T4 (thyroxine) free 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

$88.51

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.

$167.00

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.

$8.75 with HUMANA vs $21.99 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 $8.75 ↓ -90%
HUMANA 6_HUMANA - COMMERCIAL HMO/POS/HPN/PPO $9.56 ↓ -89%
NETWORK HEALTH PLAN 11_NETWORK HEALTH PLAN - COMMERCIAL/EXCHANGE $12.74 ↓ -86%
ANTHEM 4_ANTHEM - HIGH PERFORMANCE NETWORK $12.77 ↓ -86%
ANTHEM 5_ANTHEM - PATHWAYS $13.78 ↓ -84%
ANTHEM 2_ANTHEM - BLUE PREFERRED/BLUE PREFERRED PLUS $14.62 ↓ -83%
CHILDREN'S COMMUNITY HEALTH PLAN 8_CHILDREN'S COMMUNITY HEALTH PLAN $15.84 ↓ -82%
THE ALLIANCE 12_THE ALLIANCE - COMMERCIAL $16.16 ↓ -82%
ANTHEM 3_ANTHEM - PPO ACESS/BLUE TRADITIONAL $21.99 ↓ -75%

Visitor-reported prices

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T4 (thyroxine) free 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 $91.69 $9.02 – $38.96
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $91.69 $9.02 – $38.96
UnityPoint Health - Meriter Hospital Madison $121.18 $5.41 – $52.17
SSM Health St. Clare Hospital - Baraboo Baraboo $165.55 $6.76 – $89.62
SSM Health St. Mary's Hospital - Janesville Janesville $199.10 $6.76 – $71.68
SSM Health St. Mary's Hospital - Madison Madison $138.60 $6.76 – $73.31
SSM Health Monroe Hospital Monroe $76.45 $9.02 – $15.79
SSM Health Ripon Community Hospital Ripon $81.40 $9.02 – $18.24

All Wisconsin hospitals for this procedure →