Leucovorin calcium 100 mg solution for injection (1 mg rounding) 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
$13.62
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.
$25.69
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.
$4.14 with ALLIANCE vs $14.34 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 | $4.14 | ↓ -70% |
| HUMANA HMO POS | 1127_HUMANA 20221001 | $5.29 | ↓ -61% |
| HUMANA PREFERRED | 1134_HUMANA PREFERRED 20221001 | $5.29 | ↓ -61% |
| HUMANA PPO | 1133_HUMANA PPO 20221001 | $5.29 | ↓ -61% |
| UHC NON OPTIONS PPO | 1130_UNITED HEALTH CARE NONOPTIONS 20221001 | $5.41 | ↓ -60% |
| TRILOGY | 1070_TRILOGY 20220101 | $7.03 | ↓ -48% |
| CCHP MARKETPLACE | 1124_CCHP MARKETPLACE 20221001 | $7.38 | ↓ -46% |
| MEDICAID REPLACEMENT OCWI | 1084_MEDICAID REPLACEMENT OCWI 20220101 | $8.85 | ↓ -35% |
| ANTHEM BLUE CONNECTION | 1117_ANTHEM BLUE CONNECTION 20221001 | $13.63 | ↑ +0% |
| ANTHEM PATHWAYS | 1121_ANTHEM PATHWAYS 20221001 | $14.34 | ↑ +5% |
Visitor-reported prices
Comments
Leucovorin calcium 100 mg solution for injection (1 mg rounding) 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 | $16.49 | $4.14 – $14.34 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $21.27 | $5.63 – $25.72 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $16.49 | $4.14 – $12.69 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $23.32 | $4.14 – $12.69 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | $21.27 | $5.63 – $22.65 |
| Adventhealth Durand | Durand | $540.95 | not published |
| Ascension Calumet Hospital, Inc. | Chilton | $21.27 | $5.63 – $25.72 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $5.09 – $7.70 |