Cath ablt rx lasr 2.0mm turbo at HSHS St. Nicholas Hospital
3100 SUPERIOR AVE, SHEBOYGAN, WI · Hshs · · NPI 1730184342
$5,773.02
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.
$8,747.00
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.
$2,886.84 with HSHS EMPLOYEES vs $5,940.00 with COFINITY — 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 | $2,886.84 | ↓ -50% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $2,970.00 | ↓ -49% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $3,267.00 | ↓ -43% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $3,267.00 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,267.00 | ↓ -43% |
| ARISE HEALTH PLAN | ALL COMMERCIAL ARISE HEALTH PLAN | $3,564.00 | ↓ -38% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $3,564.00 | ↓ -38% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $3,564.00 | ↓ -38% |
| PREVEA HEALTH NETWORK | PREVEA360 | $3,564.00 | ↓ -38% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $3,564.00 | ↓ -38% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $3,682.80 | ↓ -36% |
| HUMANA | HUMANA NATIIONAL POS HMO | $3,771.90 | ↓ -35% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $3,771.90 | ↓ -35% |
| HUMANA | HUMANA CHOICE CARE HMO | $3,771.90 | ↓ -35% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $3,791.50 | ↓ -34% |
| ANTHEM | ANTHEM POS/HMO | $4,039.20 | ↓ -30% |
| ANTHEM | ANTHEM PPO | $4,039.20 | ↓ -30% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $4,158.00 | ↓ -28% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $4,276.80 | ↓ -26% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $4,276.80 | ↓ -26% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $4,276.80 | ↓ -26% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $4,455.00 | ↓ -23% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $4,455.00 | ↓ -23% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $4,455.00 | ↓ -23% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $4,692.60 | ↓ -19% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $4,752.00 | ↓ -18% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $4,989.60 | ↓ -14% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $4,989.60 | ↓ -14% |
| HUMANA | HUMANA CHOICE CARE PPO | $5,049.00 | ↓ -13% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $5,049.00 | ↓ -13% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $5,464.80 | ↓ -5% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $5,643.00 | ↓ -2% |
| AETNA | ALL COMMERCIAL AETNA | $5,940.00 | ↑ +3% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $5,940.00 | ↑ +3% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $5,940.00 | ↑ +3% |
| COFINITY | COFINITY | $5,940.00 | ↑ +3% |
Visitor-reported prices
Comments
Cath ablt rx lasr 2.0mm turbo at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Mary's Hospital - Madison | Madison | $3,473.59 | not published |
| SSM Health Ripon Community Hospital | Ripon | $3,473.59 | not published |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $3,473.59 | not published |
| SSM Health Waupun Memorial Hospital | Waupun | $3,473.59 | not published |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $8,386.00 | not published |
| Aurora West Allis Medical Center | West Allis | $8,395.50 | not published |
| Aurora Medical Center Bay Area | Marinette | $5,690.00 | not published |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | $5,773.02 | $3,267.00 – $3,267.00 |