Epstein barr viral capsid antigen antibody igm at Orthopaedic Hospital of Wisconsin, LLC

475 W River Woods Pkwy, Glendale, WI · Ascension · · NPI 1669584983

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 8, 2026

$66.78

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$126.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$17.60 with HUMANA vs $44.27 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 →

Payer
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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
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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
HUMANA 7_HUMANA - COMMERCIAL WVN $17.60 ↓ -74%
HUMANA 6_HUMANA - COMMERCIAL HMO/POS/HPN/PPO $19.23 ↓ -71%
NETWORK HEALTH PLAN 11_NETWORK HEALTH PLAN - COMMERCIAL/EXCHANGE $25.64 ↓ -62%
ANTHEM 4_ANTHEM - HIGH PERFORMANCE NETWORK $25.70 ↓ -62%
ANTHEM 5_ANTHEM - PATHWAYS $27.72 ↓ -58%
ANTHEM 2_ANTHEM - BLUE PREFERRED/BLUE PREFERRED PLUS $29.41 ↓ -56%
CHILDREN'S COMMUNITY HEALTH PLAN 8_CHILDREN'S COMMUNITY HEALTH PLAN $31.88 ↓ -52%
THE ALLIANCE 12_THE ALLIANCE - COMMERCIAL $32.51 ↓ -51%
ANTHEM 3_ANTHEM - PPO ACESS/BLUE TRADITIONAL $44.27 ↓ -34%

Visitor-reported prices

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Epstein barr viral capsid antigen antibody igm 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 $118.72 $18.14 – $79.09
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $118.72 $18.14 – $79.09
UnityPoint Health - Meriter Hospital Madison $174.12 $10.88 – $67.90
SSM Health St. Clare Hospital - Baraboo Baraboo $18.70 $13.60 – $180.39
SSM Health St. Mary's Hospital - Janesville Janesville $25.30 $13.60 – $144.31
SSM Health St. Mary's Hospital - Madison Madison $14.30 $13.60 – $147.59
SSM Health Monroe Hospital Monroe $117.15 $18.14 – $31.75
SSM Health Ripon Community Hospital Ripon $100.65 $18.14 – $36.72

All Wisconsin hospitals for this procedure →