Gu dilat ureter/urethra s&i at SSM Health St. Mary's Hospital - Madison
700 South Park St, Madison, WI · SSM Health · · NPI 1902290034
$1,531.20
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.
$2,784.00
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.
$536.29 with BCBS vs $2,030.46 with Dean Health Plan — 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 |
|---|---|---|---|
| BCBS | Blue Preferred/Blue Preferred Plus HMO/POS | $536.29 | ↓ -65% |
| BCBS | Blue Access PPO | $569.33 | ↓ -63% |
| BCBS | Anthem Blue Traditional Traditional | $569.33 | ↓ -63% |
| Molina | Medicare Managed Care Plan | $1,522.84 | ↓ -1% |
| Dean Health Plan | Medicare Managed Care Plan | $2,030.46 | ↑ +33% |
Visitor-reported prices
Comments
Gu dilat ureter/urethra s&i at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $3,963.30 | $36.46 – $1,644.77 |
| SSM Health Monroe Hospital | Monroe | $1,081.85 | $174.70 – $2,030.46 |
| SSM Health Ripon Community Hospital | Ripon | $254.10 | $219.33 – $219.33 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $254.10 | $219.33 – $3,990.50 |
| SSM Health Waupun Memorial Hospital | Waupun | $254.10 | $219.33 – $219.33 |
| Midwest Orthopedic Specialty Hospital | Franklin | $1,080.67 | $89.39 – $4,034.23 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $1,533.87 | $41.66 – $98.93 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $1,080.67 | $89.39 – $4,034.23 |