Tx l/r atrial fib addl 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
$28,105.90
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.
$53,030.00
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.
$467.35 with NETWORK HEALTH PLAN vs $33,027.00 with ANTHEM PPO — 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 | $467.35 | ↓ -98% |
| ALLIANCE | 1066_ALLIANCE 20220101 | $1,348.45 | ↓ -95% |
| HUMANA HMO POS | 1127_HUMANA 20221001 | $1,639.14 | ↓ -94% |
| ANTHEM PATHWAYS | 1121_ANTHEM PATHWAYS 20221001 | $10,842.00 | ↓ -61% |
| ANTHEM BLUE CONNECTION | 1117_ANTHEM BLUE CONNECTION 20221001 | $14,788.00 | ↓ -47% |
| UHC NON OPTIONS PPO | 1130_UNITED HEALTH CARE NONOPTIONS 20221001 | $16,122.00 | ↓ -43% |
| ANTHEM HMO POS | 1120_ANTHEM HMO POS 20221001 | $16,431.00 | ↓ -42% |
| HUMANA WVN | 1135_HUMANA WVN 20221001 | $18,026.00 | ↓ -36% |
| HUMANA PPO | 1133_HUMANA PPO 20221001 | $18,652.00 | ↓ -34% |
| HUMANA PREFERRED | 1134_HUMANA PREFERRED 20221001 | $18,652.00 | ↓ -34% |
| ANTHEM PPO | 1122_ANTHEM PPO 20221001 | $33,027.00 | ↑ +18% |
Visitor-reported prices
Comments
Tx l/r atrial fib addl 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 | $28,105.90 | $467.35 – $18,652.00 |
| UnityPoint Health - Meriter Hospital | Madison | $22,385.09 | $260.63 – $8,730.18 |
| SSM Health St. Mary's Hospital - Madison | Madison | $1,279.85 | $2,036.00 – $2,036.00 |
| SSM Health Ripon Community Hospital | Ripon | $8,279.15 | $1,887.00 – $2,334.00 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $8,279.15 | $1,887.00 – $2,334.00 |
| SSM Health Waupun Memorial Hospital | Waupun | $8,279.15 | $1,887.00 – $2,334.00 |
| Midwest Orthopedic Specialty Hospital | Franklin | $9,174.30 | $1,389.31 – $13,407.00 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $9,174.30 | $1,389.31 – $20,925.00 |