Apply forearm splintdynamic 29126 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

$246.18

Cash price

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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.

$373.00

Gross charge

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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.

$33.47 with MERIDIAN HEALTH PLAN vs $373.00 with UNITED HEALTHCARE — 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 →

Payer
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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
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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
MERIDIAN HEALTH PLAN MERIDIAN HMO MCD $33.47 ↓ -86%
COMMUNITY CARE FAMILY CARE COMMUNITY CARE FAMILY CARE MEDICAID MANAGED $33.47 ↓ -86%
ANTHEM ANTEHM MEDICAID $33.47 ↓ -86%
MANAGED HEALTH SERVICES MANAGED HEALTH SERVICES MEDICAID $33.47 ↓ -86%
CONTINUUS MEDICAID MANAGED CONTINUUS MEDICAID MANAGED $33.47 ↓ -86%
MOLINA HEALTHCARE MOLINA MEDICAID $35.48 ↓ -86%
TRIOLOGY TRILOGY MEDICAID $35.48 ↓ -86%
MEDICA MEDICA MEDICARE ADVANTAGE $130.11 ↓ -47%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $130.11 ↓ -47%
MEDICARE MANAGED MANAGED MEDICARE NO SEQUESTRATION $130.11 ↓ -47%
AETNA AETNA MEDICARE $130.11 ↓ -47%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $130.11 ↓ -47%
HUMANA HUMANA MEDICARE ADVANTAGE $130.11 ↓ -47%
MOLINA HEALTHCARE MOLINA MEDICARE $130.11 ↓ -47%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $131.41 ↓ -47%
HSHS EMPLOYEES HSHS EMPLOYEES $181.28 ↓ -26%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $186.50 ↓ -24%
ARISE HEALTH PLAN ALL COMMERCIAL ARISE HEALTH PLAN $223.80 ↓ -9%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $223.80 ↓ -9%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $223.80 ↓ -9%
PREVEA HEALTH NETWORK PREVEA360 $223.80 ↓ -9%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $223.80 ↓ -9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $231.26 ↓ -6%
HUMANA HUMANA NATIIONAL POS HMO $236.86 ↓ -4%
HUMANA HUMANA CHOICE CARE HMO $236.86 ↓ -4%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $236.86 ↓ -4%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $238.09 ↓ -3%
ANTHEM ANTHEM POS/HMO $253.64 ↑ +3%
ANTHEM ANTHEM PPO $253.64 ↑ +3%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $261.10 ↑ +6%
CIGNA ALL COMMERCIAL CIGNA $261.10 ↑ +6%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $268.56 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $268.56 ↑ +9%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $268.56 ↑ +9%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $279.75 ↑ +14%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $279.75 ↑ +14%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $279.75 ↑ +14%
NAPHCARE ALL COMMERICAL NAPHCARE $292.76 ↑ +19%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $294.67 ↑ +20%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $298.40 ↑ +21%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $313.32 ↑ +27%
HEALTH CARE ALLIANCE THE ALLIANCE $313.32 ↑ +27%
CHOICECARE ALL COMMERCIAL CHOICE CARE $317.05 ↑ +29%
HUMANA HUMANA CHOICE CARE PPO $317.05 ↑ +29%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $343.16 ↑ +39%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $354.35 ↑ +44%
COFINITY COFINITY $373.00 ↑ +52%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $373.00 ↑ +52%
LIVE360 LIVE360 HSHS HEALTHY PLAN $373.00 ↑ +52%
UNITED HEALTHCARE UHC ONEIDA NATION $373.00 ↑ +52%
AETNA ALL COMMERCIAL AETNA $373.00 ↑ +52%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $373.00 ↑ +52%
UNITED HEALTHCARE UNITED HEALTHCARE $373.00 ↑ +52%

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Apply forearm splintdynamic 29126 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 $55.12 $78.74 – $302.91
UnityPoint Health - Meriter Hospital Madison $242.40 $15.57 – $47.94
Aurora Medical Center Summit Summit $195.00 not published
Aurora West Allis Medical Center West Allis $195.00 not published
Aurora Medical Center Bay Area Marinette $195.00 not published
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh $131.67 $51.92 – $260.23
Aurora Medical Center Fond du Lac Fond Du Lac $195.00 not published
Aurora Medical Center Grafton Grafton $195.00 not published

All Wisconsin hospitals for this procedure →