#afb mycobacteria suscep. #1 at Midwest Orthopedic Specialty Hospital
10101 S. 27th St, Franklin, WI · Ascension · · NPI 1861635971
$35.51
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.
$67.00
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.
$4.77 with NETWORK HEALTH vs $17.18 with ANTHEM PPO — 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 |
|---|---|---|---|
| NETWORK HEALTH | 1289_NETWORK HEALTH PLAN 20250701 | $4.77 | ↓ -87% |
| ALLIANCE | 1166_ALLIANCE 20241001 | $6.66 | ↓ -81% |
| VETERANS ADMINISTRATION | 1208_VETERAN ADMINISTRATION OUTPATIENT 20250101 | $7.31 | ↓ -79% |
| MEDICARE REPLACEMENT | 1205_MEDICARE REPLACEMENT OUTPATIENT 20250101 | $7.31 | ↓ -79% |
| MEDICARE REPLACEMENT | 1321_MEDICARE REPLACEMENT INPATIENT 20251001 | $7.31 | ↓ -79% |
| VETERANS ADMINISTRATION | 1323_VETERAN ADMINISTRATION INPATIENT 20251001 | $7.31 | ↓ -79% |
| SEHN | 1171_SEHN 20241001 | $7.68 | ↓ -78% |
| CENTIVO NW3 | 1255_CENTIVO NW3 20250101 | $8.48 | ↓ -76% |
| CENTIVO NW2 | 1254_CENTIVO NW2 20250101 | $8.92 | ↓ -75% |
| UNITED HEALTH CARE | 1282_UNITED HEALTH CARE 20250701 | $9.14 | ↓ -74% |
| UNITED HEALTH CARE | 1283_UNITED HEALTH CARE MWWI 20250701 | $9.14 | ↓ -74% |
| UNITED BEHAVIORAL HEALTH | 605_UNITED HEALTH CARE BEHAVIORAL 20171024 | $9.14 | ↓ -74% |
| CENTIVO NW1 | 1253_CENTIVO NW1 20250101 | $9.36 | ↓ -74% |
| SMART HEALTH | 1317_SMARTHEALTH INPATIENT 20251001 | $10.23 | ↓ -71% |
| ANTHEM BLUE CONNECTION | 1277_ANTHEM BLUE CONNECTION 20250701 | $10.23 | ↓ -71% |
| SMART HEALTH | 1206_SMARTHEALTH OUTPATIENT 20250101 | $10.23 | ↓ -71% |
| ANTHEM PATHWAYS | 1242_ANTHEM PATHWAYS 20250101 | $10.38 | ↓ -71% |
| ANTHEM HMO POS | 1275_ANTHEM HMO POS 20250701 | $11.33 | ↓ -68% |
| CCHP | 1280_CCHP 20250701 | $11.63 | ↓ -67% |
| WPS | 1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701 | $13.52 | ↓ -62% |
| ANTHEM PPO | 1276_ANTHEM PPO 20250701 | $17.18 | ↓ -52% |
Visitor-reported prices
Comments
#afb mycobacteria suscep. #1 at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | $27.03 | $4.07 – $10.13 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $234.30 | $5.48 – $28.60 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $316.80 | $5.48 – $22.89 |
| SSM Health St. Mary's Hospital - Madison | Madison | $166.10 | $5.48 – $23.40 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $35.51 | $4.77 – $17.18 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $35.51 | $4.77 – $17.18 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $6.82 – $22.88 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $6.82 – $22.88 |