Carotid Artery Ultrasound (Duplex) at HSHS St. Nicholas Hospital
3100 SUPERIOR AVE, SHEBOYGAN, WI · Hshs · · NPI 1730184342
$1,024.32
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.
$1,552.00
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.
$50.06 with HSHS EMPLOYEES vs $525.02 with NAPHCARE — 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 |
|---|---|---|---|
| HSHS EMPLOYEES | HSHS EMPLOYEES | $50.06 | ↓ -95% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $51.50 | ↓ -95% |
| ARISE HEALTH PLAN | ALL COMMERCIAL ARISE HEALTH PLAN | $61.80 | ↓ -94% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $63.86 | ↓ -94% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $65.74 | ↓ -94% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $72.10 | ↓ -93% |
| CIGNA | ALL COMMERCIAL CIGNA | $72.10 | ↓ -93% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $74.16 | ↓ -93% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $74.16 | ↓ -93% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $74.16 | ↓ -93% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $74.44 | ↓ -93% |
| ANTHEM | ANTEHM MEDICAID | $74.44 | ↓ -93% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $74.44 | ↓ -93% |
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $74.44 | ↓ -93% |
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $74.44 | ↓ -93% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $77.25 | ↓ -92% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $77.25 | ↓ -92% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $77.25 | ↓ -92% |
| TRIOLOGY | TRILOGY MEDICAID | $78.91 | ↓ -92% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $78.91 | ↓ -92% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $81.37 | ↓ -92% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $82.40 | ↓ -92% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $86.52 | ↓ -92% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $86.52 | ↓ -92% |
| HUMANA | HUMANA CHOICE CARE PPO | $87.55 | ↓ -91% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $87.55 | ↓ -91% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $93.34 | ↓ -91% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $94.27 | ↓ -91% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $94.76 | ↓ -91% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $97.85 | ↓ -90% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $103.00 | ↓ -90% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $103.00 | ↓ -90% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $103.00 | ↓ -90% |
| PREVEA HEALTH NETWORK | PREVEA360 | $103.00 | ↓ -90% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $103.00 | ↓ -90% |
| AETNA | ALL COMMERCIAL AETNA | $103.00 | ↓ -90% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $103.00 | ↓ -90% |
| HUMANA | HUMANA NATIIONAL POS HMO | $103.00 | ↓ -90% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $103.00 | ↓ -90% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $103.00 | ↓ -90% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $103.00 | ↓ -90% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $103.00 | ↓ -90% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $103.00 | ↓ -90% |
| HUMANA | HUMANA CHOICE CARE HMO | $103.00 | ↓ -90% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $103.00 | ↓ -90% |
| ANTHEM | ANTHEM PPO | $103.00 | ↓ -90% |
| ANTHEM | ANTHEM POS/HMO | $103.00 | ↓ -90% |
| COFINITY | COFINITY | $103.00 | ↓ -90% |
| MEDICA | MEDICA MEDICARE ADVANTAGE | $233.34 | ↓ -77% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $233.34 | ↓ -77% |
| MEDICARE MANAGED | MANAGED MEDICARE NO SEQUESTRATION | $233.34 | ↓ -77% |
| AETNA | AETNA MEDICARE | $233.34 | ↓ -77% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $525.02 | ↓ -49% |
Visitor-reported prices
Comments
Carotid Artery Ultrasound (Duplex) at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Medical Center Sheboygan County | Sheboygan | $1,030.00 | not published |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $1,390.19 | $61.57 – $517.68 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $1,390.19 | $61.57 – $517.68 |
| UnityPoint Health - Meriter Hospital | Madison | $1,813.60 | $34.57 – $652.89 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $1,324.40 | $173.82 – $231.76 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $1,401.95 | $180.25 – $240.33 |
| SSM Health St. Mary's Hospital - Madison | Madison | $703.45 | $173.82 – $231.76 |
| SSM Health Monroe Hospital | Monroe | $849.20 | $231.76 – $231.76 |