Alteplase 100 mg infusion from pyxis vial at Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)

13111 N Port Washington Rd, Mequon, WI · Ascension · · NPI 1316000706

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 8, 2026

$278.89

Cash price

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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.

$526.20

Gross charge

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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.

$101.24 with ALLIANCE vs $271.91 with ANTHEM PATHWAYS — 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 →

Payer
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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
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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
ALLIANCE 1066_ALLIANCE 20220101 $101.24 ↓ -64%
HUMANA PPO 1133_HUMANA PPO 20221001 $118.91 ↓ -57%
HUMANA PREFERRED 1134_HUMANA PREFERRED 20221001 $118.91 ↓ -57%
HUMANA HMO POS 1127_HUMANA 20221001 $118.91 ↓ -57%
CCHP MARKETPLACE 1124_CCHP MARKETPLACE 20221001 $146.80 ↓ -47%
UHC NON OPTIONS PPO 1130_UNITED HEALTH CARE NONOPTIONS 20221001 $150.94 ↓ -46%
MEDICAID REPLACEMENT OCWI 1084_MEDICAID REPLACEMENT OCWI 20220101 $182.68 ↓ -34%
TRILOGY 1070_TRILOGY 20220101 $182.92 ↓ -34%
MEDICAID REPLACEMENT SHWI 1085_MEDICAID REPLACEMENT SHWI 20220101 $182.94 ↓ -34%
ANTHEM BLUE CONNECTION 1117_ANTHEM BLUE CONNECTION 20221001 $271.36 ↓ -3%
ANTHEM PATHWAYS 1121_ANTHEM PATHWAYS 20221001 $271.91 ↓ -3%

Visitor-reported prices

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Alteplase 100 mg infusion from pyxis vial at other Wisconsin hospitals

Hospital City Cash price Negotiated range
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee $278.89 $87.37 – $279.01
Adventhealth Durand Durand $421.20 not published
SSM Health St. Clare Hospital - Baraboo Baraboo not published $73.94 – $178.89
SSM Health St. Mary's Hospital - Janesville Janesville not published $73.94 – $178.89
SSM Health St. Mary's Hospital - Madison Madison not published $73.94 – $178.89
SSM Health Monroe Hospital Monroe not published $91.46 – $249.00
SSM Health Ripon Community Hospital Ripon not published $99.05 – $249.05
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $73.94 – $249.05

All Wisconsin hospitals for this procedure →