Special radiation treatment at UnityPoint Health - Meriter Hospital
202 South Park Street, Madison, WI · UnityPoint Health · · NPI 1114920048
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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$35.81 with Anthem Blue Cross and Blue Shield vs $558.76 with Wellmark UPH Self-Funded — 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 |
|---|---|---|---|
| Anthem Blue Cross and Blue Shield | Medicare Advantage | $35.81 | — |
| United Healthcare | Medicare Advantage | $35.81 | — |
| IlliniCare | Medicare Advantage | $35.81 | — |
| Aspirus | Medicare Advantage | $35.81 | — |
| Prevea 360 | Medicare Advantage | $35.81 | — |
| Humana | Medicare Advantage | $37.60 | — |
| MeridianCare | Medicare Advantage | $37.60 | — |
| United Healthcare | Commercial | $55.81 | — |
| Health Partners Open Network | Commercial | $86.62 | — |
| Medical Associates Health Plan | HMO/POS/PPO | $118.53 | — |
| Anthem Blue Cross and Blue Shield | Blue Priority/Pathway | $558.76 | — |
| Anthem Blue Cross and Blue Shield | HMO/POS | $558.76 | — |
| Anthem Blue Cross and Blue Shield | PPO | $558.76 | — |
| Wellmark UPH Self-Funded | Commercial | $558.76 | — |
Visitor-reported prices
Comments
Special radiation treatment at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Mary's Hospital - Madison | Madison | $400.40 | $392.75 – $536.70 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $1,849.17 | $52.34 – $1,238.89 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $1,849.17 | $52.34 – $1,238.89 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $2,085.60 | $402.53 – $536.70 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $2,145.00 | $374.33 – $556.55 |
| SSM Health Monroe Hospital | Monroe | $1,721.50 | $110.43 – $536.70 |
| SSM Health Ripon Community Hospital | Ripon | $1,618.65 | $160.61 – $160.61 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $1,618.65 | $160.61 – $1,054.79 |