Ins/rpl pm gen exist sgl lead 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
$11,959.45
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.
$22,565.00
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.
$493.49 with NETWORK HEALTH PLAN vs $40,109.00 with HUMANA WVN — 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 |
|---|---|---|---|
| NETWORK HEALTH PLAN | 1136_NETWORK HEALTH PLAN 20221001 | $493.49 | ↓ -96% |
| ALLIANCE | 1066_ALLIANCE 20220101 | $1,165.86 | ↓ -90% |
| HUMANA PREFERRED | 1134_HUMANA PREFERRED 20221001 | $1,243.53 | ↓ -90% |
| HUMANA HMO POS | 1127_HUMANA 20221001 | $1,243.53 | ↓ -90% |
| HUMANA PPO | 1133_HUMANA PPO 20221001 | $1,243.53 | ↓ -90% |
| UHC NON OPTIONS PPO | 1130_UNITED HEALTH CARE NONOPTIONS 20221001 | $1,243.53 | ↓ -90% |
| HUMANA WVN | 1135_HUMANA WVN 20221001 | $40,109.00 | ↑ +235% |
Visitor-reported prices
Comments
Ins/rpl pm gen exist sgl lead 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 | $11,959.45 | $493.49 – $1,243.53 |
| UnityPoint Health - Meriter Hospital | Madison | $20,193.25 | $281.48 – $7,875.37 |
| SSM Health St. Mary's Hospital - Madison | Madison | $5,148.55 | $6,028.62 – $27,690.00 |
| SSM Health Monroe Hospital | Monroe | $8,928.70 | $8,038.15 – $25,004.00 |
| SSM Health Ripon Community Hospital | Ripon | $2,857.25 | $7,609.00 – $27,583.00 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $2,857.25 | $6,138.95 – $27,583.00 |
| SSM Health Waupun Memorial Hospital | Waupun | $2,857.25 | $7,609.00 – $27,583.00 |
| Midwest Orthopedic Specialty Hospital | Franklin | $6,991.76 | $1,201.28 – $22,160.00 |