Mayo pntft phenytoin free therapeutic drug level at Ascension Calumet Hospital, Inc.
614 Memorial Dr, Chilton, WI · Ascension · · NPI 1376541748
$41.61
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.
$73.00
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.
$14.45 with ANTHEM PPO vs $53.11 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 →
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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 PPO | 1001_ANTHEM PPO MEWI SEWI 20230401 | $14.45 | ↓ -65% |
| ANTHEM BLUE CONNECTION | 999_ANTHEM BLUE CONNECTION MEWI SEWI 20230401 | $14.45 | ↓ -65% |
| ANTHEM HMO POS | 1000_ANTHEM HMO POS MEWI SEWI 20230401 | $14.45 | ↓ -65% |
| ANTHEM PATHWAYS | 946_ANTHEM PATHWAYS MEWI SEWI 20230101 | $14.45 | ↓ -65% |
| ALLIANCE | 885_ALLIANCE MEWI SEWI 20221001 | $16.79 | ↓ -60% |
| CENTIVO NW1 | 892_CENTIVO NW1 MEWI SEWI 20221001 | $18.99 | ↓ -54% |
| CENTIVO NW3 | 1013_CENTIVO NW3 MEWI SEWI 20221001 | $18.99 | ↓ -54% |
| NETWORK HEALTH PLAN | 938_NETWORK HEALTH PLAN MEWI SEWI 20230101 | $26.38 | ↓ -37% |
| SEHN | 895_SEHN MEWI SEWI 20221001 | $26.43 | ↓ -36% |
| CCHP | 931_CCHP MEWI SEWI 20230101 | $39.20 | ↓ -6% |
| CIGNA | 1004_CIGNA 20230701 | $53.11 | ↑ +28% |
Visitor-reported prices
Comments
Mayo pntft phenytoin free therapeutic drug level 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 | $74.20 | $13.76 – $53.57 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $74.20 | $13.76 – $53.57 |
| UnityPoint Health - Meriter Hospital | Madison | $145.63 | $8.26 – $56.79 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | $69.43 | $13.35 – $24.66 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $27.50 | $10.32 – $116.68 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $23.10 | $10.32 – $93.35 |
| SSM Health St. Mary's Hospital - Madison | Madison | $23.65 | $10.32 – $95.47 |
| SSM Health Monroe Hospital | Monroe | $147.95 | $13.76 – $24.08 |