Graft impl ult thck 6x12cm -cost per sq cm at HSHS St. Nicholas Hospital
3100 SUPERIOR AVE, SHEBOYGAN, WI · Hshs · · NPI 1730184342
$8,843.47
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.
$13,399.20
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.
$51.33 with PREVEA HEALTH NETWORK vs $13,399.20 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 | $51.33 | ↓ -99% |
| ANTHEM | ANTHEM POS/HMO | $52.89 | ↓ -99% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $52.89 | ↓ -99% |
| HUMANA | HUMANA NATIIONAL POS HMO | $52.89 | ↓ -99% |
| HUMANA | HUMANA CHOICE CARE HMO | $52.89 | ↓ -99% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $55.69 | ↓ -99% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $55.69 | ↓ -99% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $55.69 | ↓ -99% |
| ANTHEM | ANTHEM PPO | $65.33 | ↓ -99% |
| MEDICARE MANAGED | MANAGED MEDICARE NO SEQUESTRATION | $121.70 | ↓ -99% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $121.70 | ↓ -99% |
| AETNA | AETNA MEDICARE | $121.70 | ↓ -99% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $121.70 | ↓ -99% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $121.70 | ↓ -99% |
| MEDICA | MEDICA MEDICARE ADVANTAGE | $121.70 | ↓ -99% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $121.70 | ↓ -99% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $122.92 | ↓ -99% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $209.78 | ↓ -98% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $209.78 | ↓ -98% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $209.78 | ↓ -98% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $273.83 | ↓ -97% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $6,512.01 | ↓ -26% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $6,699.60 | ↓ -24% |
| ARISE HEALTH PLAN | ALL COMMERCIAL ARISE HEALTH PLAN | $8,039.52 | ↓ -9% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $8,307.50 | ↓ -6% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $8,552.71 | ↓ -3% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $9,379.44 | ↑ +6% |
| CIGNA | ALL COMMERCIAL CIGNA | $9,379.44 | ↑ +6% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $9,647.42 | ↑ +9% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $9,647.42 | ↑ +9% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $9,647.42 | ↑ +9% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $10,049.40 | ↑ +14% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $10,049.40 | ↑ +14% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $10,049.40 | ↑ +14% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $10,585.37 | ↑ +20% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $10,719.36 | ↑ +21% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $11,255.33 | ↑ +27% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $11,255.33 | ↑ +27% |
| HUMANA | HUMANA CHOICE CARE PPO | $11,389.32 | ↑ +29% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $11,389.32 | ↑ +29% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $12,327.26 | ↑ +39% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $12,729.24 | ↑ +44% |
| COFINITY | COFINITY | $13,399.20 | ↑ +52% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $13,399.20 | ↑ +52% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $13,399.20 | ↑ +52% |
| AETNA | ALL COMMERCIAL AETNA | $13,399.20 | ↑ +52% |
Visitor-reported prices
Comments
Graft impl ult thck 6x12cm -cost per sq cm at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Mary's Hospital - Madison | Madison | $5,704.08 | not published |
| SSM Health Ripon Community Hospital | Ripon | $12,177.38 | not published |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $12,177.38 | not published |
| SSM Health Waupun Memorial Hospital | Waupun | $12,177.38 | not published |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | $3,316.90 | $52.89 – $273.42 |
| HSHS St. Vincent Hospital | Green Bay | $11,028.20 | $52.89 – $271.97 |
| Aurora Medical Center Summit | Summit | not published | $24.89 – $46.67 |
| Aurora Baycare Medical Center | Green Bay | not published | $24.89 – $46.67 |