Belimumab 120 mg intravenous solution 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

$134.61

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.

$203.95

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.

$57.16 with MEDICARE MANAGED vs $216.17 with MOLINA 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
MEDICARE MANAGED MANAGED MEDICARE NO SEQUESTRATION $57.16 ↓ -58%
HUMANA HUMANA MEDICARE ADVANTAGE $57.16 ↓ -58%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $57.16 ↓ -58%
MOLINA HEALTHCARE MOLINA MEDICARE $57.16 ↓ -58%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $57.16 ↓ -58%
AETNA AETNA MEDICARE $57.16 ↓ -58%
MEDICA MEDICA MEDICARE ADVANTAGE $57.16 ↓ -58%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $57.73 ↓ -57%
HUMANA HUMANA CHOICE CARE HMO $92.02 ↓ -32%
HUMANA HUMANA NATIIONAL POS HMO $92.02 ↓ -32%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $92.02 ↓ -32%
UNITED HEALTHCARE UHC ONEIDA NATION $94.31 ↓ -30%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $94.31 ↓ -30%
PREVEA HEALTH NETWORK PREVEA360 $94.31 ↓ -30%
UNITED HEALTHCARE UNITED HEALTHCARE $94.31 ↓ -30%
ANTHEM ANTHEM POS/HMO $97.17 ↓ -28%
HSHS EMPLOYEES HSHS EMPLOYEES $99.11 ↓ -26%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $101.97 ↓ -24%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $102.32 ↓ -24%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $102.32 ↓ -24%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $102.32 ↓ -24%
ANTHEM ANTHEM PPO $120.04 ↓ -11%
ARISE HEALTH PLAN ALL COMMERCIAL ARISE HEALTH PLAN $122.36 ↓ -9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $126.44 ↓ -6%
NAPHCARE ALL COMMERICAL NAPHCARE $128.60 ↓ -4%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $130.17 ↓ -3%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $142.75 ↑ +6%
CIGNA ALL COMMERCIAL CIGNA $142.75 ↑ +6%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $146.83 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $146.83 ↑ +9%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $146.83 ↑ +9%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $152.95 ↑ +14%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $152.95 ↑ +14%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $152.95 ↑ +14%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $161.10 ↑ +20%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $163.14 ↑ +21%
HEALTH CARE ALLIANCE THE ALLIANCE $171.30 ↑ +27%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $171.30 ↑ +27%
CHOICECARE ALL COMMERCIAL CHOICE CARE $173.34 ↑ +29%
HUMANA HUMANA CHOICE CARE PPO $173.34 ↑ +29%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $187.62 ↑ +39%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $193.73 ↑ +44%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $203.93 ↑ +51%
ANTHEM ANTEHM MEDICAID $203.93 ↑ +51%
AETNA ALL COMMERCIAL AETNA $203.93 ↑ +51%
MERIDIAN HEALTH PLAN MERIDIAN HMO MCD $203.93 ↑ +51%
TRIOLOGY TRILOGY MEDICAID $203.93 ↑ +51%
MANAGED HEALTH SERVICES MANAGED HEALTH SERVICES MEDICAID $203.93 ↑ +51%
COFINITY COFINITY $203.93 ↑ +51%
CONTINUUS MEDICAID MANAGED CONTINUUS MEDICAID MANAGED $203.93 ↑ +51%
COMMUNITY CARE FAMILY CARE COMMUNITY CARE FAMILY CARE MEDICAID MANAGED $203.93 ↑ +51%
LIVE360 LIVE360 HSHS HEALTHY PLAN $203.93 ↑ +51%
MOLINA HEALTHCARE MOLINA MEDICAID $216.17 ↑ +61%

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Belimumab 120 mg intravenous solution at other Wisconsin hospitals

Hospital City Cash price Negotiated range
Aurora Medical Center Sheboygan County Sheboygan not published $54.15 – $133.98
SSM Health St. Clare Hospital - Baraboo Baraboo not published $43.72 – $106.41
SSM Health St. Mary's Hospital - Janesville Janesville not published $43.72 – $106.41
SSM Health St. Mary's Hospital - Madison Madison not published $43.72 – $106.41
SSM Health Monroe Hospital Monroe not published $54.97 – $149.66
SSM Health Ripon Community Hospital Ripon not published $59.45 – $149.49
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $43.72 – $149.49
SSM Health Waupun Memorial Hospital Waupun not published $59.45 – $149.49

All Wisconsin hospitals for this procedure →