Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm at HSHS St. Nicholas Hospital
3100 SUPERIOR AVE, SHEBOYGAN, WI · Hshs · · NPI 1730184342
$1,837.44
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.
$2,784.00
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.
$722.78 with ANTHEM vs $2,784.00 with HUMANA — 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 |
|---|---|---|---|
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $722.78 | ↓ -61% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $722.78 | ↓ -61% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $722.78 | ↓ -61% |
| MEDICA | MEDICA MEDICARE ADVANTAGE | $722.78 | ↓ -61% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $722.78 | ↓ -61% |
| AETNA | AETNA MEDICARE | $722.78 | ↓ -61% |
| MEDICARE MANAGED | MANAGED MEDICARE NO SEQUESTRATION | $722.78 | ↓ -61% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $730.01 | ↓ -60% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $858.42 | ↓ -53% |
| ANTHEM | ANTEHM MEDICAID | $858.42 | ↓ -53% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $858.42 | ↓ -53% |
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $858.42 | ↓ -53% |
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $858.42 | ↓ -53% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $909.93 | ↓ -50% |
| TRIOLOGY | TRILOGY MEDICAID | $909.93 | ↓ -50% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $1,353.02 | ↓ -26% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $1,392.00 | ↓ -24% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,531.20 | ↓ -17% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $1,531.20 | ↓ -17% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $1,531.20 | ↓ -17% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $1,626.25 | ↓ -11% |
| ARISE HEALTH PLAN | ALL COMMERCIAL ARISE HEALTH PLAN | $1,670.40 | ↓ -9% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $1,670.40 | ↓ -9% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $1,670.40 | ↓ -9% |
| PREVEA HEALTH NETWORK | PREVEA360 | $1,670.40 | ↓ -9% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $1,670.40 | ↓ -9% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $1,726.08 | ↓ -6% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $1,777.03 | ↓ -3% |
| ANTHEM | ANTHEM POS/HMO | $1,893.12 | ↑ +3% |
| ANTHEM | ANTHEM PPO | $1,893.12 | ↑ +3% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $1,948.80 | ↑ +6% |
| CIGNA | ALL COMMERCIAL CIGNA | $1,948.80 | ↑ +6% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $2,004.48 | ↑ +9% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $2,004.48 | ↑ +9% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $2,004.48 | ↑ +9% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $2,088.00 | ↑ +14% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $2,088.00 | ↑ +14% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $2,088.00 | ↑ +14% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $2,199.36 | ↑ +20% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $2,227.20 | ↑ +21% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $2,338.56 | ↑ +27% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $2,338.56 | ↑ +27% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $2,366.40 | ↑ +29% |
| HUMANA | HUMANA CHOICE CARE PPO | $2,366.40 | ↑ +29% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $2,561.28 | ↑ +39% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $2,644.80 | ↑ +44% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $2,784.00 | ↑ +52% |
| HUMANA | HUMANA NATIIONAL POS HMO | $2,784.00 | ↑ +52% |
| COFINITY | COFINITY | $2,784.00 | ↑ +52% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $2,784.00 | ↑ +52% |
| AETNA | ALL COMMERCIAL AETNA | $2,784.00 | ↑ +52% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $2,784.00 | ↑ +52% |
| HUMANA | HUMANA CHOICE CARE HMO | $2,784.00 | ↑ +52% |
Visitor-reported prices
Comments
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $149.46 | $131.44 – $592.37 |
| UnityPoint Health - Meriter Hospital | Madison | $1,417.60 | $26.91 – $253.31 |
| SSM Health Ripon Community Hospital | Ripon | $1,167.10 | $3,388.00 – $4,761.00 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $1,167.10 | $548.27 – $4,761.00 |
| SSM Health Waupun Memorial Hospital | Waupun | $1,167.10 | $3,388.00 – $4,761.00 |
| HSHS St. Clare Memorial Hospital | OCONTO FALLS | $1,837.44 | $755.08 – $2,951.04 |
| HSHS St. Vincent Hospital | Green Bay | $1,837.44 | $717.88 – $1,615.24 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $131.44 – $592.37 |