Sodium chloride 0.9 % IV bolus at HSHS St. Nicholas Hospital
3100 SUPERIOR AVE, SHEBOYGAN, WI · Hshs · · NPI 1730184342
$25.38
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.
?
What you pay up front if you don't use insurance.
$38.45
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.09 with PREVEA HEALTH NETWORK vs $32.62 with SECURITY HEALTH PLAN — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1.09 | ↓ -96% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $1.09 | ↓ -96% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $1.09 | ↓ -96% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1.09 | ↓ -96% |
| ANTHEM | ANTHEM POS/HMO | $1.12 | ↓ -96% |
| HUMANA | HUMANA NATIIONAL POS HMO | $1.14 | ↓ -96% |
| HUMANA | HUMANA CHOICE CARE HMO | $1.14 | ↓ -96% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $1.14 | ↓ -96% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $1.18 | ↓ -95% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $1.18 | ↓ -95% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $1.18 | ↓ -95% |
| ANTHEM | ANTHEM PPO | $1.39 | ↓ -95% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $15.70 | ↓ -38% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $16.15 | ↓ -36% |
| ARISE HEALTH PLAN | ALL COMMERCIAL ARISE HEALTH PLAN | $19.38 | ↓ -24% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $20.03 | ↓ -21% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $20.62 | ↓ -19% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $22.61 | ↓ -11% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $23.26 | ↓ -8% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $23.26 | ↓ -8% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $23.26 | ↓ -8% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $24.23 | ↓ -5% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $24.23 | ↓ -5% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $24.23 | ↓ -5% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $25.52 | ↑ +1% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $25.84 | ↑ +2% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $27.13 | ↑ +7% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $27.13 | ↑ +7% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $27.46 | ↑ +8% |
| HUMANA | HUMANA CHOICE CARE PPO | $27.46 | ↑ +8% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $29.72 | ↑ +17% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $30.69 | ↑ +21% |
| AETNA | ALL COMMERCIAL AETNA | $32.30 | ↑ +27% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $32.30 | ↑ +27% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $32.30 | ↑ +27% |
| MEDICARE MANAGED | MANAGED MEDICARE NO SEQUESTRATION | $32.30 | ↑ +27% |
| COFINITY | COFINITY | $32.30 | ↑ +27% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $32.30 | ↑ +27% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $32.62 | ↑ +29% |
Visitor-reported prices
Comments
Sodium chloride 0.9 % IV bolus at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Medical Center Sheboygan County | Sheboygan | $79.35 | $0.62 – $1.53 |
| UnityPoint Health - Meriter Hospital | Madison | $14.40 | $0.67 – $15.30 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $97.53 | $0.62 – $1.53 |
| Aurora Medical Center Summit | Summit | $63.00 | $0.62 – $1.53 |
| Aurora Baycare Medical Center | Green Bay | $55.87 | $0.62 – $1.53 |
| Aurora Medical Center Manitowoc | Two Rivers | $37.19 | $0.62 – $1.53 |
| Aurora West Allis Medical Center | West Allis | $65.96 | $0.62 – $1.53 |
| Aurora Medical Center Bay Area | Marinette | $10.89 | $0.62 – $1.53 |