Evoked potentials auditory screening automated analysis 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

$174.90

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.

Full explanation →

What you pay up front if you don't use insurance.

$265.00

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.

$13.51 with MANAGED HEALTH SERVICES vs $265.00 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 →

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
MANAGED HEALTH SERVICES MANAGED HEALTH SERVICES MEDICAID $13.51 ↓ -92%
ANTHEM ANTEHM MEDICAID $13.51 ↓ -92%
MERIDIAN HEALTH PLAN MERIDIAN HMO MCD $13.51 ↓ -92%
CONTINUUS MEDICAID MANAGED CONTINUUS MEDICAID MANAGED $13.51 ↓ -92%
COMMUNITY CARE FAMILY CARE COMMUNITY CARE FAMILY CARE MEDICAID MANAGED $13.51 ↓ -92%
MOLINA HEALTHCARE MOLINA MEDICAID $14.32 ↓ -92%
TRIOLOGY TRILOGY MEDICAID $14.32 ↓ -92%
PREVEA HEALTH NETWORK PREVEA360 $74.00 ↓ -58%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $80.07 ↓ -54%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $80.07 ↓ -54%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $80.07 ↓ -54%
UNITED HEALTHCARE UNITED HEALTHCARE $86.80 ↓ -50%
UNITED HEALTHCARE UHC ONEIDA NATION $86.80 ↓ -50%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $86.80 ↓ -50%
HSHS EMPLOYEES HSHS EMPLOYEES $128.79 ↓ -26%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $132.50 ↓ -24%
ARISE HEALTH PLAN ALL COMMERCIAL ARISE HEALTH PLAN $159.00 ↓ -9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $164.30 ↓ -6%
HUMANA HUMANA NATIIONAL POS HMO $168.28 ↓ -4%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $168.28 ↓ -4%
HUMANA HUMANA CHOICE CARE HMO $168.28 ↓ -4%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $169.15 ↓ -3%
ANTHEM ANTHEM POS/HMO $180.20 ↑ +3%
ANTHEM ANTHEM PPO $180.20 ↑ +3%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $185.50 ↑ +6%
CIGNA ALL COMMERCIAL CIGNA $185.50 ↑ +6%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $190.80 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $190.80 ↑ +9%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $190.80 ↑ +9%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $198.75 ↑ +14%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $198.75 ↑ +14%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $198.75 ↑ +14%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $209.35 ↑ +20%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $212.00 ↑ +21%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $222.60 ↑ +27%
HEALTH CARE ALLIANCE THE ALLIANCE $222.60 ↑ +27%
CHOICECARE ALL COMMERCIAL CHOICE CARE $225.25 ↑ +29%
HUMANA HUMANA CHOICE CARE PPO $225.25 ↑ +29%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $243.80 ↑ +39%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $251.75 ↑ +44%
COFINITY COFINITY $265.00 ↑ +52%
LIVE360 LIVE360 HSHS HEALTHY PLAN $265.00 ↑ +52%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $265.00 ↑ +52%
AETNA ALL COMMERCIAL AETNA $265.00 ↑ +52%

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