Aspirate/inj ganglion cyst 20612 at Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)
1506 S. Oneida St, Appleton, WI · Ascension · · NPI 1407803638
not published by hospital
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.
not published by hospital
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.
$42.67 with ANTHEM PPO vs $595.94 with MOLINA MARKETPLACE — 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 |
|---|---|---|---|
| ANTHEM PPO | 1001_ANTHEM PPO MEWI SEWI 20230401 | $42.67 | — |
| ANTHEM PATHWAYS | 946_ANTHEM PATHWAYS MEWI SEWI 20230101 | $42.67 | — |
| ANTHEM BLUE CONNECTION | 999_ANTHEM BLUE CONNECTION MEWI SEWI 20230401 | $42.67 | — |
| ANTHEM HMO POS | 1000_ANTHEM HMO POS MEWI SEWI 20230401 | $42.67 | — |
| CCHP | 931_CCHP MEWI SEWI 20230101 | $132.09 | — |
| CENTIVO NW1 | 892_CENTIVO NW1 MEWI SEWI 20221001 | $223.24 | — |
| CENTIVO NW3 | 1013_CENTIVO NW3 MEWI SEWI 20221001 | $223.24 | — |
| VETERANS ADMINISTRATION | 916_VETERANS ADMINISTRATION OUTPATIENT MEWI SEWI 20230101 | $283.78 | — |
| VETERANS ADMINISTRATION | 956_VETERANS ADMINISTRATION INPATIENT MEWI SEWI 20230512 | $283.78 | — |
| MEDICARE REPLACEMENT | 914_MEDICARE REPLACEMENT OUTPATIENT MEWI SEWI 20230101 | $283.78 | — |
| MEDICARE REPLACEMENT | 959_MEDICARE REPLACEMENT INPATIENT MEWI SEWI 20230512 | $283.78 | — |
| WELLCARE | 973_MEDICARE ADVANTAGE WELLCARE OUTPATIENT 20230101 | $297.97 | — |
| WELLCARE | 970_MEDICARE ADVANTAGE WELLCARE INPATIENT 20230512 | $297.97 | — |
| SMARTHEALTH | 964_SMARTHEALTH OUTPATIENT 20230101 | $397.29 | — |
| SMARTHEALTH | 963_SMARTHEALTH INPATIENT 20231001 | $397.29 | — |
| MOLINA MARKETPLACE | 954_MOLINA MARKETPLACE INPATIENT MEWI SEWI 20230512 | $595.94 | — |
| MOLINA MARKETPLACE | 911_MOLINA MARKETPLACE OUTPATIENT MEWI SEWI 20230101 | $595.94 | — |
Visitor-reported prices
Comments
Aspirate/inj ganglion cyst 20612 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 | $36.57 | $65.13 – $632.19 |
| UnityPoint Health - Meriter Hospital | Madison | $2,295.63 | $19.55 – $895.29 |
| SSM Health St. Mary's Hospital - Madison | Madison | $482.35 | $223.61 – $4,198.00 |
| SSM Health Monroe Hospital | Monroe | $440.00 | $298.15 – $4,217.00 |
| SSM Health Ripon Community Hospital | Ripon | $601.15 | $1,887.00 – $2,654.00 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $601.15 | $227.71 – $2,334.00 |
| SSM Health Waupun Memorial Hospital | Waupun | $601.15 | $1,887.00 – $2,654.00 |
| Ascension Calumet Hospital, Inc. | Chilton | $473.67 | $42.67 – $132.09 |