Insertion/replacement temporary single chamber electrode/pacemaker catheter at SSM Health St. Agnes Hospital - Fond du Lac
430 E Division St, Fond Du Lac, WI · SSM Health · · NPI 1346228541
$5,831.65
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.
?
What you pay up front if you don't use insurance.
$10,603.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$6,138.95 with MOLINA vs $18,364.00 with Centivo — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $6,138.95 | ↑ +5% |
| BCBS | Blue Preferred / Blue Preferred Plus HMO/POS | $7,609.00 | ↑ +30% |
| BCBS | Anthem Medicare Managed Care Plan | $8,185.27 | ↑ +40% |
| Wellcare | Medicare Managed Care Plan | $8,348.97 | ↑ +43% |
| BCBS | Blue Traditional Traditional | $9,356.00 | ↑ +60% |
| BCBS | Blue Access PPO | $9,356.00 | ↑ +60% |
| DOC | Government | $15,797.56 | ↑ +171% |
| Network Health Plan | HMO/POS | $17,314.00 | ↑ +197% |
| Centivo | Median(WI2) Other Commercial Plan | $18,364.00 | ↑ +215% |
| Centivo | Broad(WI1) Other Commercial Plan | $18,364.00 | ↑ +215% |
| Centivo | Value(WI3) Other Commercial Plan | $18,364.00 | ↑ +215% |
Visitor-reported prices
Comments
Insertion/replacement temporary single chamber electrode/pacemaker catheter 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 | $7,200.05 | $244.75 – $631.07 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $7,200.05 | $244.75 – $631.07 |
| UnityPoint Health - Meriter Hospital | Madison | $11,811.64 | $138.21 – $4,606.54 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $4,342.80 | $6,251.56 – $16,582.00 |
| SSM Health St. Mary's Hospital - Madison | Madison | $5,033.05 | $6,028.62 – $20,778.00 |
| SSM Health Monroe Hospital | Monroe | $8,862.15 | $8,038.15 – $17,116.00 |
| SSM Health Ripon Community Hospital | Ripon | $5,831.65 | $7,609.00 – $18,364.00 |
| SSM Health Waupun Memorial Hospital | Waupun | $5,831.65 | $7,609.00 – $18,364.00 |