Analysis nerve at Orthopaedic Hospital of Wisconsin, LLC
475 W River Woods Pkwy, Glendale, WI · Ascension · · NPI 1669584983
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.
$70.43 with CHILDREN'S COMMUNITY HEALTH PLAN vs $244.85 with HUMANA — 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 |
|---|---|---|---|
| CHILDREN'S COMMUNITY HEALTH PLAN | 8_CHILDREN'S COMMUNITY HEALTH PLAN | $70.43 | — |
| THE ALLIANCE | 12_THE ALLIANCE - COMMERCIAL | $71.82 | — |
| ANTHEM | 4_ANTHEM - HIGH PERFORMANCE NETWORK | $85.55 | — |
| ANTHEM | 5_ANTHEM - PATHWAYS | $92.28 | — |
| ANTHEM | 2_ANTHEM - BLUE PREFERRED/BLUE PREFERRED PLUS | $97.90 | — |
| ANTHEM | 3_ANTHEM - PPO ACESS/BLUE TRADITIONAL | $147.31 | — |
| HUMANA | 7_HUMANA - COMMERCIAL WVN | $224.06 | — |
| HUMANA | 6_HUMANA - COMMERCIAL HMO/POS/HPN/PPO | $244.85 | — |
Visitor-reported prices
Comments
Analysis nerve 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 | $583.53 | $52.01 – $266.83 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $583.53 | $52.01 – $266.83 |
| UnityPoint Health - Meriter Hospital | Madison | $997.60 | $51.61 – $436.45 |
| Midwest Orthopedic Specialty Hospital | Franklin | $559.15 | $51.88 – $274.79 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $559.15 | $51.88 – $274.79 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $559.15 | $51.88 – $274.79 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $37.96 – $581.16 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $39.37 – $464.93 |