17-ketosteroids at SSM Health St. Mary's Hospital - Madison
700 South Park St, Madison, WI · SSM Health · · NPI 1902290034
$25.85
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.
$47.00
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.
$9.60 with Molina vs $111.99 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 | $9.60 | ↓ -63% |
| Dean Health Plan | Medicare Managed Care Plan | $12.80 | ↓ -50% |
| Centivo | Broad(WI2) Other Commercial Plan | $16.00 | ↓ -38% |
| The Alliance | All Commercial Plans | $22.40 | ↓ -13% |
| BCBS | Blue Preferred/Blue Preferred Plus HMO/POS | $104.12 | ↑ +303% |
| BCBS | Blue Access PPO | $111.99 | ↑ +333% |
| BCBS | Anthem Blue Traditional Traditional | $111.99 | ↑ +333% |
Visitor-reported prices
Comments
17-ketosteroids at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | not published | $7.68 – $19.92 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $96.46 | $12.80 – $56.18 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $96.46 | $12.80 – $56.18 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $31.35 | $9.60 – $127.26 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $37.40 | $9.60 – $101.83 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $12.42 – $22.94 |
| SSM Health Monroe Hospital | Monroe | not published | $12.80 – $22.40 |
| SSM Health Ripon Community Hospital | Ripon | not published | $12.80 – $25.91 |