Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets at Midwest Orthopedic Specialty Hospital
10101 S. 27th St, Franklin, WI · Ascension · · NPI 1861635971
$289.91
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.
$547.00
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.
$128.29 with MEDICARE REPLACEMENT vs $576.05 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 | $128.29 | ↓ -56% |
| VETERANS ADMINISTRATION | 1208_VETERAN ADMINISTRATION OUTPATIENT 20250101 | $128.29 | ↓ -56% |
| VETERANS ADMINISTRATION | 1323_VETERAN ADMINISTRATION INPATIENT 20251001 | $128.29 | ↓ -56% |
| MEDICARE REPLACEMENT | 1321_MEDICARE REPLACEMENT INPATIENT 20251001 | $128.29 | ↓ -56% |
| SEHN | 1171_SEHN 20241001 | $134.70 | ↓ -54% |
| CENTIVO NW3 | 1255_CENTIVO NW3 20250101 | $148.82 | ↓ -49% |
| CENTIVO NW2 | 1254_CENTIVO NW2 20250101 | $156.51 | ↓ -46% |
| CENTIVO NW1 | 1253_CENTIVO NW1 20250101 | $164.21 | ↓ -43% |
| UNITED BEHAVIORAL HEALTH | 605_UNITED HEALTH CARE BEHAVIORAL 20171024 | $178.18 | ↓ -39% |
| UNITED HEALTH CARE | 1282_UNITED HEALTH CARE 20250701 | $178.18 | ↓ -39% |
| UNITED HEALTH CARE | 1283_UNITED HEALTH CARE MWWI 20250701 | $178.18 | ↓ -39% |
| SMART HEALTH | 1317_SMARTHEALTH INPATIENT 20251001 | $179.61 | ↓ -38% |
| SMART HEALTH | 1206_SMARTHEALTH OUTPATIENT 20250101 | $179.61 | ↓ -38% |
| ANTHEM BLUE CONNECTION | 1277_ANTHEM BLUE CONNECTION 20250701 | $179.61 | ↓ -38% |
| ANTHEM PATHWAYS | 1242_ANTHEM PATHWAYS 20250101 | $182.17 | ↓ -37% |
| ANTHEM HMO POS | 1275_ANTHEM HMO POS 20250701 | $198.85 | ↓ -31% |
| NETWORK HEALTH | 1289_NETWORK HEALTH PLAN 20250701 | $212.30 | ↓ -27% |
| CCHP | 1280_CCHP 20250701 | $255.21 | ↓ -12% |
| ALLIANCE | 1166_ALLIANCE 20241001 | $297.09 | ↑ +2% |
| ANTHEM PPO | 1276_ANTHEM PPO 20250701 | $301.48 | ↑ +4% |
| WPS | 1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701 | $576.05 | ↑ +99% |
Visitor-reported prices
Comments
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets 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 | $226.31 | $128.29 – $559.35 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $226.31 | $128.29 – $559.35 |
| UnityPoint Health - Meriter Hospital | Madison | $523.20 | $71.47 – $128.29 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $180.40 | $96.22 – $1,275.21 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $243.10 | $96.22 – $1,020.16 |
| SSM Health St. Mary's Hospital - Madison | Madison | $128.15 | $96.22 – $1,043.35 |
| SSM Health Monroe Hospital | Monroe | $392.70 | $128.29 – $224.51 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $164.73 | $128.29 – $495.20 |