Consult comp w/report rfrd material at Midwest Orthopedic Specialty Hospital
10101 S. 27th St, Franklin, WI · Ascension · · NPI 1861635971
$177.55
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.
$335.00
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.
$63.73 with UNITED BEHAVIORAL HEALTH vs $584.19 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 |
|---|---|---|---|
| UNITED BEHAVIORAL HEALTH | 605_UNITED HEALTH CARE BEHAVIORAL 20171024 | $63.73 | ↓ -64% |
| UNITED HEALTH CARE | 1283_UNITED HEALTH CARE MWWI 20250701 | $63.73 | ↓ -64% |
| UNITED HEALTH CARE | 1282_UNITED HEALTH CARE 20250701 | $63.73 | ↓ -64% |
| CCHP | 1280_CCHP 20250701 | $82.47 | ↓ -54% |
| VETERANS ADMINISTRATION | 1208_VETERAN ADMINISTRATION OUTPATIENT 20250101 | $166.39 | ↓ -6% |
| VETERANS ADMINISTRATION | 1323_VETERAN ADMINISTRATION INPATIENT 20251001 | $166.39 | ↓ -6% |
| MEDICARE REPLACEMENT | 1205_MEDICARE REPLACEMENT OUTPATIENT 20250101 | $166.39 | ↓ -6% |
| MEDICARE REPLACEMENT | 1321_MEDICARE REPLACEMENT INPATIENT 20251001 | $166.39 | ↓ -6% |
| ANTHEM BLUE CONNECTION | 1277_ANTHEM BLUE CONNECTION 20250701 | $190.02 | ↑ +7% |
| ANTHEM PATHWAYS | 1242_ANTHEM PATHWAYS 20250101 | $206.90 | ↑ +17% |
| ANTHEM HMO POS | 1275_ANTHEM HMO POS 20250701 | $210.38 | ↑ +18% |
| SMART HEALTH | 1317_SMARTHEALTH INPATIENT 20251001 | $232.95 | ↑ +31% |
| SMART HEALTH | 1206_SMARTHEALTH OUTPATIENT 20250101 | $232.95 | ↑ +31% |
| ANTHEM PPO | 1276_ANTHEM PPO 20250701 | $318.97 | ↑ +80% |
| WPS | 1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701 | $584.19 | ↑ +229% |
Visitor-reported prices
Comments
Consult comp w/report rfrd material 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 | $359.87 | $63.73 – $567.26 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $359.87 | $63.73 – $567.26 |
| UnityPoint Health - Meriter Hospital | Madison | $572.00 | $65.78 – $130.76 |
| SSM Health St. Mary's Hospital - Madison | Madison | $282.38 | $124.11 – $1,010.94 |
| SSM Health Monroe Hospital | Monroe | $1,045.00 | $155.74 – $165.49 |
| SSM Health Ripon Community Hospital | Ripon | $260.15 | $49.47 – $199.69 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $260.15 | $49.47 – $325.23 |
| SSM Health Waupun Memorial Hospital | Waupun | $260.15 | $49.47 – $199.69 |