Annual Physical, New Patient (age 18-39) at UnityPoint Health - Meriter Hospital
202 South Park Street, Madison, WI · UnityPoint Health · · NPI 1114920048
$356.00
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.
$445.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$40.71 with Aspirus vs $222.25 with United Healthcare — 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 |
|---|---|---|---|
| Aspirus | PPO | $40.71 | ↓ -89% |
| Anthem Blue Cross and Blue Shield | HMO/POS | $44.25 | ↓ -88% |
| Anthem Blue Cross and Blue Shield | Blue Priority/Pathway | $44.25 | ↓ -88% |
| Anthem Blue Cross and Blue Shield | PPO | $44.25 | ↓ -88% |
| Wellmark UPH Self-Funded | Commercial | $44.25 | ↓ -88% |
| Cigna | Commercial | $49.56 | ↓ -86% |
| Security Health Plan | HMO/POS/SAS | $53.10 | ↓ -85% |
| Aspirus | HMO/POS | $61.95 | ↓ -83% |
| Mercy Care | HMO/POS | $61.95 | ↓ -83% |
| Medical Associates Health Plan | HMO/POS/PPO | $65.49 | ↓ -82% |
| United Healthcare | Medicare Advantage | $70.80 | ↓ -80% |
| Aspirus | Medicare Advantage | $88.50 | ↓ -75% |
| Health Partners Open Network | Commercial | $136.77 | ↓ -62% |
| Prevea 360 | Commercial | $150.45 | ↓ -58% |
| Anthem Blue Cross and Blue Shield | Traditional | $168.15 | ↓ -53% |
| United Healthcare | Commercial | $222.25 | ↓ -38% |
| Dean Health Plan | Managed Medicaid | not published by hospital | — |
| Anthem Blue Cross and Blue Shield | Managed Medicaid | not published by hospital | — |
| MeridianCare | Medicare Advantage | not published by hospital | — |
| GHC | HMO | not published by hospital | — |
| Prevea 360 | Medicare Advantage | not published by hospital | — |
| Quartz | HMO | not published by hospital | — |
| United Healthcare | Managed Medicaid | not published by hospital | — |
| Anthem Blue Cross and Blue Shield | Medicare Advantage | not published by hospital | — |
| My Choice | Managed Medicaid | not published by hospital | — |
| GHC - Eau Claire | Managed Medicaid | not published by hospital | — |
| GHC - South Central WI | Managed Medicaid | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| IlliniCare | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Annual Physical, New Patient (age 18-39) at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $347.50 | not published |
| Ascension Calumet Hospital, Inc. | Chilton | $212.61 | $99.46 – $176.03 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $153.27 – $340.91 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $153.27 – $340.91 |
| Midwest Orthopedic Specialty Hospital | Franklin | not published | $105.67 – $351.16 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | not published | $99.46 – $290.57 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $105.67 – $351.16 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $105.67 – $351.16 |