Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body 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.
$949.00 with UHC vs $24,406.00 with ANTHEM — 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 |
|---|---|---|---|
| UHC | 1_UHC - COMMERCIAL | $949.00 | — |
| CHILDREN'S COMMUNITY HEALTH PLAN | 8_CHILDREN'S COMMUNITY HEALTH PLAN | $2,302.00 | — |
| ANTHEM | 5_ANTHEM - PATHWAYS | $4,754.00 | — |
| HUMANA | 7_HUMANA - COMMERCIAL WVN | $4,812.00 | — |
| HUMANA | 6_HUMANA - COMMERCIAL HMO/POS/HPN/PPO | $6,689.00 | — |
| ANTHEM | 4_ANTHEM - HIGH PERFORMANCE NETWORK | $10,928.00 | — |
| ANTHEM | 2_ANTHEM - BLUE PREFERRED/BLUE PREFERRED PLUS | $12,142.00 | — |
| NETWORK HEALTH PLAN | 11_NETWORK HEALTH PLAN - COMMERCIAL/EXCHANGE | $14,961.78 | — |
| THE ALLIANCE | 12_THE ALLIANCE - COMMERCIAL | $16,897.00 | — |
| ANTHEM | 3_ANTHEM - PPO ACESS/BLUE TRADITIONAL | $24,406.00 | — |
Visitor-reported prices
Comments
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body 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 | $5,265.55 | $336.12 – $15,682.27 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $5,265.55 | $336.12 – $15,682.27 |
| UnityPoint Health - Meriter Hospital | Madison | $9,468.23 | $189.96 – $3,929.31 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $3,194.40 | $1,704.00 – $1,704.00 |
| SSM Health St. Mary's Hospital - Madison | Madison | $3,683.90 | $2,036.00 – $2,036.00 |
| SSM Health Monroe Hospital | Monroe | $2,381.50 | $2,181.00 – $9,837.00 |
| SSM Health Ripon Community Hospital | Ripon | $6,790.30 | $1,887.00 – $5,512.00 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $6,790.30 | $1,887.00 – $5,512.00 |