ER Visit (level 5, high severity) at Ascension SE Wisconsin Hospital - St. Joseph Campus
5000 W. Chambers St, Milwaukee, WI · Ascension · · NPI 1427007384
$1,820.02
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.
$3,434.00
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.
$462.81 with WPS vs $4,880.00 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 |
|---|---|---|---|
| WPS | 1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701 | $462.81 | ↓ -75% |
| VETERANS ADMINISTRATION | 1323_VETERAN ADMINISTRATION INPATIENT 20251001 | $595.33 | ↓ -67% |
| MEDICARE REPLACEMENT | 1205_MEDICARE REPLACEMENT OUTPATIENT 20250101 | $595.33 | ↓ -67% |
| MEDICARE REPLACEMENT | 1321_MEDICARE REPLACEMENT INPATIENT 20251001 | $595.33 | ↓ -67% |
| VETERANS ADMINISTRATION | 1208_VETERAN ADMINISTRATION OUTPATIENT 20250101 | $595.33 | ↓ -67% |
| SMART HEALTH | 1206_SMARTHEALTH OUTPATIENT 20250101 | $833.46 | ↓ -54% |
| SMART HEALTH | 1317_SMARTHEALTH INPATIENT 20251001 | $833.46 | ↓ -54% |
| ANTHEM PATHWAYS | 1242_ANTHEM PATHWAYS 20250101 | $2,106.00 | ↑ +16% |
| ANTHEM BLUE CONNECTION | 1277_ANTHEM BLUE CONNECTION 20250701 | $2,987.00 | ↑ +64% |
| SEHN | 1171_SEHN 20241001 | $3,030.44 | ↑ +67% |
| ANTHEM HMO POS | 1275_ANTHEM HMO POS 20250701 | $3,127.00 | ↑ +72% |
| NETWORK HEALTH | 1289_NETWORK HEALTH PLAN 20250701 | $3,220.00 | ↑ +77% |
| UNITED HEALTH CARE | 1282_UNITED HEALTH CARE 20250701 | $3,756.00 | ↑ +106% |
| HEALTH PAYMENT SYSTEMS | 1284_HEALTH PAYMENT SYSTEMS 20250701 | $3,979.00 | ↑ +119% |
| CCHP | 1280_CCHP 20250701 | $4,522.00 | ↑ +148% |
| ANTHEM PPO | 1276_ANTHEM PPO 20250701 | $4,880.00 | ↑ +168% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) 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 | $1,820.02 | $281.26 – $1,313.05 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $1,820.02 | $462.81 – $2,106.00 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $1,820.02 | $281.26 – $1,313.05 |
| UnityPoint Health - Meriter Hospital | Madison | $3,001.09 | $12.65 – $166.36 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $1,650.55 | $433.84 – $578.46 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $1,598.85 | $449.89 – $599.85 |
| SSM Health St. Mary's Hospital - Madison | Madison | $2,294.05 | $433.84 – $578.46 |
| SSM Health Monroe Hospital | Monroe | $1,736.35 | $578.46 – $578.46 |