Dicyclomine injection at Ascension St. Francis Hospital, Inc.
3237 S. 16th St, Milwaukee, WI · Ascension · · NPI 1225087190
$117.76
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.
$222.18
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.
$18.33 with NETWORK HEALTH vs $93.32 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 |
|---|---|---|---|
| NETWORK HEALTH | 1289_NETWORK HEALTH PLAN 20250701 | $18.33 | ↓ -84% |
| ANTHEM BLUE CONNECTION | 1277_ANTHEM BLUE CONNECTION 20250701 | $22.20 | ↓ -81% |
| ANTHEM HMO POS | 1275_ANTHEM HMO POS 20250701 | $24.59 | ↓ -79% |
| WPS | 1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701 | $27.82 | ↓ -76% |
| ANTHEM PPO | 1276_ANTHEM PPO 20250701 | $38.74 | ↓ -67% |
| CIGNA | 1273_CIGNA 20250701 | $45.45 | ↓ -61% |
| CENTIVO NW3 | 1255_CENTIVO NW3 20250101 | $66.87 | ↓ -43% |
| CENTIVO NW2 | 1254_CENTIVO NW2 20250101 | $66.87 | ↓ -43% |
| CENTIVO NW1 | 1253_CENTIVO NW1 20250101 | $66.87 | ↓ -43% |
| ANTHEM PATHWAYS | 1242_ANTHEM PATHWAYS 20250101 | $93.32 | ↓ -21% |
Visitor-reported prices
Comments
Dicyclomine injection 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 | $117.76 | $20.63 – $77.59 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $117.76 | $18.33 – $66.94 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $117.76 | $20.63 – $77.59 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $153.53 | $30.52 – $269.35 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | $153.53 | $30.52 – $269.35 |
| Adventhealth Durand | Durand | $162.67 | not published |
| Ascension Calumet Hospital, Inc. | Chilton | $153.53 | $30.52 – $269.35 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $18.65 – $27.57 |