Xylose absorption test blood &/or urine 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.
$12.52 with HUMANA vs $28.90 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 |
|---|---|---|---|
| HUMANA | 7_HUMANA - COMMERCIAL WVN | $12.52 | — |
| HUMANA | 6_HUMANA - COMMERCIAL HMO/POS/HPN/PPO | $13.68 | — |
| NETWORK HEALTH PLAN | 11_NETWORK HEALTH PLAN - COMMERCIAL/EXCHANGE | $16.74 | — |
| ANTHEM | 4_ANTHEM - HIGH PERFORMANCE NETWORK | $16.78 | — |
| ANTHEM | 5_ANTHEM - PATHWAYS | $18.10 | — |
| ANTHEM | 2_ANTHEM - BLUE PREFERRED/BLUE PREFERRED PLUS | $19.20 | — |
| CHILDREN'S COMMUNITY HEALTH PLAN | 8_CHILDREN'S COMMUNITY HEALTH PLAN | $20.81 | — |
| THE ALLIANCE | 12_THE ALLIANCE - COMMERCIAL | $21.22 | — |
| ANTHEM | 3_ANTHEM - PPO ACESS/BLUE TRADITIONAL | $28.90 | — |
Visitor-reported prices
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Xylose absorption test blood &/or urine at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $40.28 | $12.91 – $51.59 |
| SSM Health Monroe Hospital | Monroe | $108.90 | $12.91 – $22.59 |
| Midwest Orthopedic Specialty Hospital | Franklin | $48.76 | $12.91 – $53.13 |
| Aurora Medical Center Bay Area | Marinette | $182.50 | $10.33 – $45.31 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $48.76 | $12.91 – $53.13 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $48.76 | $12.91 – $53.13 |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | $124.74 | $12.91 – $29.05 |
| HSHS St. Nicholas Hospital | SHEBOYGAN | $124.74 | $12.91 – $29.05 |