Vaccine influenza quadrivalent live (laiv4) intranasal 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

$41.61

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.

$73.00

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.

$30.66 with ANTHEM BLUE CONNECTION vs $1,400.00 with ACA — 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 $30.66 ↓ -26%
ANTHEM PPO 1001_ANTHEM PPO MEWI SEWI 20230401 $30.66 ↓ -26%
UNITED HEALTH CARE POS 985_UNITED HEALTH CARE POS MEWI SEWI 20230401 $38.91 ↓ -6%
ANTHEM HMO POS 1000_ANTHEM HMO POS MEWI SEWI 20230401 $43.07 ↑ +4%
CENTIVO NW1 892_CENTIVO NW1 MEWI SEWI 20221001 $44.35 ↑ +7%
CENTIVO NW3 1013_CENTIVO NW3 MEWI SEWI 20221001 $44.35 ↑ +7%
UNITED HEALTH CARE POS 1003_UNITED HEALTH CARE POS CAWI 20230401 $53.08 ↑ +28%
ACA 909_NETWORK HEALTH PLAN ACA MEWI SEWI 20221001 $1,400.00 ↑ +3265%

Visitor-reported prices

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Vaccine influenza quadrivalent live (laiv4) intranasal at other Wisconsin hospitals

Hospital City Cash price Negotiated range
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $31.80 $29.64 – $83.69
UnityPoint Health - Meriter Hospital Madison $44.00 $12.65 – $46.75
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee not published $29.64 – $83.69
Orthopaedic Hospital of Wisconsin, LLC Glendale not published $29.64 – $57.79
SSM Health St. Mary's Hospital - Madison Madison not published $40.29 – $40.29
SSM Health Monroe Hospital Monroe not published $82.73 – $82.73
SSM Health Ripon Community Hospital Ripon not published $82.73 – $82.73
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $82.73 – $82.73

All Wisconsin hospitals for this procedure →