Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool at SSM Health Monroe Hospital
515 22Nd Ave, Monroe, WI · SSM Health · · NPI 1073653523
$40.15
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.
$73.00
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.
$14.38 with Aetna vs $39.55 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 | $14.38 | ↓ -64% |
| BCBS | Blue Preferred / Blue Preferred Plus HMO/POS | $17.11 | ↓ -57% |
| Centivo | Median(WI2) Other Commercial Plan | $17.98 | ↓ -55% |
| BCBS | Blue Access PPO | $24.38 | ↓ -39% |
| BCBS | Blue Traditional Traditional | $24.38 | ↓ -39% |
| The Alliance | All Commercial Plans | $25.17 | ↓ -37% |
| Aetna | All Commercial Plans | $39.55 | ↓ -1% |
Visitor-reported prices
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Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool 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 | $152.64 | $14.38 – $63.05 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $152.64 | $14.38 – $63.05 |
| UnityPoint Health - Meriter Hospital | Madison | $169.87 | $8.63 – $66.25 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | $32.39 | $13.95 – $25.77 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $93.50 | $10.78 – $142.96 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $125.95 | $10.78 – $114.37 |
| SSM Health St. Mary's Hospital - Madison | Madison | $66.00 | $10.78 – $116.96 |
| SSM Health Ripon Community Hospital | Ripon | $120.45 | $14.38 – $29.09 |