Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification at SSM Health St. Mary's Hospital - Janesville
3400 East Racine Street, Janesville, WI · SSM Health · · NPI 1548654676
$632.50
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.
$1,150.00
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.
$156.69 with Molina vs $1,792.23 with BCBS — 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 |
|---|---|---|---|
| Molina | Medicare Managed Care Plan | $156.69 | ↓ -75% |
| Dean Health Plan | Medicare Managed Care Plan | $208.92 | ↓ -67% |
| Centivo | Broad(WI2) Other Commercial Plan | $261.15 | ↓ -59% |
| The Alliance | All Commercial Plans | $365.61 | ↓ -42% |
| BCBS | Blue Preferred/Blue Preferred Plus HMO/POS | $1,661.30 | ↑ +163% |
| BCBS | Blue Access PPO | $1,792.23 | ↑ +183% |
| BCBS | Blue Traditional Traditional | $1,792.23 | ↑ +183% |
Visitor-reported prices
Comments
Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $620.60 | $97.75 – $283.15 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $653.40 | $156.69 – $2,076.61 |
| SSM Health St. Mary's Hospital - Madison | Madison | $466.40 | $156.69 – $1,699.06 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $208.92 – $910.09 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $208.92 – $910.09 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $202.65 – $362.85 |
| SSM Health Monroe Hospital | Monroe | not published | $208.92 – $365.61 |
| SSM Health Ripon Community Hospital | Ripon | not published | $208.92 – $422.75 |