Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe 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

$997.66

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.

Full explanation →

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

$1,511.60

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.

$0.25 with MEDICARE MANAGED vs $1,511.60 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
MEDICARE MANAGED MANAGED MEDICARE NO SEQUESTRATION $0.25 ↓ -100%
MOLINA HEALTHCARE MOLINA MEDICARE $0.25 ↓ -100%
UNITED HEALTHCARE UNITED HEALTH CARE MEDICARE $0.25 ↓ -100%
AETNA AETNA MEDICARE $0.25 ↓ -100%
SECURITY HEALTH PLAN MEDICARE ADVANTAGE SECURITY HEALTH PLAN OF WI $0.25 ↓ -100%
ANTHEM ANTHEM MEDICARE ADVANTAGE HMO $0.25 ↓ -100%
HUMANA HUMANA MEDICARE ADVANTAGE $0.25 ↓ -100%
MEDICA MEDICA MEDICARE ADVANTAGE $0.25 ↓ -100%
UNITED HEALTHCARE ALL COMMERCIAL UNITED HEALTHCARE $0.41 ↓ -100%
UNITED HEALTHCARE UHC ONEIDA NATION $0.41 ↓ -100%
UNITED HEALTHCARE UNITED HEALTHCARE $0.41 ↓ -100%
PREVEA HEALTH NETWORK PREVEA360 $0.41 ↓ -100%
ANTHEM ANTHEM POS/HMO $0.43 ↓ -100%
PREVEA HEALTH NETWORK PREVEA360 - NETWORK $0.45 ↓ -100%
P360 SMALL GROUP PREVEA 360 SMALL GROUP COMMERCIAL PLAN $0.45 ↓ -100%
PREVEA HEALTH NETWORK PREVEA EMPLOYEES $0.45 ↓ -100%
ANTHEM ANTHEM PPO $0.53 ↓ -100%
NAPHCARE ALL COMMERICAL NAPHCARE $0.56 ↓ -100%
HUMANA HUMANA CHOICE CARE HMO $0.68 ↓ -100%
HUMANA ALL COMMERCIAL HUMANA HPN CHOICECARE $0.68 ↓ -100%
HUMANA HUMANA NATIIONAL POS HMO $0.68 ↓ -100%
MERIDIAN HEALTH PLAN MERIDIAN HMO MCD $83.22 ↓ -92%
ANTHEM ANTEHM MEDICAID $83.22 ↓ -92%
COMMUNITY CARE FAMILY CARE COMMUNITY CARE FAMILY CARE MEDICAID MANAGED $83.22 ↓ -92%
CONTINUUS MEDICAID MANAGED CONTINUUS MEDICAID MANAGED $83.22 ↓ -92%
MANAGED HEALTH SERVICES MANAGED HEALTH SERVICES MEDICAID $83.22 ↓ -92%
MOLINA HEALTHCARE MOLINA MEDICAID $88.21 ↓ -91%
TRIOLOGY TRILOGY MEDICAID $88.22 ↓ -91%
HSHS EMPLOYEES HSHS EMPLOYEES $734.64 ↓ -26%
MOLINA HEALTHCARE OF WI ALL COMMERICAL MOLINA MARKETPLACE $755.80 ↓ -24%
ARISE HEALTH PLAN ALL COMMERCIAL ARISE HEALTH PLAN $906.96 ↓ -9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION PPP $937.19 ↓ -6%
SECURITY HEALTH PLAN ALL COMMERCIAL SECURITY HEALTH PLAN BROAD NETWORK $964.85 ↓ -3%
INTERPLAN ALL COMMERCIAL INTERPLAN HEALTH GROUP $1,058.12 ↑ +6%
CIGNA ALL COMMERCIAL CIGNA $1,058.12 ↑ +6%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION $1,088.35 ↑ +9%
WEA PROVIDER NETWORK WEA TRUST PPP/TRUST PREFERRED $1,088.35 ↑ +9%
WEA PROVIDER NETWORK WEA INSURANCE CORPORATION TRUST SELECT $1,088.35 ↑ +9%
HEALTHSMART ALL COMMERCIAL HEALTHSMART $1,133.70 ↑ +14%
HEALTH EOS ALL COMMERCIAL HEALTH EOS $1,133.70 ↑ +14%
NETWORK HEALTH PLAN ALL COMMERICAL NETWORK HEALTH PLAN $1,133.70 ↑ +14%
TRIOLOGY ALL COMMERCIAL TRIOLOGY $1,194.16 ↑ +20%
WISCONSIN PHYSICIAN SERVICE WISCONSIN PHYSICIAN SERVICE $1,209.28 ↑ +21%
HEALTH CARE ALLIANCE THE ALLIANCE $1,269.74 ↑ +27%
MULTIPLAN/PHCS ALL COMMERCIAL MULTIPLAN $1,269.74 ↑ +27%
CHOICECARE ALL COMMERCIAL CHOICE CARE $1,284.86 ↑ +29%
HUMANA HUMANA CHOICE CARE PPO $1,284.86 ↑ +29%
NORTH CENTRAL HEALTHCARE ALLIANCE NEHA $1,390.67 ↑ +39%
FIRST HEALTH ALL COMMERCIAL FIRST HEALTH NETWORK $1,436.02 ↑ +44%
AETNA ALL COMMERCIAL AETNA $1,511.60 ↑ +52%
COFINITY COFINITY $1,511.60 ↑ +52%
LIVE360 LIVE360 HSHS HEALTHY PLAN $1,511.60 ↑ +52%
CATERPILLAR, INC. UHC CATERPILLAR EMPLOYER GROUP $1,511.60 ↑ +52%

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Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe at other Wisconsin hospitals

Hospital City Cash price Negotiated range
Aurora Medical Center Sheboygan County Sheboygan not published $0.37 – $0.99
Adventhealth Durand Durand $844.82 not published
HSHS St. Mary's Hospital Medical Center GREEN BAY $862.55 $0.25 – $88.22
HSHS St. Vincent Hospital Green Bay $997.66 $0.25 – $91.46
SSM Health St. Clare Hospital - Baraboo Baraboo not published $0.18 – $0.74
SSM Health St. Mary's Hospital - Janesville Janesville not published $0.18 – $0.74
SSM Health St. Mary's Hospital - Madison Madison not published $0.18 – $0.74
SSM Health Monroe Hospital Monroe not published $0.24 – $1.01

All Wisconsin hospitals for this procedure →