Amputation toe metatarsophalangeal joint at SSM Health St. Mary's Hospital - Madison
700 South Park St, Madison, WI · SSM Health · · NPI 1902290034
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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2,383.65 with Molina vs $9,825.00 with BCBS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $2,383.65 | — |
| Dean Health Plan | Medicare Managed Care Plan | $3,178.20 | — |
| BCBS | Blue Preferred/Blue Preferred Plus HMO/POS | $6,044.00 | — |
| Centivo | Broad(WI2) Other Commercial Plan | $8,124.00 | — |
| BCBS | Blue Access PPO | $9,825.00 | — |
| BCBS | Anthem Blue Traditional Traditional | $9,825.00 | — |
Visitor-reported prices
Comments
Amputation toe metatarsophalangeal joint at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $9,768.77 | $161.78 – $3,809.82 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $500.85 | $283.68 – $2,237.45 |
| Ascension Calumet Hospital, Inc. | Chilton | $1,739.64 | $185.16 – $1,286.09 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $283.68 – $2,237.45 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $4,744.00 – $16,897.00 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $2,383.65 – $11,257.00 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $2,471.80 – $10,498.00 |
| SSM Health Monroe Hospital | Monroe | not published | $3,178.20 – $8,701.00 |