Graft primatrix xcr 6cm x6cm n-q4110-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

$8,316.00

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.

$12,600.00

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.

$47.14 with HSHS EMPLOYEES vs $273.83 with NAPHCARE — 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
HSHS EMPLOYEES HSHS EMPLOYEES $47.14 ↓ -99%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $48.50 ↓ -99%
ARISE HEALTH PLAN ALL COMMERCIAL ARISE HEALTH PLAN $58.20 ↓ -99%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $60.14 ↓ -99%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $61.92 ↓ -99%
CIGNA ALL COMMERCIAL CIGNA $67.90 ↓ -99%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $67.90 ↓ -99%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $69.84 ↓ -99%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $69.84 ↓ -99%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $69.84 ↓ -99%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $72.75 ↓ -99%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $72.75 ↓ -99%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $72.75 ↓ -99%
HUMANA HUMANA CHOICE CARE HMO $75.07 ↓ -99%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $75.07 ↓ -99%
HUMANA HUMANA NATIIONAL POS HMO $75.07 ↓ -99%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $76.63 ↓ -99%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $77.60 ↓ -99%
HEALTH CARE ALLIANCE THE ALLIANCE $81.48 ↓ -99%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $81.48 ↓ -99%
HUMANA HUMANA CHOICE CARE PPO $82.45 ↓ -99%
CHOICECARE ALL COMMERCIAL CHOICE CARE $82.45 ↓ -99%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $89.24 ↓ -99%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $92.15 ↓ -99%
HUMANA HUMANA MEDICARE ADVANTAGE $97.00 ↓ -99%
AETNA ALL COMMERCIAL AETNA $97.00 ↓ -99%
LIVE360 LIVE360 HSHS HEALTHY PLAN $97.00 ↓ -99%
COFINITY COFINITY $97.00 ↓ -99%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $97.00 ↓ -99%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $97.00 ↓ -99%
PREVEA HEALTH NETWORK PREVEA360 $107.93 ↓ -99%
ANTHEM ANTHEM POS/HMO $111.20 ↓ -99%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $117.08 ↓ -99%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $117.08 ↓ -99%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $117.08 ↓ -99%
MOLINA HEALTHCARE MOLINA MEDICARE $121.70 ↓ -99%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $121.70 ↓ -99%
MEDICA MEDICA MEDICARE ADVANTAGE $121.70 ↓ -99%
MEDICARE MANAGED MANAGED MEDICARE NO SEQUESTRATION $121.70 ↓ -99%
AETNA AETNA MEDICARE $121.70 ↓ -99%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $122.92 ↓ -99%
ANTHEM ANTHEM PPO $137.36 ↓ -98%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $209.78 ↓ -97%
UNITED HEALTHCARE UNITED HEALTHCARE $209.78 ↓ -97%
UNITED HEALTHCARE UHC ONEIDA NATION $209.78 ↓ -97%
NAPHCARE ALL COMMERICAL NAPHCARE $273.83 ↓ -97%

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Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm at other Wisconsin hospitals

Hospital City Cash price Negotiated range
Aurora Medical Center Sheboygan County Sheboygan not published $65.41 – $159.59
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $1,224.83 $49.31 – $130.81
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $1,224.83 $49.31 – $130.81
Aurora West Allis Medical Center West Allis $210.00 $65.41 – $159.59
Aurora Medical Center Fond du Lac Fond Du Lac $210.00 $65.41 – $159.59
SSM Health St. Clare Hospital - Baraboo Baraboo not published $90.66 – $124.27
SSM Health St. Mary's Hospital - Janesville Janesville not published $94.01 – $125.35
SSM Health St. Mary's Hospital - Madison Madison not published $64.03 – $124.27

All Wisconsin hospitals for this procedure →