Ghs corneal fb without slit lamp bilat at Ascension Calumet Hospital, Inc.
614 Memorial Dr, Chilton, WI · Ascension · · NPI 1376541748
$281.58
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.
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What you pay up front if you don't use insurance.
$494.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$42.92 with ANTHEM HMO POS vs $215.59 with CENTIVO NW1 — 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 →
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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 ?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 |
|---|---|---|---|
| ANTHEM HMO POS | 1000_ANTHEM HMO POS MEWI SEWI 20230401 | $42.92 | ↓ -85% |
| ANTHEM BLUE CONNECTION | 999_ANTHEM BLUE CONNECTION MEWI SEWI 20230401 | $42.92 | ↓ -85% |
| ANTHEM PATHWAYS | 946_ANTHEM PATHWAYS MEWI SEWI 20230101 | $42.92 | ↓ -85% |
| ANTHEM PPO | 1001_ANTHEM PPO MEWI SEWI 20230401 | $42.92 | ↓ -85% |
| CCHP | 931_CCHP MEWI SEWI 20230101 | $128.21 | ↓ -54% |
| CENTIVO NW3 | 1013_CENTIVO NW3 MEWI SEWI 20221001 | $215.59 | ↓ -23% |
| CENTIVO NW1 | 892_CENTIVO NW1 MEWI SEWI 20221001 | $215.59 | ↓ -23% |
Visitor-reported prices
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Ghs corneal fb without slit lamp bilat at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $551.72 | $26.22 – $215.17 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $323.95 | $325.44 – $4,401.00 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $272.80 | $337.47 – $4,074.00 |
| SSM Health St. Mary's Hospital - Madison | Madison | $408.65 | $325.44 – $4,198.00 |
| SSM Health Monroe Hospital | Monroe | $193.05 | $433.92 – $4,217.00 |
| SSM Health Ripon Community Hospital | Ripon | $495.00 | $1,887.00 – $2,654.00 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $495.00 | $331.39 – $2,334.00 |
| SSM Health Waupun Memorial Hospital | Waupun | $495.00 | $1,887.00 – $2,654.00 |