Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm at HSHS St. Nicholas Hospital
3100 SUPERIOR AVE, SHEBOYGAN, WI · Hshs · · NPI 1730184342
$3,814.37
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.
$5,779.35
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.
$84.15 with PREVEA HEALTH NETWORK vs $3,855.47 with AETNA — 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 | $84.15 | ↓ -98% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $84.20 | ↓ -98% |
| HUMANA | HUMANA NATIIONAL POS HMO | $84.20 | ↓ -98% |
| HUMANA | HUMANA CHOICE CARE HMO | $84.20 | ↓ -98% |
| ANTHEM | ANTHEM POS/HMO | $86.70 | ↓ -98% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $91.29 | ↓ -98% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $91.29 | ↓ -98% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $91.29 | ↓ -98% |
| ANTHEM | ANTHEM PPO | $107.10 | ↓ -97% |
| MEDICARE MANAGED | MANAGED MEDICARE NO SEQUESTRATION | $121.70 | ↓ -97% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $121.70 | ↓ -97% |
| AETNA | AETNA MEDICARE | $121.70 | ↓ -97% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $121.70 | ↓ -97% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $121.70 | ↓ -97% |
| MEDICA | MEDICA MEDICARE ADVANTAGE | $121.70 | ↓ -97% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $121.70 | ↓ -97% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $122.92 | ↓ -97% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $209.78 | ↓ -95% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $209.78 | ↓ -95% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $209.78 | ↓ -95% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $273.83 | ↓ -93% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $1,873.76 | ↓ -51% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $1,927.74 | ↓ -49% |
| ARISE HEALTH PLAN | ALL COMMERCIAL ARISE HEALTH PLAN | $2,313.28 | ↓ -39% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $2,390.39 | ↓ -37% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $2,460.95 | ↓ -35% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $2,698.83 | ↓ -29% |
| CIGNA | ALL COMMERCIAL CIGNA | $2,698.83 | ↓ -29% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $2,775.94 | ↓ -27% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $2,775.94 | ↓ -27% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $2,775.94 | ↓ -27% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $2,891.60 | ↓ -24% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $2,891.60 | ↓ -24% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $2,891.60 | ↓ -24% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $3,045.82 | ↓ -20% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $3,084.38 | ↓ -19% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $3,238.59 | ↓ -15% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $3,238.59 | ↓ -15% |
| HUMANA | HUMANA CHOICE CARE PPO | $3,277.15 | ↓ -14% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $3,277.15 | ↓ -14% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $3,547.03 | ↓ -7% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $3,662.70 | ↓ -4% |
| COFINITY | COFINITY | $3,855.47 | ↑ +1% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $3,855.47 | ↑ +1% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $3,855.47 | ↑ +1% |
| AETNA | ALL COMMERCIAL AETNA | $3,855.47 | ↑ +1% |
Visitor-reported prices
Comments
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Medical Center Sheboygan County | Sheboygan | not published | $50.13 – $127.85 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $674.58 | $50.13 – $127.85 |
| Aurora Medical Center Summit | Summit | $341.73 | $50.13 – $127.85 |
| Aurora Baycare Medical Center | Green Bay | $366.20 | $50.13 – $127.85 |
| Aurora West Allis Medical Center | West Allis | $697.47 | $50.13 – $127.85 |
| Aurora Medical Center Grafton | Grafton | $570.98 | $50.13 – $127.85 |
| Aurora Medical Center Kenosha | Kenosha | $483.05 | $50.13 – $127.85 |
| HSHS St. Clare Memorial Hospital | OCONTO FALLS | $8,543.70 | $127.14 – $127.14 |