Brain image w/flow < 4 views at Midwest Orthopedic Specialty Hospital
10101 S. 27th St, Franklin, WI · Ascension · · NPI 1861635971
$628.58
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.
$1,186.00
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.
$85.22 with WPS vs $925.08 with CIGNA — 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 |
|---|---|---|---|
| WPS | 1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701 | $85.22 | ↓ -86% |
| VETERANS ADMINISTRATION | 1323_VETERAN ADMINISTRATION INPATIENT 20251001 | $390.18 | ↓ -38% |
| MEDICARE REPLACEMENT | 1205_MEDICARE REPLACEMENT OUTPATIENT 20250101 | $390.18 | ↓ -38% |
| MEDICARE REPLACEMENT | 1321_MEDICARE REPLACEMENT INPATIENT 20251001 | $390.18 | ↓ -38% |
| VETERANS ADMINISTRATION | 1208_VETERAN ADMINISTRATION OUTPATIENT 20250101 | $390.18 | ↓ -38% |
| SMART HEALTH | 1317_SMARTHEALTH INPATIENT 20251001 | $546.25 | ↓ -13% |
| SMART HEALTH | 1206_SMARTHEALTH OUTPATIENT 20250101 | $546.25 | ↓ -13% |
| UNITED HEALTH CARE | 1283_UNITED HEALTH CARE MWWI 20250701 | $848.52 | ↑ +35% |
| UNITED HEALTH CARE | 1282_UNITED HEALTH CARE 20250701 | $848.52 | ↑ +35% |
| CIGNA | 1273_CIGNA 20250701 | $925.08 | ↑ +47% |
Visitor-reported prices
Comments
Brain image w/flow < 4 views 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 | $828.39 | $39.05 – $860.57 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $628.58 | $85.22 – $848.52 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $628.58 | $85.22 – $848.52 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $39.05 – $860.57 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $21.97 – $388.14 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $291.23 – $2,121.32 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $302.00 – $1,522.34 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $291.23 – $1,597.21 |