Application lower leg splint 29515 at SSM Health St. Clare Hospital - Baraboo

707 14Th St, Baraboo, WI · SSM Health · · NPI 1720472848

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 10, 2026

$355.85

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.

$647.00

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.

$118.38 with Molina vs $4,484.00 with BCBS — 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
Molina Medicare Managed Care Plan $118.38 ↓ -67%
Dean Health Plan Medicare Managed Care Plan $157.84 ↓ -56%
Centivo Broad(WI3) Other Commercial Plan $1,676.00 ↑ +371%
Centivo Broad(WI2) Other Commercial Plan $1,713.00 ↑ +381%
Centivo Broad(WI1) Other Commercial Plan $1,837.00 ↑ +416%
BCBS Blue Preferred/Blue Preferred Plus HMO/POS $4,401.00 ↑ +1137%
BCBS Blue Access PPO $4,484.00 ↑ +1160%
BCBS Blue Traditional Traditional $4,484.00 ↑ +1160%

Visitor-reported prices

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Application lower leg splint 29515 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 $438.84 $78.52 – $337.94
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $438.84 $78.52 – $337.94
UnityPoint Health - Meriter Hospital Madison $477.58 $25.99 – $186.25
SSM Health St. Mary's Hospital - Janesville Janesville $407.00 $122.76 – $4,074.00
SSM Health St. Mary's Hospital - Madison Madison $448.80 $118.38 – $4,198.00
SSM Health Monroe Hospital Monroe $114.40 $157.84 – $4,217.00
SSM Health Ripon Community Hospital Ripon $314.60 $1,887.00 – $2,654.00
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac $314.60 $120.55 – $2,334.00

All Wisconsin hospitals for this procedure →