Complement antigen each component c3 at Ascension Calumet Hospital, Inc.

614 Memorial Dr, Chilton, WI · Ascension · · NPI 1376541748

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 8, 2026

$83.79

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.

$147.00

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.

$12.60 with ANTHEM BLUE CONNECTION vs $46.32 with CIGNA — 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
ANTHEM BLUE CONNECTION 999_ANTHEM BLUE CONNECTION MEWI SEWI 20230401 $12.60 ↓ -85%
ANTHEM HMO POS 1000_ANTHEM HMO POS MEWI SEWI 20230401 $12.60 ↓ -85%
ANTHEM PATHWAYS 946_ANTHEM PATHWAYS MEWI SEWI 20230101 $12.60 ↓ -85%
ANTHEM PPO 1001_ANTHEM PPO MEWI SEWI 20230401 $12.60 ↓ -85%
CENTIVO NW3 1013_CENTIVO NW3 MEWI SEWI 20221001 $16.56 ↓ -80%
CENTIVO NW1 892_CENTIVO NW1 MEWI SEWI 20221001 $16.56 ↓ -80%
ALLIANCE 885_ALLIANCE MEWI SEWI 20221001 $17.17 ↓ -80%
SEHN 895_SEHN MEWI SEWI 20221001 $23.05 ↓ -72%
NETWORK HEALTH PLAN 938_NETWORK HEALTH PLAN MEWI SEWI 20230101 $26.98 ↓ -68%
CCHP 931_CCHP MEWI SEWI 20230101 $40.09 ↓ -52%
CIGNA 1004_CIGNA 20230701 $46.32 ↓ -45%

Visitor-reported prices

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Complement antigen each component c3 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 $98.58 $12.00 – $52.73
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $98.58 $12.00 – $52.73
UnityPoint Health - Meriter Hospital Madison $160.54 $7.20 – $62.61
Orthopaedic Hospital of Wisconsin, LLC Glendale $336.02 $11.64 – $21.50
SSM Health St. Clare Hospital - Baraboo Baraboo $243.65 $9.00 – $119.31
SSM Health St. Mary's Hospital - Janesville Janesville $327.25 $9.00 – $95.45
SSM Health St. Mary's Hospital - Madison Madison $182.60 $9.00 – $97.60
SSM Health Monroe Hospital Monroe $110.00 $12.00 – $21.00

All Wisconsin hospitals for this procedure →