Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm 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

$2,200.44

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.

$3,334.00

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.

$1,517.26 with PREVEA HEALTH NETWORK vs $3,334.00 with COFINITY — 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 $1,517.26 ↓ -31%
HUMANA HUMANA CHOICE CARE HMO $1,563.24 ↓ -29%
ANTHEM ANTHEM POS/HMO $1,563.24 ↓ -29%
HUMANA HUMANA NATIIONAL POS HMO $1,563.24 ↓ -29%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $1,563.24 ↓ -29%
HSHS EMPLOYEES HSHS EMPLOYEES $1,620.32 ↓ -26%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $1,645.99 ↓ -25%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $1,645.99 ↓ -25%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $1,645.99 ↓ -25%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $1,667.00 ↓ -24%
ANTHEM ANTHEM PPO $1,931.06 ↓ -12%
ARISE HEALTH PLAN ALL COMMERCIAL ARISE HEALTH PLAN $2,000.40 ↓ -9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $2,067.08 ↓ -6%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $2,128.09 ↓ -3%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $2,333.80 ↑ +6%
CIGNA ALL COMMERCIAL CIGNA $2,333.80 ↑ +6%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $2,400.48 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $2,400.48 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $2,400.48 ↑ +9%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $2,500.50 ↑ +14%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $2,500.50 ↑ +14%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $2,500.50 ↑ +14%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $2,633.86 ↑ +20%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $2,667.20 ↑ +21%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $2,800.56 ↑ +27%
HEALTH CARE ALLIANCE THE ALLIANCE $2,800.56 ↑ +27%
HUMANA HUMANA CHOICE CARE PPO $2,833.90 ↑ +29%
CHOICECARE ALL COMMERCIAL CHOICE CARE $2,833.90 ↑ +29%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $3,067.28 ↑ +39%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $3,167.30 ↑ +44%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $3,295.88 ↑ +50%
UNITED HEALTHCARE UNITED HEALTHCARE $3,295.88 ↑ +50%
UNITED HEALTHCARE UHC ONEIDA NATION $3,295.88 ↑ +50%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $3,334.00 ↑ +52%
AETNA ALL COMMERCIAL AETNA $3,334.00 ↑ +52%
LIVE360 LIVE360 HSHS HEALTHY PLAN $3,334.00 ↑ +52%
COFINITY COFINITY $3,334.00 ↑ +52%

Visitor-reported prices

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Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm at other Wisconsin hospitals

Hospital City Cash price Negotiated range
Aurora Medical Center Sheboygan County Sheboygan not published $718.00 – $1,211.82
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee $1,510.00 $718.00 – $1,211.82
Aurora Medical Center Summit Summit $1,510.00 $718.00 – $1,211.82
Aurora Baycare Medical Center Green Bay $1,510.00 $718.00 – $1,211.82
Aurora Medical Center Burlington Burlington $1,510.00 $718.00 – $1,211.82
Aurora Medical Center Washington County Hartford $1,510.00 $718.00 – $1,211.82
Aurora Medical Center Kenosha Kenosha $1,510.00 $718.00 – $1,211.82
UnityPoint Health - Meriter Hospital Madison not published $1,016.79 – $1,997.50

All Wisconsin hospitals for this procedure →