Diagnostic Mammogram (both breasts) at Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.)
1206 E National Ave, Brazil, IN · Ascension · · NPI 1770533994
$324.00
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.
$540.00
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.
$27.03 with UHC SELF vs $327.17 with MEDICAID ADVANTAGE — 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 |
|---|---|---|---|
| UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $27.03 | ↓ -92% |
| UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $27.03 | ↓ -92% |
| UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $29.48 | ↓ -91% |
| ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $46.94 | ↓ -86% |
| ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $46.94 | ↓ -86% |
| ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $46.94 | ↓ -86% |
| ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $46.94 | ↓ -86% |
| ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $46.94 | ↓ -86% |
| ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $46.94 | ↓ -86% |
| ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $46.94 | ↓ -86% |
| ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $46.94 | ↓ -86% |
| ANTHEM MCR | 8335_ANTHEM MEDICARE REPLACEMENT CLIN 20240701 | $102.96 | ↓ -68% |
| AETNA MCR | 8334_AETNA MEDICARE REPLACEMENT CLIN 20240701 | $102.96 | ↓ -68% |
| AETNA MCR CHOICE | 8333_AETNA MEDICARE REPLACEMENT CHOICE CLIN 20240701 | $102.96 | ↓ -68% |
| PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $103.16 | ↓ -68% |
| PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $103.16 | ↓ -68% |
| PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $103.16 | ↓ -68% |
| PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $103.16 | ↓ -68% |
| ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $103.16 | ↓ -68% |
| MHS AMBETTER MKTPL | 8339_MHS CENPATICO AMBETTER MARKEPLACE CLIN 20240701 | $109.51 | ↓ -66% |
| SMARTHEALTH PPO | 9201_SMARTHEALTH CLIN 20240701 | $109.51 | ↓ -66% |
| MDWISE MEDICARE | 8338_MDWISE MEDICARE CLIN 20240701 | $109.51 | ↓ -66% |
| PERSONALIZED CARE | 7179_ASCENSION PERSONALIZED CARE CLIN 20230701 | $109.51 | ↓ -66% |
| DEVOTED HEALTH MCR | 8125_DEVOTED HEALTH MEDICARE ADVANTAGE CLIN 20231120 | $109.51 | ↓ -66% |
| HELPING HAND OLD ORDER | 7244_HELPING HANDS MEDICAL ASSISTANCE CLIN 20230701 | $109.51 | ↓ -66% |
| IMMERGRUN | 7175_IMMERGRUN CLIN 20230701 | $109.51 | ↓ -66% |
| HUMANA GOLD MCR | 8336_HUMANA GOLD CHOICE MEDICARE REPLACEMENT CLIN 20240701 | $109.51 | ↓ -66% |
| SECURE HORIZONS-PACIFICARE | 8340_SECURE HORIZONS PACIFICARE CLIN 20240701 | $109.51 | ↓ -66% |
| ZING MEDICARE ADVANTAGE | 8344_ZING HEALTH MEDICARE REPLACEMENT CLIN 20240701 | $109.51 | ↓ -66% |
| CORIZON | 7303_CORIZON MEDICARE CLIN 20230701 | $109.51 | ↓ -66% |
| MEDICARE REPLACEMENT | 8332_MEDICARE REPLACEMENT CLIN 20240701 | $109.51 | ↓ -66% |
| SECURE HORIZONS-UNICARE | 8341_SECURE HORIZONS UNICARE MEDICARE REPLACEMENT CLIN 20240701 | $109.51 | ↓ -66% |
| WELLCARE MEDICARE ADVANTAGE | 8343_WELLCARE MEDICARE REPLACEMENT CLIN 20240701 | $109.51 | ↓ -66% |
| HUMANA PPO MCR REPLACEMENT | 8337_HUMANA PPO MEDICARE REPLACEMENT CLIN 20240701 | $109.51 | ↓ -66% |
| CARESOURCE MARKETPLACE | 9192_CARESOURCE MARKETPLACE CLIN 20240701 | $109.51 | ↓ -66% |
| UHC MCR | 8342_UNITED HEALTHCARE MEDICARE REPLACEMENT CLIN 20240701 | $109.51 | ↓ -66% |
| ANTHEM BEHAVIORAL | 4090_ANTHEM BEHAVIORAL MEDICAID REPLACEMENT OUTPATIENT 20200201 | $243.28 | ↓ -25% |
| MHS CARE CONNECT | 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $327.17 | ↑ +1% |
| ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $327.17 | ↑ +1% |
| MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $327.17 | ↑ +1% |
| MDWISE HOOSIER ALLIANCE MEDICAID | 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 | $327.17 | ↑ +1% |
| MDWISE HOOSIER ALLIANCE MEDICAID | 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $327.17 | ↑ +1% |
| ANTHEM CARE CONNECT | 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $327.17 | ↑ +1% |
| ANTHEM CARE CONNECT | 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $327.17 | ↑ +1% |
| MHS CARE CONNECT | 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $327.17 | ↑ +1% |
| MEDICAID ADVANTAGE | 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 | $327.17 | ↑ +1% |
Visitor-reported prices
Comments
Diagnostic Mammogram (both breasts) at other Indiana hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo | $378.00 | $27.03 – $327.17 |
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel | $378.00 | $27.03 – $327.17 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel | $378.00 | $27.03 – $327.17 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis | $378.00 | $27.03 – $327.17 |
| Ascension St. Vincent Salem (St. Vincent Salem Hospital, Inc.) | Salem | $324.00 | $27.03 – $327.17 |
| Ascension St. Vincent Randolph (St. Vincent Randolph Hospital, Inc.) | Winchester | $361.80 | $27.03 – $327.17 |
| Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) | Anderson | $378.00 | $27.03 – $327.17 |
| Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) | Elwood | $378.00 | $27.03 – $327.17 |