Hla i typing 1 locus hr at Midwest Orthopedic Specialty Hospital
10101 S. 27th St, Franklin, WI · Ascension · · NPI 1861635971
not published by hospital
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.
not published by hospital
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.
$177.25 with MEDICARE REPLACEMENT vs $795.60 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 |
|---|---|---|---|
| MEDICARE REPLACEMENT | 1205_MEDICARE REPLACEMENT OUTPATIENT 20250101 | $177.25 | — |
| VETERANS ADMINISTRATION | 1208_VETERAN ADMINISTRATION OUTPATIENT 20250101 | $177.25 | — |
| VETERANS ADMINISTRATION | 1323_VETERAN ADMINISTRATION INPATIENT 20251001 | $177.25 | — |
| MEDICARE REPLACEMENT | 1321_MEDICARE REPLACEMENT INPATIENT 20251001 | $177.25 | — |
| SEHN | 1171_SEHN 20241001 | $186.11 | — |
| CENTIVO NW3 | 1255_CENTIVO NW3 20250101 | $205.61 | — |
| CENTIVO NW2 | 1254_CENTIVO NW2 20250101 | $216.25 | — |
| CENTIVO NW1 | 1253_CENTIVO NW1 20250101 | $226.88 | — |
| UNITED BEHAVIORAL HEALTH | 605_UNITED HEALTH CARE BEHAVIORAL 20171024 | $246.18 | — |
| UNITED HEALTH CARE | 1282_UNITED HEALTH CARE 20250701 | $246.18 | — |
| UNITED HEALTH CARE | 1283_UNITED HEALTH CARE MWWI 20250701 | $246.18 | — |
| SMART HEALTH | 1317_SMARTHEALTH INPATIENT 20251001 | $248.15 | — |
| SMART HEALTH | 1206_SMARTHEALTH OUTPATIENT 20250101 | $248.15 | — |
| ANTHEM BLUE CONNECTION | 1277_ANTHEM BLUE CONNECTION 20250701 | $248.15 | — |
| ANTHEM PATHWAYS | 1242_ANTHEM PATHWAYS 20250101 | $251.70 | — |
| ANTHEM HMO POS | 1275_ANTHEM HMO POS 20250701 | $274.74 | — |
| NETWORK HEALTH | 1289_NETWORK HEALTH PLAN 20250701 | $293.32 | — |
| CCHP | 1280_CCHP 20250701 | $353.48 | — |
| ALLIANCE | 1166_ALLIANCE 20241001 | $410.47 | — |
| ANTHEM PPO | 1276_ANTHEM PPO 20250701 | $416.54 | — |
| WPS | 1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701 | $795.60 | — |
Visitor-reported prices
Comments
Hla i typing 1 locus hr at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $358.81 | $177.25 – $772.54 |
| UnityPoint Health - Meriter Hospital | Madison | $724.00 | $106.35 – $334.85 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $517.56 | $177.25 – $684.19 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | $517.56 | $177.25 – $684.19 |
| Ascension Calumet Hospital, Inc. | Chilton | $517.56 | $186.11 – $684.19 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $177.25 – $772.54 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $171.93 – $307.84 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $132.94 – $1,761.84 |