Ablate heart dysrhythm focus at SSM Health St. Mary's Hospital - Madison
700 South Park St, Madison, WI · SSM Health · · NPI 1902290034
$5,570.95
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.
$10,129.00
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.
$5,682.05 with Molina vs $18,955.00 with Centivo — 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 | $5,682.05 | ↑ +2% |
| Dean Health Plan | Medicare Managed Care Plan | $7,576.07 | ↑ +36% |
| BCBS | Blue Preferred/Blue Preferred Plus HMO/POS | $17,504.00 | ↑ +214% |
| BCBS | Blue Access PPO | $18,367.00 | ↑ +230% |
| BCBS | Anthem Blue Traditional Traditional | $18,367.00 | ↑ +230% |
| Centivo | Broad(WI2) Other Commercial Plan | $18,955.00 | ↑ +240% |
Visitor-reported prices
Comments
Ablate heart dysrhythm focus at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $6,113.25 | $495.26 – $2,534.00 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $22,932.57 | $887.28 – $18,652.00 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $22,932.57 | $887.28 – $18,652.00 |
| SSM Health Ripon Community Hospital | Ripon | $7,418.95 | $17,314.00 – $18,364.00 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $7,418.95 | $5,786.04 – $18,364.00 |
| SSM Health Waupun Memorial Hospital | Waupun | $7,418.95 | $17,314.00 – $18,364.00 |
| Midwest Orthopedic Specialty Hospital | Franklin | $7,523.88 | $1,977.92 – $13,407.00 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $11,532.24 | $568.81 – $16,158.00 |