2019-ncov diagnostic p at Midwest Orthopedic Specialty Hospital
10101 S. 27th St, Franklin, WI · Ascension · · NPI 1861635971
$76.32
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.
$144.00
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.
$35.91 with AETNA vs $53.16 with WPS — 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 |
|---|---|---|---|
| AETNA | 1279_AETNA MIL 20250701 | $35.91 | ↓ -53% |
| SEHN | 1171_SEHN 20241001 | $37.72 | ↓ -51% |
| CENTIVO NW3 | 1255_CENTIVO NW3 20250101 | $41.67 | ↓ -45% |
| UNITED HEALTH CARE | 1283_UNITED HEALTH CARE MWWI 20250701 | $44.90 | ↓ -41% |
| UNITED BEHAVIORAL HEALTH | 605_UNITED HEALTH CARE BEHAVIORAL 20171024 | $44.90 | ↓ -41% |
| UNITED HEALTH CARE | 1282_UNITED HEALTH CARE 20250701 | $44.90 | ↓ -41% |
| ANTHEM PATHWAYS | 1242_ANTHEM PATHWAYS 20250101 | $51.01 | ↓ -33% |
| WPS | 1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701 | $53.16 | ↓ -30% |
Visitor-reported prices
Comments
2019-ncov diagnostic p 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 | $75.79 | $37.72 – $61.06 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $75.79 | $37.72 – $61.06 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $76.32 | $37.72 – $53.16 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $76.32 | $37.72 – $53.16 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $26.94 – $262.09 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $26.94 – $209.92 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $26.94 – $214.64 |
| SSM Health Monroe Hospital | Monroe | not published | $35.92 – $62.86 |