Prq card stent w/angio addl at Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)
500 S. Oakwood Rd, Oshkosh, WI · Ascension · · NPI 1912527193
$16,768.26
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.
$29,418.00
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.
$8,795.00 with ANTHEM PATHWAYS vs $23,452.00 with ANTHEM PPO — 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 |
|---|---|---|---|
| ANTHEM PATHWAYS | 946_ANTHEM PATHWAYS MEWI SEWI 20230101 | $8,795.00 | ↓ -48% |
| ANTHEM BLUE CONNECTION | 999_ANTHEM BLUE CONNECTION MEWI SEWI 20230401 | $19,188.00 | ↑ +14% |
| ANTHEM HMO POS | 1000_ANTHEM HMO POS MEWI SEWI 20230401 | $21,320.00 | ↑ +27% |
| UNITED HEALTH CARE POS | 985_UNITED HEALTH CARE POS MEWI SEWI 20230401 | $22,700.00 | ↑ +35% |
| ANTHEM PPO | 1001_ANTHEM PPO MEWI SEWI 20230401 | $23,452.00 | ↑ +40% |
Visitor-reported prices
Comments
Prq card stent w/angio addl at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $24,544.56 | $595.93 – $11,198.46 |
| SSM Health St. Mary's Hospital - Madison | Madison | $2,052.05 | $18,955.00 – $18,955.00 |
| SSM Health Monroe Hospital | Monroe | $6,334.90 | $17,116.00 – $17,116.00 |
| SSM Health Ripon Community Hospital | Ripon | $6,725.40 | $17,314.00 – $18,364.00 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $6,725.40 | $17,314.00 – $18,364.00 |
| SSM Health Waupun Memorial Hospital | Waupun | $6,725.40 | $17,314.00 – $18,364.00 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | $16,768.26 | $22,700.00 – $22,700.00 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $22,942.00 – $28,450.00 |