Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr 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

$128.37

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.

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

$194.50

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.

$47.98 with PREVEA HEALTH NETWORK vs $153.75 with CATERPILLAR, INC. — 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 $47.98 ↓ -63%
UNITED HEALTHCARE UHC ONEIDA NATION $47.98 ↓ -63%
UNITED HEALTHCARE UNITED HEALTHCARE $47.98 ↓ -63%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $47.98 ↓ -63%
ANTHEM ANTHEM POS/HMO $49.44 ↓ -61%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $52.05 ↓ -59%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $52.05 ↓ -59%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $52.05 ↓ -59%
HUMANA HUMANA CHOICE CARE HMO $55.71 ↓ -57%
HUMANA HUMANA NATIIONAL POS HMO $55.71 ↓ -57%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $55.71 ↓ -57%
ANTHEM ANTHEM PPO $61.07 ↓ -52%
HSHS EMPLOYEES HSHS EMPLOYEES $74.72 ↓ -42%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $76.88 ↓ -40%
ARISE HEALTH PLAN ALL COMMERCIAL ARISE HEALTH PLAN $92.25 ↓ -28%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $95.33 ↓ -26%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $98.14 ↓ -24%
CIGNA ALL COMMERCIAL CIGNA $107.63 ↓ -16%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $107.63 ↓ -16%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $110.70 ↓ -14%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $110.70 ↓ -14%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $110.70 ↓ -14%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $115.31 ↓ -10%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $115.31 ↓ -10%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $115.31 ↓ -10%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $121.46 ↓ -5%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $123.00 ↓ -4%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $129.15 ↑ +1%
HEALTH CARE ALLIANCE THE ALLIANCE $129.15 ↑ +1%
CHOICECARE ALL COMMERCIAL CHOICE CARE $130.69 ↑ +2%
HUMANA HUMANA CHOICE CARE PPO $130.69 ↑ +2%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $141.45 ↑ +10%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $146.06 ↑ +14%
AETNA ALL COMMERCIAL AETNA $153.75 ↑ +20%
LIVE360 LIVE360 HSHS HEALTHY PLAN $153.75 ↑ +20%
COFINITY COFINITY $153.75 ↑ +20%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $153.75 ↑ +20%

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