Biopsy skin incisional single lesion at SSM Health St. Clare Hospital - Baraboo
707 14Th St, Baraboo, WI · SSM Health · · NPI 1720472848
$430.10
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.
?
What you pay up front if you don't use insurance.
$782.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$538.41 with Molina vs $4,484.00 with BCBS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Molina | Medicare Managed Care Plan | $538.41 | ↑ +25% |
| Dean Health Plan | Medicare Managed Care Plan | $717.88 | ↑ +67% |
| Centivo | Broad(WI3) Other Commercial Plan | $2,628.00 | ↑ +511% |
| Centivo | Broad(WI2) Other Commercial Plan | $2,686.00 | ↑ +525% |
| Centivo | Broad(WI1) Other Commercial Plan | $2,880.00 | ↑ +570% |
| BCBS | Blue Preferred/Blue Preferred Plus HMO/POS | $4,401.00 | ↑ +923% |
| BCBS | Blue Access PPO | $4,484.00 | ↑ +943% |
| BCBS | Blue Traditional Traditional | $4,484.00 | ↑ +943% |
Visitor-reported prices
Comments
Biopsy skin incisional single lesion 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 | $872.38 | $89.91 – $1,310.98 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $872.38 | $89.91 – $1,310.98 |
| UnityPoint Health - Meriter Hospital | Madison | $654.40 | $51.09 – $170.64 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $480.70 | $558.33 – $4,074.00 |
| SSM Health St. Mary's Hospital - Madison | Madison | $465.30 | $538.41 – $4,198.00 |
| SSM Health Monroe Hospital | Monroe | $496.65 | $717.88 – $4,217.00 |
| SSM Health Ripon Community Hospital | Ripon | $1,074.15 | $2,654.00 – $3,030.00 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $1,074.15 | $548.27 – $3,030.00 |