Dicyclomine injection 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

$189.98

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.

$287.85

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.

$18.69 with PREVEA HEALTH NETWORK vs $181.55 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 $18.69 ↓ -90%
UNITED HEALTHCARE UHC ONEIDA NATION $18.69 ↓ -90%
UNITED HEALTHCARE UNITED HEALTHCARE $18.69 ↓ -90%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $18.69 ↓ -90%
ANTHEM ANTHEM POS/HMO $19.26 ↓ -90%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $20.28 ↓ -89%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $20.28 ↓ -89%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $20.28 ↓ -89%
ANTHEM ANTHEM PPO $23.79 ↓ -87%
HUMANA HUMANA CHOICE CARE HMO $34.56 ↓ -82%
HUMANA HUMANA NATIIONAL POS HMO $34.56 ↓ -82%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $34.56 ↓ -82%
HSHS EMPLOYEES HSHS EMPLOYEES $88.23 ↓ -54%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $90.78 ↓ -52%
ARISE HEALTH PLAN ALL COMMERCIAL ARISE HEALTH PLAN $108.93 ↓ -43%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $112.56 ↓ -41%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $115.88 ↓ -39%
CIGNA ALL COMMERCIAL CIGNA $127.09 ↓ -33%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $127.09 ↓ -33%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $130.72 ↓ -31%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $130.72 ↓ -31%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $130.72 ↓ -31%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $136.16 ↓ -28%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $136.16 ↓ -28%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $136.16 ↓ -28%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $143.42 ↓ -25%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $145.24 ↓ -24%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $152.50 ↓ -20%
HEALTH CARE ALLIANCE THE ALLIANCE $152.50 ↓ -20%
CHOICECARE ALL COMMERCIAL CHOICE CARE $154.32 ↓ -19%
HUMANA HUMANA CHOICE CARE PPO $154.32 ↓ -19%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $167.03 ↓ -12%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $172.47 ↓ -9%
AETNA ALL COMMERCIAL AETNA $181.55 ↓ -4%
LIVE360 LIVE360 HSHS HEALTHY PLAN $181.55 ↓ -4%
COFINITY COFINITY $181.55 ↓ -4%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $181.55 ↓ -4%

Visitor-reported prices

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Dicyclomine injection at other Wisconsin hospitals

Hospital City Cash price Negotiated range
Aurora Medical Center Sheboygan County Sheboygan not published $12.86 – $111.31
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $117.76 $20.63 – $77.59
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $117.76 $20.63 – $77.59
UnityPoint Health - Meriter Hospital Madison $204.52 $11.68 – $217.09
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh $153.53 $30.52 – $269.35
Ascension St. Francis Hospital, Inc. Milwaukee $117.76 $18.33 – $93.32
Aurora Medical Center Fond du Lac Fond Du Lac $55.91 $12.86 – $111.31
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee $117.76 $18.33 – $66.94

All Wisconsin hospitals for this procedure →