Epinephrine 1 mg/ml im kit - adult at HSHS St. Nicholas Hospital
3100 SUPERIOR AVE, SHEBOYGAN, WI · Hshs · · NPI 1730184342
$7.29
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.
$11.05
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.
$2.28 with PREVEA HEALTH NETWORK vs $6.17 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 | $2.28 | ↓ -69% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $2.28 | ↓ -69% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2.28 | ↓ -69% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $2.28 | ↓ -69% |
| ANTHEM | ANTHEM POS/HMO | $2.35 | ↓ -68% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $2.47 | ↓ -66% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $2.47 | ↓ -66% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $2.47 | ↓ -66% |
| ANTHEM | ANTHEM PPO | $2.90 | ↓ -60% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $3.00 | ↓ -59% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $3.09 | ↓ -58% |
| ARISE HEALTH PLAN | ALL COMMERCIAL ARISE HEALTH PLAN | $3.70 | ↓ -49% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $3.83 | ↓ -47% |
| HUMANA | HUMANA CHOICE CARE HMO | $3.92 | ↓ -46% |
| HUMANA | HUMANA NATIIONAL POS HMO | $3.92 | ↓ -46% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $3.92 | ↓ -46% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $3.94 | ↓ -46% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $4.32 | ↓ -41% |
| CIGNA | ALL COMMERCIAL CIGNA | $4.32 | ↓ -41% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $4.44 | ↓ -39% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $4.44 | ↓ -39% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $4.44 | ↓ -39% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $4.63 | ↓ -36% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $4.63 | ↓ -36% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $4.63 | ↓ -36% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $4.87 | ↓ -33% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $4.94 | ↓ -32% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $5.18 | ↓ -29% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $5.18 | ↓ -29% |
| HUMANA | HUMANA CHOICE CARE PPO | $5.24 | ↓ -28% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $5.24 | ↓ -28% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $5.68 | ↓ -22% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $5.86 | ↓ -20% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $6.17 | ↓ -15% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $6.17 | ↓ -15% |
| COFINITY | COFINITY | $6.17 | ↓ -15% |
| AETNA | ALL COMMERCIAL AETNA | $6.17 | ↓ -15% |
Visitor-reported prices
Comments
Epinephrine 1 mg/ml im kit - adult at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $25.74 | $0.47 – $1.74 |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | $7.29 | $2.28 – $2.47 |
| HSHS St. Clare Memorial Hospital | OCONTO FALLS | $7.29 | $2.28 – $2.47 |
| HSHS St. Vincent Hospital | Green Bay | $7.29 | $2.28 – $2.47 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $2.51 – $2.51 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $2.51 – $2.51 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $2.51 – $2.51 |
| SSM Health Ripon Community Hospital | Ripon | not published | $2.51 – $2.51 |