Vein x-ray liver at Midwest Orthopedic Specialty Hospital
10101 S. 27th St, Franklin, WI · Ascension · · NPI 1861635971
$1,921.78
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.
$3,626.00
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.
$190.68 with WPS vs $6,438.74 with UNITED HEALTH CARE — 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 |
|---|---|---|---|
| WPS | 1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701 | $190.68 | ↓ -90% |
| TRILOGY | 1271_TRILOGY 20250701 | $204.00 | ↓ -89% |
| CIGNA | 1273_CIGNA 20250701 | $2,828.28 | ↑ +47% |
| UNITED HEALTH CARE | 1282_UNITED HEALTH CARE 20250701 | $6,438.74 | ↑ +235% |
| UNITED HEALTH CARE | 1283_UNITED HEALTH CARE MWWI 20250701 | $6,438.74 | ↑ +235% |
Visitor-reported prices
Comments
Vein x-ray liver at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Mary's Hospital - Janesville | Janesville | $4,846.60 | $693.90 – $3,180.39 |
| SSM Health St. Mary's Hospital - Madison | Madison | $3,683.90 | $728.04 – $3,066.96 |
| SSM Health Monroe Hospital | Monroe | $1,483.35 | $238.46 – $3,066.96 |
| SSM Health Ripon Community Hospital | Ripon | $3,305.50 | $297.74 – $297.74 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $3,305.50 | $297.74 – $6,027.57 |
| SSM Health Waupun Memorial Hospital | Waupun | $3,305.50 | $297.74 – $297.74 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $2,095.00 | not published |
| Aurora Medical Center Summit | Summit | $2,095.00 | not published |