#a/b/c/c/h pnl-candida albicans ab at SSM Health St. Agnes Hospital - Fond du Lac
430 E Division St, Fond Du Lac, WI · SSM Health · · NPI 1346228541
$40.70
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.
$74.00
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.
$9.01 with MOLINA vs $23.18 with DOC — 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 |
|---|---|---|---|
| MOLINA | Medicare Managed Care Plan | $9.01 | ↓ -78% |
| BCBS | Blue Preferred / Blue Preferred Plus HMO/POS | $11.77 | ↓ -71% |
| UnitedHealthCare | All Commercial Plans | $12.01 | ↓ -70% |
| BCBS | Anthem Medicare Managed Care Plan | $12.01 | ↓ -70% |
| Wellcare | Medicare Managed Care Plan | $12.25 | ↓ -70% |
| Centivo | Value(WI3) Other Commercial Plan | $15.01 | ↓ -63% |
| Centivo | Broad(WI1) Other Commercial Plan | $15.01 | ↓ -63% |
| Centivo | Median(WI2) Other Commercial Plan | $15.01 | ↓ -63% |
| The Alliance | All Commercial Plans | $21.02 | ↓ -48% |
| DOC | Government | $23.18 | ↓ -43% |
Visitor-reported prices
Comments
#a/b/c/c/h pnl-candida albicans ab 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 | $50.35 | $12.01 – $46.38 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $50.35 | $12.01 – $46.38 |
| UnityPoint Health - Meriter Hospital | Madison | $36.04 | $7.21 – $16.44 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $44.55 | $9.01 – $57.79 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $59.95 | $9.01 – $46.24 |
| SSM Health St. Mary's Hospital - Madison | Madison | $33.55 | $9.01 – $47.30 |
| SSM Health Monroe Hospital | Monroe | $110.00 | $12.01 – $21.02 |
| SSM Health Ripon Community Hospital | Ripon | $40.70 | $11.77 – $21.02 |