Quant diff pulm perf and vent w/imaging at Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)
1506 S. Oneida St, Appleton, WI · Ascension · · NPI 1407803638
$1,242.60
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.
$2,180.00
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.
$41.34 with ANTHEM PPO vs $1,086.69 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 | $41.34 | ↓ -97% |
| ANTHEM PATHWAYS | 946_ANTHEM PATHWAYS MEWI SEWI 20230101 | $41.34 | ↓ -97% |
| ANTHEM BLUE CONNECTION | 999_ANTHEM BLUE CONNECTION MEWI SEWI 20230401 | $41.34 | ↓ -97% |
| ANTHEM HMO POS | 1000_ANTHEM HMO POS MEWI SEWI 20230401 | $41.34 | ↓ -97% |
| CCHP | 931_CCHP MEWI SEWI 20230101 | $98.61 | ↓ -92% |
| CENTIVO NW1 | 892_CENTIVO NW1 MEWI SEWI 20221001 | $100.72 | ↓ -92% |
| CENTIVO NW3 | 1013_CENTIVO NW3 MEWI SEWI 20221001 | $100.72 | ↓ -92% |
| VETERANS ADMINISTRATION | 916_VETERANS ADMINISTRATION OUTPATIENT MEWI SEWI 20230101 | $517.47 | ↓ -58% |
| VETERANS ADMINISTRATION | 956_VETERANS ADMINISTRATION INPATIENT MEWI SEWI 20230512 | $517.47 | ↓ -58% |
| MEDICARE REPLACEMENT | 914_MEDICARE REPLACEMENT OUTPATIENT MEWI SEWI 20230101 | $517.47 | ↓ -58% |
| MEDICARE REPLACEMENT | 959_MEDICARE REPLACEMENT INPATIENT MEWI SEWI 20230512 | $517.47 | ↓ -58% |
| WELLCARE | 973_MEDICARE ADVANTAGE WELLCARE OUTPATIENT 20230101 | $543.34 | ↓ -56% |
| WELLCARE | 970_MEDICARE ADVANTAGE WELLCARE INPATIENT 20230512 | $543.34 | ↓ -56% |
| SMARTHEALTH | 964_SMARTHEALTH OUTPATIENT 20230101 | $724.46 | ↓ -42% |
| SMARTHEALTH | 963_SMARTHEALTH INPATIENT 20231001 | $724.46 | ↓ -42% |
| MOLINA MARKETPLACE | 954_MOLINA MARKETPLACE INPATIENT MEWI SEWI 20230512 | $1,086.69 | ↓ -13% |
| MOLINA MARKETPLACE | 911_MOLINA MARKETPLACE OUTPATIENT MEWI SEWI 20230101 | $1,086.69 | ↓ -13% |
Visitor-reported prices
Comments
Quant diff pulm perf and vent w/imaging at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $1,986.44 | $64.46 – $1,152.80 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $1,986.44 | $64.46 – $1,152.80 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $2,332.55 | $395.55 – $2,980.16 |
| SSM Health St. Mary's Hospital - Madison | Madison | $2,002.55 | $395.55 – $2,243.89 |
| SSM Health Ripon Community Hospital | Ripon | $1,936.00 | $917.72 – $917.72 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $1,936.00 | $402.79 – $1,036.52 |
| SSM Health Waupun Memorial Hospital | Waupun | $1,936.00 | $917.72 – $917.72 |
| Midwest Orthopedic Specialty Hospital | Franklin | $1,986.44 | $142.11 – $1,101.15 |