Surgical pathology level 5 gross & microscopic examination at Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.)
2301 N Lake Dr, Milwaukee, WI · Ascension · · NPI 1871656082
$693.77
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.
$1,309.00
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.
$82.47 with HUMANA HMO POS vs $770.40 with MOLINA HEALTH MARKETPLACE — 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 |
|---|---|---|---|
| HUMANA HMO POS | 1127_HUMANA 20221001 | $82.47 | ↓ -88% |
| HUMANA PREFERRED | 1134_HUMANA PREFERRED 20221001 | $82.47 | ↓ -88% |
| HUMANA PPO | 1133_HUMANA PPO 20221001 | $82.47 | ↓ -88% |
| ANTHEM PATHWAYS | 1121_ANTHEM PATHWAYS 20221001 | $110.49 | ↓ -84% |
| ANTHEM HMO POS | 1120_ANTHEM HMO POS 20221001 | $110.49 | ↓ -84% |
| ANTHEM PPO | 1122_ANTHEM PPO 20221001 | $110.49 | ↓ -84% |
| UHC NON OPTIONS PPO | 1130_UNITED HEALTH CARE NONOPTIONS 20221001 | $116.54 | ↓ -83% |
| NETWORK HEALTH PLAN | 1136_NETWORK HEALTH PLAN 20221001 | $133.91 | ↓ -81% |
| HUMANA WVN | 1135_HUMANA WVN 20221001 | $259.97 | ↓ -63% |
| ALLIANCE | 1066_ALLIANCE 20220101 | $286.39 | ↓ -59% |
| SEHN C89 | 1128_SEHN 20221001 | $299.71 | ↓ -57% |
| CCHP MARKETPLACE | 1124_CCHP MARKETPLACE 20221001 | $342.78 | ↓ -51% |
| MEDICARE REPLACEMENT | 1109_MEDICARE REPLACEMENT OUTPATIENT 20220701 | $350.18 | ↓ -50% |
| VETERANS ADMINISTRATION | 1064_VETERANS ADMINISTRATION OUTPATIENT 20220101 | $350.18 | ↓ -50% |
| VETERANS ADMINISTRATION | 1114_VETERANS ADMINISTRATION INPATIENT 20221001 | $350.18 | ↓ -50% |
| MEDICARE REPLACEMENT | 1116_MEDICARE REPLACEMENT INPATIENT 20221001 | $350.18 | ↓ -50% |
| MOLINA HEALTH MARKETPLACE | 1111_MOLINA MARKETPLACE INPATIENT 20221001 | $770.40 | ↑ +11% |
| MOLINA HEALTH MARKETPLACE | 1060_MOLINA MARKETPLACE OUTPATIENT 20220101 | $770.40 | ↑ +11% |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension St. Francis Hospital, Inc. | Milwaukee | $193.45 | $77.15 – $489.02 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $193.45 | $77.15 – $489.02 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $693.77 | $82.47 – $770.40 |
| UnityPoint Health - Meriter Hospital | Madison | $720.68 | $27.60 – $281.07 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | $234.26 | $70.43 – $179.25 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $438.90 | $261.13 – $1,563.37 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $402.60 | $270.78 – $1,250.69 |
| SSM Health St. Mary's Hospital - Madison | Madison | $195.80 | $261.13 – $1,279.13 |