So neo gsap dna mcrstl ins at HSHS St. Nicholas Hospital
3100 SUPERIOR AVE, SHEBOYGAN, WI · Hshs · · NPI 1730184342
$2,972.64
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.
$4,504.00
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.
$128.83 with COMMUNITY CARE FAMILY CARE vs $3,003.00 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 →
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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 |
|---|---|---|---|
| COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $128.83 | ↓ -96% |
| CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $128.83 | ↓ -96% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $128.83 | ↓ -96% |
| MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $128.83 | ↓ -96% |
| ANTHEM | ANTEHM MEDICAID | $128.83 | ↓ -96% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $136.56 | ↓ -95% |
| TRIOLOGY | TRILOGY MEDICAID | $136.56 | ↓ -95% |
| AETNA | AETNA MEDICARE | $896.87 | ↓ -70% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $896.87 | ↓ -70% |
| MEDICARE MANAGED | MANAGED MEDICARE NO SEQUESTRATION | $896.87 | ↓ -70% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $896.87 | ↓ -70% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $896.87 | ↓ -70% |
| MEDICA | MEDICA MEDICARE ADVANTAGE | $896.87 | ↓ -70% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $896.87 | ↓ -70% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $905.84 | ↓ -70% |
| PREVEA HEALTH NETWORK | PREVEA360 | $1,076.24 | ↓ -64% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $1,076.24 | ↓ -64% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $1,076.24 | ↓ -64% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,076.24 | ↓ -64% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $1,165.93 | ↓ -61% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $1,165.93 | ↓ -61% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $1,165.93 | ↓ -61% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $1,459.46 | ↓ -51% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $1,501.50 | ↓ -49% |
| ARISE HEALTH PLAN | ALL COMMERCIAL ARISE HEALTH PLAN | $1,801.80 | ↓ -39% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $1,861.86 | ↓ -37% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $1,916.81 | ↓ -36% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $2,017.96 | ↓ -32% |
| ANTHEM | ANTHEM PPO | $2,042.04 | ↓ -31% |
| ANTHEM | ANTHEM POS/HMO | $2,042.04 | ↓ -31% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $2,102.10 | ↓ -29% |
| CIGNA | ALL COMMERCIAL CIGNA | $2,102.10 | ↓ -29% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $2,162.16 | ↓ -27% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $2,162.16 | ↓ -27% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $2,162.16 | ↓ -27% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $2,252.25 | ↓ -24% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $2,252.25 | ↓ -24% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $2,252.25 | ↓ -24% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $2,372.37 | ↓ -20% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $2,402.40 | ↓ -19% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $2,522.52 | ↓ -15% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $2,522.52 | ↓ -15% |
| HUMANA | HUMANA CHOICE CARE PPO | $2,552.55 | ↓ -14% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $2,552.55 | ↓ -14% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $2,762.76 | ↓ -7% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $2,852.85 | ↓ -4% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $3,003.00 | ↑ +1% |
| AETNA | ALL COMMERCIAL AETNA | $3,003.00 | ↑ +1% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $3,003.00 | ↑ +1% |
| COFINITY | COFINITY | $3,003.00 | ↑ +1% |
Visitor-reported prices
Comments
So neo gsap dna mcrstl ins at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Medical Center Sheboygan County | Sheboygan | not published | $2,000.02 – $2,475.36 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $1,501.50 | $672.65 – $4,932.79 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $1,501.50 | $672.65 – $3,946.23 |
| SSM Health St. Mary's Hospital - Madison | Madison | $1,501.50 | $672.65 – $4,035.92 |
| SSM Health Monroe Hospital | Monroe | $1,564.20 | $896.87 – $1,569.52 |
| SSM Health Ripon Community Hospital | Ripon | $192.50 | $896.87 – $1,569.52 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $192.50 | $672.65 – $1,730.96 |
| SSM Health Waupun Memorial Hospital | Waupun | $192.50 | $896.87 – $1,569.52 |