Cath left heart transseptal punc 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
$5,939.71
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.
$11,207.00
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.
$315.10 with NETWORK HEALTH PLAN vs $22,129.00 with ANTHEM PPO — 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 |
|---|---|---|---|
| NETWORK HEALTH PLAN | 1136_NETWORK HEALTH PLAN 20221001 | $315.10 | ↓ -95% |
| ALLIANCE | 1066_ALLIANCE 20220101 | $665.21 | ↓ -89% |
| HUMANA PPO | 1133_HUMANA PPO 20221001 | $730.60 | ↓ -88% |
| HUMANA HMO POS | 1127_HUMANA 20221001 | $730.60 | ↓ -88% |
| HUMANA PREFERRED | 1134_HUMANA PREFERRED 20221001 | $730.60 | ↓ -88% |
| UHC NON OPTIONS PPO | 1130_UNITED HEALTH CARE NONOPTIONS 20221001 | $730.60 | ↓ -88% |
| ANTHEM PATHWAYS | 1121_ANTHEM PATHWAYS 20221001 | $7,264.00 | ↑ +22% |
| ANTHEM BLUE CONNECTION | 1117_ANTHEM BLUE CONNECTION 20221001 | $9,908.00 | ↑ +67% |
| ANTHEM HMO POS | 1120_ANTHEM HMO POS 20221001 | $11,009.00 | ↑ +85% |
| ANTHEM PPO | 1122_ANTHEM PPO 20221001 | $22,129.00 | ↑ +273% |
Visitor-reported prices
Comments
Cath left heart transseptal punc at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $5,939.71 | $315.10 – $730.60 |
| UnityPoint Health - Meriter Hospital | Madison | $13,599.83 | $175.97 – $5,303.93 |
| SSM Health St. Mary's Hospital - Madison | Madison | $5,055.60 | $2,036.00 – $2,036.00 |
| SSM Health Ripon Community Hospital | Ripon | $4,416.50 | $1,887.00 – $5,512.00 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $4,416.50 | $1,887.00 – $5,512.00 |
| SSM Health Waupun Memorial Hospital | Waupun | $4,416.50 | $1,887.00 – $5,512.00 |
| Midwest Orthopedic Specialty Hospital | Franklin | $6,771.81 | $685.37 – $685.37 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $5,008.02 | $202.36 – $667.41 |