Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)

500 S. Oakwood Rd, Oshkosh, WI · Ascension · · NPI 1912527193

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 8, 2026

$2,492.61

Cash price

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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.

$4,373.00

Gross charge

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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.

$197.15 with UNITED HEALTH CARE POS vs $1,400.00 with ACA — 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 →

Payer
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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
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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
UNITED HEALTH CARE POS 985_UNITED HEALTH CARE POS MEWI SEWI 20230401 $197.15 ↓ -92%
CENTIVO NW3 1013_CENTIVO NW3 MEWI SEWI 20221001 $219.10 ↓ -91%
CENTIVO NW1 892_CENTIVO NW1 MEWI SEWI 20221001 $219.10 ↓ -91%
ANTHEM HMO POS 1000_ANTHEM HMO POS MEWI SEWI 20230401 $219.57 ↓ -91%
ANTHEM BLUE CONNECTION 999_ANTHEM BLUE CONNECTION MEWI SEWI 20230401 $675.00 ↓ -73%
ANTHEM PPO 1001_ANTHEM PPO MEWI SEWI 20230401 $675.00 ↓ -73%
ACA 909_NETWORK HEALTH PLAN ACA MEWI SEWI 20221001 $1,400.00 ↓ -44%

Visitor-reported prices

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Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm 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 $2,387.65 $157.70 – $418.98
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $1,126.25 $157.70 – $418.98
UnityPoint Health - Meriter Hospital Madison $159.20 $45.77 – $169.15
Ascension St. Francis Hospital, Inc. Milwaukee $1,123.34 $157.70 – $890.19
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee $4,770.00 $157.70 – $472.50
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton $2,492.61 $197.15 – $1,400.00
Ascension Calumet Hospital, Inc. Chilton $384.75 $197.15 – $219.10
SSM Health St. Clare Hospital - Baraboo Baraboo not published $90.66 – $258.74

All Wisconsin hospitals for this procedure →