Bronchoscopy w/markers at SSM Health St. Agnes Hospital - Fond du Lac
430 E Division St, Fond Du Lac, WI · SSM Health · · NPI 1346228541
$4,022.15
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.
$7,313.00
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.
$5,235.45 with MOLINA vs $13,472.56 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 | $5,235.45 | ↑ +30% |
| BCBS | Blue Preferred / Blue Preferred Plus HMO/POS | $6,019.00 | ↑ +50% |
| BCBS | Anthem Medicare Managed Care Plan | $6,980.60 | ↑ +74% |
| Wellcare | Medicare Managed Care Plan | $7,120.21 | ↑ +77% |
| BCBS | Blue Access PPO | $7,398.00 | ↑ +84% |
| BCBS | Blue Traditional Traditional | $7,398.00 | ↑ +84% |
| Network Health Plan | HMO/POS | $8,657.00 | ↑ +115% |
| Centivo | Median(WI2) Other Commercial Plan | $8,770.00 | ↑ +118% |
| Centivo | Broad(WI1) Other Commercial Plan | $8,770.00 | ↑ +118% |
| Centivo | Value(WI3) Other Commercial Plan | $8,770.00 | ↑ +118% |
| DOC | Government | $13,472.56 | ↑ +235% |
Visitor-reported prices
Comments
Bronchoscopy w/markers 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 | $568.69 | $308.74 – $3,335.35 |
| SSM Health Ripon Community Hospital | Ripon | $4,022.15 | $6,019.00 – $8,770.00 |
| SSM Health Waupun Memorial Hospital | Waupun | $4,022.15 | $6,019.00 – $8,770.00 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $308.74 – $3,335.35 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $176.50 – $589.51 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $2,302.00 – $16,897.00 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $5,141.35 – $17,411.00 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $5,331.49 – $15,466.00 |