Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution at HSHS St. Nicholas Hospital
3100 SUPERIOR AVE, SHEBOYGAN, WI · Hshs · · NPI 1730184342
$126.85
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.
$192.20
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.
$28.43 with PREVEA HEALTH NETWORK vs $192.20 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 →
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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 |
|---|---|---|---|
| PREVEA HEALTH NETWORK | PREVEA360 | $28.43 | ↓ -78% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $28.43 | ↓ -78% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $28.43 | ↓ -78% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $28.43 | ↓ -78% |
| ANTHEM | ANTHEM POS/HMO | $29.29 | ↓ -77% |
| HUMANA | HUMANA NATIIONAL POS HMO | $29.53 | ↓ -77% |
| HUMANA | HUMANA CHOICE CARE HMO | $29.53 | ↓ -77% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $29.53 | ↓ -77% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $30.84 | ↓ -76% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $30.84 | ↓ -76% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $30.84 | ↓ -76% |
| ANTHEM | ANTHEM PPO | $36.18 | ↓ -71% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $93.41 | ↓ -26% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $96.10 | ↓ -24% |
| ARISE HEALTH PLAN | ALL COMMERCIAL ARISE HEALTH PLAN | $115.32 | ↓ -9% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $119.16 | ↓ -6% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $122.68 | ↓ -3% |
| CIGNA | ALL COMMERCIAL CIGNA | $134.54 | ↑ +6% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $134.54 | ↑ +6% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $138.38 | ↑ +9% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $138.38 | ↑ +9% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $138.38 | ↑ +9% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $144.15 | ↑ +14% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $144.15 | ↑ +14% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $144.15 | ↑ +14% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $151.84 | ↑ +20% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $153.76 | ↑ +21% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $161.45 | ↑ +27% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $161.45 | ↑ +27% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $163.37 | ↑ +29% |
| HUMANA | HUMANA CHOICE CARE PPO | $163.37 | ↑ +29% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $176.82 | ↑ +39% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $182.59 | ↑ +44% |
| AETNA | ALL COMMERCIAL AETNA | $192.20 | ↑ +52% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $192.20 | ↑ +52% |
| COFINITY | COFINITY | $192.20 | ↑ +52% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $192.20 | ↑ +52% |
Visitor-reported prices
Comments
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Medical Center Sheboygan County | Sheboygan | not published | $16.20 – $40.84 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $26.50 | $23.88 – $36.74 |
| UnityPoint Health - Meriter Hospital | Madison | $73.00 | $17.37 – $77.56 |
| Midwest Orthopedic Specialty Hospital | Franklin | $22.16 | $2.90 – $27.62 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $6.69 | $5.87 – $11.73 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $22.16 | $16.54 – $27.62 |
| Aurora Medical Center Fond du Lac | Fond Du Lac | $37.83 | $16.20 – $40.84 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $22.16 | $2.84 – $27.62 |