Contrast exam thoracic aorta 75605-26 at SSM Health St. Agnes Hospital - Fond du Lac
430 E Division St, Fond Du Lac, WI · SSM Health · · NPI 1346228541
$3,418.80
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.
$6,216.00
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.
$276.36 with BCBS vs $10,622.50 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 |
|---|---|---|---|
| BCBS | Blue Preferred / Blue Preferred Plus HMO/POS | $276.36 | ↓ -92% |
| BCBS | Blue Access PPO | $286.25 | ↓ -92% |
| BCBS | Blue Traditional Traditional | $286.25 | ↓ -92% |
| MOLINA | Medicare Managed Care Plan | $4,127.91 | ↑ +21% |
| BCBS | Anthem Medicare Managed Care Plan | $5,503.89 | ↑ +61% |
| Wellcare | Medicare Managed Care Plan | $5,613.96 | ↑ +64% |
| DOC | Government | $10,622.50 | ↑ +211% |
Visitor-reported prices
Comments
Contrast exam thoracic aorta 75605-26 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 | $2,885.85 | $85.17 – $10,733.33 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $2,885.85 | $85.17 – $10,733.33 |
| UnityPoint Health - Meriter Hospital | Madison | $2,995.20 | $48.07 – $162.05 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $4,230.60 | $644.06 – $5,604.85 |
| SSM Health St. Mary's Hospital - Madison | Madison | $3,215.85 | $675.72 – $5,404.97 |
| SSM Health Monroe Hospital | Monroe | $1,665.40 | $219.44 – $5,404.97 |
| SSM Health Ripon Community Hospital | Ripon | $3,418.80 | $276.36 – $276.36 |
| SSM Health Waupun Memorial Hospital | Waupun | $3,418.80 | $276.36 – $276.36 |