88334 ap bill cytologic exam each additional site at SSM Health Monroe Hospital
515 22Nd Ave, Monroe, WI · SSM Health · · NPI 1073653523
$252.45
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.
?
What you pay up front if you don't use insurance.
$459.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$21.74 with BCBS vs $30.95 with BCBS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| BCBS | Blue Preferred / Blue Preferred Plus HMO/POS | $21.74 | ↓ -91% |
| BCBS | Blue Access PPO | $30.95 | ↓ -88% |
| BCBS | Blue Traditional Traditional | $30.95 | ↓ -88% |
Visitor-reported prices
Comments
88334 ap bill cytologic exam each additional site 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 | $109.18 | $20.23 – $69.45 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $109.18 | $20.23 – $69.45 |
| UnityPoint Health - Meriter Hospital | Madison | $318.40 | $15.51 – $24.61 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | $45.05 | $16.62 – $21.73 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $156.75 | $151.29 – $151.29 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $156.75 | $121.02 – $121.02 |
| SSM Health St. Mary's Hospital - Madison | Madison | $156.75 | $123.78 – $123.78 |
| SSM Health Ripon Community Hospital | Ripon | $100.10 | $18.04 – $30.80 |