Repair dental ellis ii fx 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

$4,638.15

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.

$8,433.00

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.

$172.55 with Molina vs $16,199.00 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 $172.55 ↓ -96%
Dean Health Plan Medicare Managed Care Plan $230.06 ↓ -95%
Centivo Broad(WI3) Other Commercial Plan $1,676.00 ↓ -64%
Centivo Broad(WI2) Other Commercial Plan $1,713.00 ↓ -63%
Centivo Broad(WI1) Other Commercial Plan $1,837.00 ↓ -60%
BCBS Blue Preferred/Blue Preferred Plus HMO/POS $14,312.00 ↑ +209%
BCBS Blue Access PPO $16,199.00 ↑ +249%
BCBS Blue Traditional Traditional $16,199.00 ↑ +249%

Visitor-reported prices

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Repair dental ellis ii fx at other Wisconsin hospitals

Hospital City Cash price Negotiated range
UnityPoint Health - Meriter Hospital Madison $667.93 $192.03 – $481.99
SSM Health St. Mary's Hospital - Janesville Janesville $4,478.65 $178.93 – $13,711.00
HSHS St. Mary's Hospital Medical Center GREEN BAY $542.52 $231.28 – $560.70
HSHS St. Nicholas Hospital SHEBOYGAN $542.52 $231.63 – $560.70
HSHS St. Clare Memorial Hospital OCONTO FALLS $542.52 $241.98 – $871.32
HSHS St. Vincent Hospital Green Bay $542.52 $230.06 – $581.34
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $226.06 – $497.33
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon not published $226.06 – $497.33

All Wisconsin hospitals for this procedure →