Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr 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

$16.17

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.

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

$24.50

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.

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

$0.59 with PREVEA HEALTH NETWORK vs $5.05 with CATERPILLAR, INC. — 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
PREVEA HEALTH NETWORK PREVEA360 $0.59 ↓ -96%
UNITED HEALTHCARE UHC ONEIDA NATION $0.59 ↓ -96%
UNITED HEALTHCARE UNITED HEALTHCARE $0.59 ↓ -96%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $0.59 ↓ -96%
ANTHEM ANTHEM POS/HMO $0.61 ↓ -96%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $0.64 ↓ -96%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $0.64 ↓ -96%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $0.64 ↓ -96%
ANTHEM ANTHEM PPO $0.76 ↓ -95%
HUMANA HUMANA CHOICE CARE HMO $1.05 ↓ -94%
HUMANA HUMANA NATIIONAL POS HMO $1.05 ↓ -94%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $1.05 ↓ -94%
HSHS EMPLOYEES HSHS EMPLOYEES $2.45 ↓ -85%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $2.53 ↓ -84%
ARISE HEALTH PLAN ALL COMMERCIAL ARISE HEALTH PLAN $3.03 ↓ -81%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $3.13 ↓ -81%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $3.22 ↓ -80%
CIGNA ALL COMMERCIAL CIGNA $3.54 ↓ -78%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $3.54 ↓ -78%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $3.64 ↓ -77%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $3.64 ↓ -77%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $3.64 ↓ -77%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $3.79 ↓ -77%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $3.79 ↓ -77%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $3.79 ↓ -77%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $3.99 ↓ -75%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $4.04 ↓ -75%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $4.24 ↓ -74%
HEALTH CARE ALLIANCE THE ALLIANCE $4.24 ↓ -74%
CHOICECARE ALL COMMERCIAL CHOICE CARE $4.29 ↓ -73%
HUMANA HUMANA CHOICE CARE PPO $4.29 ↓ -73%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $4.65 ↓ -71%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $4.80 ↓ -70%
AETNA ALL COMMERCIAL AETNA $5.05 ↓ -69%
LIVE360 LIVE360 HSHS HEALTHY PLAN $5.05 ↓ -69%
COFINITY COFINITY $5.05 ↓ -69%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $5.05 ↓ -69%

Visitor-reported prices

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Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr at other Wisconsin hospitals

Hospital City Cash price Negotiated range
Aurora Medical Center Sheboygan County Sheboygan not published $0.02 – $1.41
UnityPoint Health - Meriter Hospital Madison $28.68 $0.61 – $2.54
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee $14.53 $0.02 – $1.41
Aurora Medical Center Summit Summit $9.85 $0.02 – $1.41
Aurora Medical Center Manitowoc Two Rivers $10.04 $0.02 – $1.41
Aurora West Allis Medical Center West Allis $5.35 $0.02 – $1.41
Aurora Medical Center Washington County Hartford $19.27 $0.02 – $1.41
Aurora Medical Center Fond du Lac Fond Du Lac $17.23 $0.02 – $1.41

All Wisconsin hospitals for this procedure →