Breast punct aspir cyst, bil at Ascension St. Francis Hospital, Inc.
3237 S. 16th St, Milwaukee, WI · Ascension · · NPI 1225087190
$775.92
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.
$1,464.00
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.
$94.80 with WISCONSIN WELL WOMAN vs $956.48 with SMART HEALTH — 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 |
|---|---|---|---|
| WISCONSIN WELL WOMAN | 1192_WISCONSIN WELL WOMAN OUTPATIENT 20240701 | $94.80 | ↓ -88% |
| WPS | 1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701 | $408.99 | ↓ -47% |
| MEDICARE REPLACEMENT | 1205_MEDICARE REPLACEMENT OUTPATIENT 20250101 | $683.20 | ↓ -12% |
| VETERANS ADMINISTRATION | 1208_VETERAN ADMINISTRATION OUTPATIENT 20250101 | $683.20 | ↓ -12% |
| MEDICARE REPLACEMENT | 1321_MEDICARE REPLACEMENT INPATIENT 20251001 | $683.20 | ↓ -12% |
| VETERANS ADMINISTRATION | 1323_VETERAN ADMINISTRATION INPATIENT 20251001 | $683.20 | ↓ -12% |
| SMART HEALTH | 1317_SMARTHEALTH INPATIENT 20251001 | $956.48 | ↑ +23% |
| SMART HEALTH | 1206_SMARTHEALTH OUTPATIENT 20250101 | $956.48 | ↑ +23% |
Visitor-reported prices
Comments
Breast punct aspir cyst, bil 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 | $2,057.46 | $67.35 – $1,506.85 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $775.92 | $94.80 – $956.48 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $2,057.46 | $67.35 – $1,506.85 |
| UnityPoint Health - Meriter Hospital | Madison | $1,906.38 | $38.05 – $743.49 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $989.45 | $515.87 – $4,401.00 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $1,496.55 | $534.95 – $4,074.00 |
| SSM Health St. Mary's Hospital - Madison | Madison | $740.30 | $515.87 – $4,198.00 |
| SSM Health Monroe Hospital | Monroe | $399.30 | $687.83 – $4,217.00 |