Ph1 assmt&mgmt nqhp 5-10 at Ascension St. Francis Hospital, Inc.
3237 S. 16th St, Milwaukee, WI · Ascension · · NPI 1225087190
$30.74
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.
$58.00
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.
$12.53 with MEDICARE REPLACEMENT vs $46.27 with WPS — 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 |
|---|---|---|---|
| MEDICARE REPLACEMENT | 1205_MEDICARE REPLACEMENT OUTPATIENT 20250101 | $12.53 | ↓ -59% |
| VETERANS ADMINISTRATION | 1323_VETERAN ADMINISTRATION INPATIENT 20251001 | $12.53 | ↓ -59% |
| VETERANS ADMINISTRATION | 1208_VETERAN ADMINISTRATION OUTPATIENT 20250101 | $12.53 | ↓ -59% |
| MEDICARE REPLACEMENT | 1321_MEDICARE REPLACEMENT INPATIENT 20251001 | $12.53 | ↓ -59% |
| SMART HEALTH | 1317_SMARTHEALTH INPATIENT 20251001 | $17.54 | ↓ -43% |
| SMART HEALTH | 1206_SMARTHEALTH OUTPATIENT 20250101 | $17.54 | ↓ -43% |
| WPS | 1272_WISCONSIN PHYSICIAN SERVICES PPO 20250701 | $46.27 | ↑ +51% |
Visitor-reported prices
Comments
Ph1 assmt&mgmt nqhp 5-10 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 | $39.22 | $12.53 – $50.73 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $30.74 | $12.53 – $46.27 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $39.22 | $12.53 – $50.73 |
| UnityPoint Health - Meriter Hospital | Madison | $50.05 | $10.98 – $47.10 |
| SSM Health Ripon Community Hospital | Ripon | $46.20 | not published |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $46.20 | $7.54 – $19.40 |
| SSM Health Waupun Memorial Hospital | Waupun | $46.20 | not published |
| Ascension Calumet Hospital, Inc. | Chilton | $25.08 | $12.30 – $36.00 |