Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution at SSM Health Monroe Hospital
515 22Nd Ave, Monroe, WI · SSM Health · · NPI 1073653523
not published by hospital
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.
not published by hospital
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.
$59.98 with Aetna vs $356.25 with Aetna — 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $59.98 | — |
| BCBS | Blue Access PPO | $118.75 | — |
| BCBS | Blue Traditional Traditional | $118.75 | — |
| BCBS | Blue Preferred / Blue Preferred Plus HMO/POS | $118.75 | — |
| WPS | All Commercial Plans | $173.31 | — |
| The Alliance | All Commercial Plans | $219.69 | — |
| Centivo | Median(WI2) Other Commercial Plan | $225.62 | — |
| UnitedHealthCare | All Commercial Plans | $323.30 | — |
| Aetna | All Commercial Plans | $356.25 | — |
Visitor-reported prices
Comments
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution 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 | $212.02 | $145.62 – $392.78 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $202.03 | $129.20 – $346.63 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $213.98 | $129.53 – $346.63 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | $247.61 | $124.50 – $434.41 |
| Adventhealth Durand | Durand | $5,410.56 | not published |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $44.98 – $246.64 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $44.98 – $246.64 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $44.98 – $246.64 |