Infect ag genotype na hiv-1 revr trn/prt at SSM Health Monroe Hospital
515 22Nd Ave, Monroe, WI · SSM Health · · NPI 1073653523
$866.25
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.
$1,575.00
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.
$257.45 with Aetna vs $707.99 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 | $257.45 | ↓ -70% |
| BCBS | Blue Preferred / Blue Preferred Plus HMO/POS | $306.44 | ↓ -65% |
| Centivo | Median(WI2) Other Commercial Plan | $321.81 | ↓ -63% |
| BCBS | Blue Access PPO | $436.43 | ↓ -50% |
| BCBS | Blue Traditional Traditional | $436.43 | ↓ -50% |
| The Alliance | All Commercial Plans | $450.54 | ↓ -48% |
| Aetna | All Commercial Plans | $707.99 | ↓ -18% |
Visitor-reported prices
Comments
Infect ag genotype na hiv-1 revr trn/prt 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 | $1,504.14 | $257.45 – $1,122.15 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $1,504.14 | $257.45 – $1,122.15 |
| UnityPoint Health - Meriter Hospital | Madison | $285.33 | $82.03 – $257.45 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | $478.06 | $249.73 – $461.22 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $661.65 | $193.09 – $2,558.95 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $893.75 | $193.09 – $2,047.15 |
| SSM Health St. Mary's Hospital - Madison | Madison | $469.15 | $193.09 – $2,093.68 |
| SSM Health Ripon Community Hospital | Ripon | $1,072.50 | $257.45 – $520.94 |