Tacrolimus 1 mg capsule, immediate-release at HSHS St. Nicholas Hospital
3100 SUPERIOR AVE, SHEBOYGAN, WI · Hshs · · NPI 1730184342
$10.02
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.
$15.18
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.
$0.33 with PREVEA HEALTH NETWORK vs $8.00 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 →
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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 |
|---|---|---|---|
| PREVEA HEALTH NETWORK | PREVEA360 | $0.33 | ↓ -97% |
| UNITED HEALTHCARE | UHC ONEIDA NATION | $0.33 | ↓ -97% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $0.33 | ↓ -97% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $0.33 | ↓ -97% |
| ANTHEM | ANTHEM POS/HMO | $0.34 | ↓ -97% |
| P360 SMALL GROUP | PREVEA 360 SMALL GROUP COMMERCIAL PLAN | $0.36 | ↓ -96% |
| PREVEA HEALTH NETWORK | PREVEA360 - NETWORK | $0.36 | ↓ -96% |
| PREVEA HEALTH NETWORK | PREVEA EMPLOYEES | $0.36 | ↓ -96% |
| HUMANA | HUMANA CHOICE CARE HMO | $0.41 | ↓ -96% |
| HUMANA | HUMANA NATIIONAL POS HMO | $0.41 | ↓ -96% |
| HUMANA | ALL COMMERCIAL HUMANA HPN CHOICECARE | $0.41 | ↓ -96% |
| ANTHEM | ANTHEM PPO | $0.42 | ↓ -96% |
| HSHS EMPLOYEES | HSHS EMPLOYEES | $3.89 | ↓ -61% |
| MOLINA HEALTHCARE OF WI | ALL COMMERICAL MOLINA MARKETPLACE | $4.00 | ↓ -60% |
| ARISE HEALTH PLAN | ALL COMMERCIAL ARISE HEALTH PLAN | $4.80 | ↓ -52% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION PPP | $4.96 | ↓ -50% |
| SECURITY HEALTH PLAN | ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK | $5.11 | ↓ -49% |
| CIGNA | ALL COMMERCIAL CIGNA | $5.60 | ↓ -44% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $5.60 | ↓ -44% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION TRUST SELECT | $5.76 | ↓ -43% |
| WEA PROVIDER NETWORK | WEA TRUST PPP/TRUST PREFERRED | $5.76 | ↓ -43% |
| WEA PROVIDER NETWORK | WEA INSURANCE CORPORATION | $5.76 | ↓ -43% |
| NETWORK HEALTH PLAN | ALL COMMERICAL NETWORK HEALTH PLAN | $6.00 | ↓ -40% |
| HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $6.00 | ↓ -40% |
| HEALTHSMART | ALL COMMERCIAL HEALTHSMART | $6.00 | ↓ -40% |
| TRIOLOGY | ALL COMMERCIAL TRIOLOGY | $6.32 | ↓ -37% |
| WISCONSIN PHYSICIAN SERVICE | WISCONSIN PHYSICIAN SERVICE | $6.40 | ↓ -36% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $6.72 | ↓ -33% |
| HEALTH CARE ALLIANCE | THE ALLIANCE | $6.72 | ↓ -33% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $6.80 | ↓ -32% |
| HUMANA | HUMANA CHOICE CARE PPO | $6.80 | ↓ -32% |
| NORTH CENTRAL HEALTHCARE ALLIANCE | NEHA | $7.36 | ↓ -27% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $7.60 | ↓ -24% |
| AETNA | ALL COMMERCIAL AETNA | $8.00 | ↓ -20% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $8.00 | ↓ -20% |
| COFINITY | COFINITY | $8.00 | ↓ -20% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $8.00 | ↓ -20% |
Visitor-reported prices
Comments
Tacrolimus 1 mg capsule, immediate-release at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Medical Center Sheboygan County | Sheboygan | not published | $0.18 – $0.92 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $3.05 | $0.30 – $0.88 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $2.92 | $0.30 – $0.88 |
| UnityPoint Health - Meriter Hospital | Madison | $1.96 | $0.15 – $1.86 |
| Midwest Orthopedic Specialty Hospital | Franklin | $3.42 | $0.22 – $2.71 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $3.11 | $0.37 – $4.67 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $2.46 | $0.22 – $1.60 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $6.06 | $0.22 – $1.14 |