Brcassure comprehensive panel-sendout 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
$2,072.30
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.
$3,910.00
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.
$1,916.12 with ANTHEM BLUE CONNECTION vs $7,050.89 with ANTHEM HMO POS — 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 CONNECTION | 1117_ANTHEM BLUE CONNECTION 20221001 | $1,916.12 | ↓ -8% |
| HUMANA WVN | 1135_HUMANA WVN 20221001 | $2,445.34 | ↑ +18% |
| UHC NON OPTIONS PPO | 1130_UNITED HEALTH CARE NONOPTIONS 20221001 | $2,518.33 | ↑ +22% |
| CCHP MARKETPLACE | 1124_CCHP MARKETPLACE 20221001 | $2,534.55 | ↑ +22% |
| SEHN C89 | 1128_SEHN 20221001 | $2,872.14 | ↑ +39% |
| NETWORK HEALTH PLAN | 1136_NETWORK HEALTH PLAN 20221001 | $3,102.30 | ↑ +50% |
| HUMANA PREFERRED | 1134_HUMANA PREFERRED 20221001 | $3,633.93 | ↑ +75% |
| HUMANA HMO POS | 1127_HUMANA 20221001 | $3,633.93 | ↑ +75% |
| HUMANA PPO | 1133_HUMANA PPO 20221001 | $3,633.93 | ↑ +75% |
| ALLIANCE | 1066_ALLIANCE 20220101 | $6,162.46 | ↑ +197% |
| ANTHEM PATHWAYS | 1121_ANTHEM PATHWAYS 20221001 | $7,050.89 | ↑ +240% |
| ANTHEM PPO | 1122_ANTHEM PPO 20221001 | $7,050.89 | ↑ +240% |
| ANTHEM HMO POS | 1120_ANTHEM HMO POS 20221001 | $7,050.89 | ↑ +240% |
Visitor-reported prices
Comments
Brcassure comprehensive panel-sendout at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $5,475.08 | $1,094.93 – $2,498.00 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $4,414.85 | $1,368.66 – $18,138.96 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $4,269.10 | $1,368.66 – $14,511.15 |
| SSM Health St. Mary's Hospital - Madison | Madison | $4,049.10 | $1,368.66 – $14,840.97 |
| SSM Health Monroe Hospital | Monroe | $4,446.20 | $1,824.88 – $3,193.54 |
| Adventhealth Durand | Durand | $15,185.96 | not published |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $1,916.12 – $7,050.89 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $1,770.13 – $3,164.70 |