Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen 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

not published by hospital

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.

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What you pay up front if you don't use insurance.

not published by hospital

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.

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The hospital's undiscounted list price — almost no one pays this.

$92.13 with ALLIANCE vs $378.70 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.

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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.

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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
ALLIANCE 885_ALLIANCE MEWI SEWI 20221001 $92.13
ANTHEM HMO POS 1000_ANTHEM HMO POS MEWI SEWI 20230401 $103.02
ANTHEM PPO 1001_ANTHEM PPO MEWI SEWI 20230401 $103.02
ANTHEM PATHWAYS 946_ANTHEM PATHWAYS MEWI SEWI 20230101 $103.02
ANTHEM BLUE CONNECTION 999_ANTHEM BLUE CONNECTION MEWI SEWI 20230401 $103.02
SEHN 895_SEHN MEWI SEWI 20221001 $123.69
CENTIVO NW3 1013_CENTIVO NW3 MEWI SEWI 20221001 $135.39
CENTIVO NW1 892_CENTIVO NW1 MEWI SEWI 20221001 $135.39
NETWORK HEALTH PLAN 938_NETWORK HEALTH PLAN MEWI SEWI 20230101 $144.77
CCHP 931_CCHP MEWI SEWI 20230101 $215.15
CIGNA 1004_CIGNA 20230701 $378.70

Visitor-reported prices

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Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen 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 $288.85 $98.11 – $307.05
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $288.85 $98.11 – $307.05
UnityPoint Health - Meriter Hospital Madison $244.80 $58.87 – $108.92
SSM Health St. Clare Hospital - Baraboo Baraboo $100.10 $73.58 – $640.22
SSM Health St. Mary's Hospital - Janesville Janesville $121.55 $73.58 – $512.19
SSM Health St. Mary's Hospital - Madison Madison $89.10 $73.58 – $523.82
SSM Health Monroe Hospital Monroe $77.55 $98.11 – $171.69
SSM Health Ripon Community Hospital Ripon $222.75 $98.11 – $171.69

All Wisconsin hospitals for this procedure →