓ -9% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $10,427.78 | ↓ -6% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $10,735.57 | ↓ -3% |
| CIGNA | ALL COMMERCIAL CIGNA | $11,773.30 | ↑ +6% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $11,773.30 | ↑ +6% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $12,109.68 | ↑ +9% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $12,109.68 | ↑ +9% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $12,109.68 | ↑ +9% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $12,614.25 | ↑ +14% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $12,614.25 | ↑ +14% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $12,614.25 | ↑ +14% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $13,287.01 | ↑ +20% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $13,455.20 | ↑ +21% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $14,127.96 | ↑ +27% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $14,127.96 | ↑ +27% |
| HUMANA | HUMANA CHOICE CARE PPO | $14,296.15 | ↑ +29% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $14,296.15 | ↑ +29% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $15,473.48 | ↑ +39% |
| ANTHEM | ANTHEM POS/HMO | $15,932.00 | ↑ +44% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $15,978.05 | ↑ +44% |
| COFINITY | COFINITY | $16,819.00 | ↑ +52% |
| ANTHEM | ANTHEM PPO | $16,819.00 | ↑ +52% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $16,819.00 | ↑ +52% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $16,819.00 | ↑ +52% |
| AETNA | ALL COMMERCIAL AETNA | $16,819.00 | ↑ +52% |
Visitor-reported prices
Comments
Angio tib/peroneal/init ves/unila 37228 at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Medical Center Sheboygan County | Sheboygan | $4,885.00 | not published |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $16,096.10 | $807.01 – $19,606.69 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $16,096.10 | $807.01 – $19,606.69 |
| UnityPoint Health - Meriter Hospital | Madison | $21,378.71 | $455.04 – $8,337.69 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $6,167.70 | $16,352.00 – $16,582.00 |
| SSM Health St. Mary's Hospital - Madison | Madison | $6,633.00 | $18,955.00 – $20,778.00 |
| SSM Health Monroe Hospital | Monroe | $7,123.60 | $16,164.00 – $17,116.00 |
| SSM Health Ripon Community Hospital | Ripon | $8,132.85 | $7,609.00 – $18,364.00 |