Consultation/report referred material w/preparation of slides at Ascension Calumet Hospital, Inc.
614 Memorial Dr, Chilton, WI · Ascension · · NPI 1376541748
not published by hospital
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.
not published by hospital
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.
$34.67 with CENTIVO NW1 vs $136.18 with CCHP — 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 |
|---|---|---|---|
| CENTIVO NW1 | 892_CENTIVO NW1 MEWI SEWI 20221001 | $34.67 | — |
| CENTIVO NW3 | 1013_CENTIVO NW3 MEWI SEWI 20221001 | $34.67 | — |
| SEHN | 895_SEHN MEWI SEWI 20221001 | $49.79 | — |
| ANTHEM HMO POS | 1000_ANTHEM HMO POS MEWI SEWI 20230401 | $93.80 | — |
| ANTHEM PATHWAYS | 946_ANTHEM PATHWAYS MEWI SEWI 20230101 | $93.80 | — |
| ANTHEM PPO | 1001_ANTHEM PPO MEWI SEWI 20230401 | $93.80 | — |
| ANTHEM BLUE CONNECTION | 999_ANTHEM BLUE CONNECTION MEWI SEWI 20230401 | $93.80 | — |
| CCHP | 931_CCHP MEWI SEWI 20230101 | $136.18 | — |
Visitor-reported prices
Comments
Consultation/report referred material w/preparation of slides 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 | $391.67 | $34.05 – $162.31 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $391.67 | $34.05 – $162.31 |
| UnityPoint Health - Meriter Hospital | Madison | $372.80 | $25.12 – $52.24 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $235.95 | $37.96 – $353.52 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $235.95 | $39.37 – $282.81 |
| SSM Health St. Mary's Hospital - Madison | Madison | $235.95 | $37.96 – $289.23 |
| SSM Health Monroe Hospital | Monroe | $235.95 | $30.39 – $50.62 |
| Midwest Orthopedic Specialty Hospital | Franklin | $205.64 | $35.57 – $167.15 |