Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm 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
$1,126.25
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.
$2,125.00
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.
$157.70 with ALLIANCE vs $418.98 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 →
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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 |
|---|---|---|---|
| ALLIANCE | 1066_ALLIANCE 20220101 | $157.70 | ↓ -86% |
| HUMANA PPO | 1133_HUMANA PPO 20221001 | $178.05 | ↓ -84% |
| HUMANA PREFERRED | 1134_HUMANA PREFERRED 20221001 | $178.05 | ↓ -84% |
| HUMANA HMO POS | 1127_HUMANA 20221001 | $178.05 | ↓ -84% |
| CCHP MARKETPLACE | 1124_CCHP MARKETPLACE 20221001 | $224.93 | ↓ -80% |
| UHC NON OPTIONS PPO | 1130_UNITED HEALTH CARE NONOPTIONS 20221001 | $228.94 | ↓ -80% |
| TRILOGY | 1070_TRILOGY 20220101 | $272.73 | ↓ -76% |
| MEDICAID REPLACEMENT OCWI | 1084_MEDICAID REPLACEMENT OCWI 20220101 | $283.32 | ↓ -75% |
| ANTHEM BLUE CONNECTION | 1117_ANTHEM BLUE CONNECTION 20221001 | $415.78 | ↓ -63% |
| ANTHEM PATHWAYS | 1121_ANTHEM PATHWAYS 20221001 | $418.98 | ↓ -63% |
Visitor-reported prices
Comments
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm 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 | $2,387.65 | $157.70 – $418.98 |
| UnityPoint Health - Meriter Hospital | Madison | $159.20 | $45.77 – $169.15 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $2,492.61 | $197.15 – $1,400.00 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $1,123.34 | $157.70 – $890.19 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $4,770.00 | $157.70 – $472.50 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | $2,492.61 | $197.15 – $1,400.00 |
| Ascension Calumet Hospital, Inc. | Chilton | $384.75 | $197.15 – $219.10 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $90.66 – $258.74 |