Sumatriptan 6 mg/0.5 ml subcutaneous solution at HSHS St. Nicholas Hospital
3100 SUPERIOR AVE, SHEBOYGAN, WI · Hshs · · NPI 1730184342
$167.77
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.
$254.20
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.
$37.20 with HUMANA vs $82.01 with SECURITY HEALTH PLAN — 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 |
|---|---|---|---|
| HUMANA | HUMANA CHOICE CARE HMO | $37.20 | ↓ -78% |
| HUMANA | HUMANA NATIIONAL POS HMO | $37.20 | ↓ -78% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $37.20 | ↓ -78% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $39.46 | ↓ -76% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $40.60 | ↓ -76% |
| ARISE HEALTH PLAN | ALL COMMERCIAL ARISE HEALTH PLAN | $48.72 | ↓ -71% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $48.72 | ↓ -71% |
| PREVEA HEALTH NETWORK | PREVEA360 | $48.72 | ↓ -71% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $48.72 | ↓ -71% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $48.72 | ↓ -71% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $50.34 | ↓ -70% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $51.83 | ↓ -69% |
| ANTHEM | ANTHEM PPO | $55.22 | ↓ -67% |
| ANTHEM | ANTHEM POS/HMO | $55.22 | ↓ -67% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $56.84 | ↓ -66% |
| CIGNA | ALL COMMERCIAL CIGNA | $56.84 | ↓ -66% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $58.46 | ↓ -65% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $58.46 | ↓ -65% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $58.46 | ↓ -65% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $60.90 | ↓ -64% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $60.90 | ↓ -64% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $60.90 | ↓ -64% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $64.15 | ↓ -62% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $64.96 | ↓ -61% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $68.21 | ↓ -59% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $68.21 | ↓ -59% |
| HUMANA | HUMANA CHOICE CARE PPO | $69.02 | ↓ -59% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $69.02 | ↓ -59% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $74.70 | ↓ -55% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $77.14 | ↓ -54% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $81.20 | ↓ -52% |
| COFINITY | COFINITY | $81.20 | ↓ -52% |
| MEDICA | MEDICA MEDICARE ADVANTAGE | $81.20 | ↓ -52% |
| HUMANA | HUMANA MEDICARE ADVANTAGE | $81.20 | ↓ -52% |
| ANTHEM | ANTHEM MEDICARE ADVANTAGE HMO | $81.20 | ↓ -52% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $81.20 | ↓ -52% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $81.20 | ↓ -52% |
| MEDICARE MANAGED | MANAGED MEDICARE NO SEQUESTRATION | $81.20 | ↓ -52% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $81.20 | ↓ -52% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $81.20 | ↓ -52% |
| AETNA | ALL COMMERCIAL AETNA | $81.20 | ↓ -52% |
| AETNA | AETNA MEDICARE | $81.20 | ↓ -52% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $81.20 | ↓ -52% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $81.20 | ↓ -52% |
| SECURITY HEALTH PLAN | MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI | $82.01 | ↓ -51% |
Visitor-reported prices
Comments
Sumatriptan 6 mg/0.5 ml subcutaneous solution at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Medical Center Sheboygan County | Sheboygan | not published | $37.00 – $74.97 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $42.40 | $48.10 – $48.10 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $43.99 | $48.10 – $81.58 |
| UnityPoint Health - Meriter Hospital | Madison | $198.40 | $25.19 – $93.08 |
| Adventhealth Durand | Durand | $42.40 | not published |
| Ascension Calumet Hospital, Inc. | Chilton | $53.58 | $32.50 – $32.50 |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | $167.77 | $37.20 – $81.20 |
| HSHS St. Clare Memorial Hospital | OCONTO FALLS | $89.76 | $136.00 – $136.00 |