Alteplase 100 mg infusion from pyxis vial at Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)

1506 S. Oneida St, Appleton, WI · Ascension · · NPI 1407803638

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 8, 2026

$160.74

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.

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

$282.00

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.

$93.49 with SEHN vs $255.91 with ANTHEM BLUE CONNECTION — 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
SEHN 895_SEHN MEWI SEWI 20221001 $93.49 ↓ -42%
UNITED HEALTH CARE POS 985_UNITED HEALTH CARE POS MEWI SEWI 20230401 $124.82 ↓ -22%
ANTHEM HMO POS 1000_ANTHEM HMO POS MEWI SEWI 20230401 $141.58 ↓ -12%
CENTIVO NW1 892_CENTIVO NW1 MEWI SEWI 20221001 $144.49 ↓ -10%
CENTIVO NW3 1013_CENTIVO NW3 MEWI SEWI 20221001 $144.49 ↓ -10%
ANTHEM PPO 1001_ANTHEM PPO MEWI SEWI 20230401 $255.91 ↑ +59%
ANTHEM BLUE CONNECTION 999_ANTHEM BLUE CONNECTION MEWI SEWI 20230401 $255.91 ↑ +59%

Visitor-reported prices

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Alteplase 100 mg infusion from pyxis vial at other Wisconsin hospitals

Hospital City Cash price Negotiated range
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $278.89 $101.24 – $271.91
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee $278.89 $87.37 – $279.01
Adventhealth Durand Durand $421.20 not published
SSM Health St. Clare Hospital - Baraboo Baraboo not published $73.94 – $178.89
SSM Health St. Mary's Hospital - Janesville Janesville not published $73.94 – $178.89
SSM Health St. Mary's Hospital - Madison Madison not published $73.94 – $178.89
SSM Health Monroe Hospital Monroe not published $91.46 – $249.00
SSM Health Ripon Community Hospital Ripon not published $99.05 – $249.05

All Wisconsin hospitals for this procedure →