Repair of kneecap tendon at Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)
500 S. Oakwood Rd, Oshkosh, WI · Ascension · · NPI 1912527193
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.
$654.24 with ANTHEM HMO POS vs $2,180.66 with CENTIVO NW1 — 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 HMO POS | 1000_ANTHEM HMO POS MEWI SEWI 20230401 | $654.24 | — |
| ANTHEM BLUE CONNECTION | 999_ANTHEM BLUE CONNECTION MEWI SEWI 20230401 | $654.24 | — |
| ANTHEM PATHWAYS | 946_ANTHEM PATHWAYS MEWI SEWI 20230101 | $654.24 | — |
| ANTHEM PPO | 1001_ANTHEM PPO MEWI SEWI 20230401 | $654.24 | — |
| CCHP | 931_CCHP MEWI SEWI 20230101 | $1,289.15 | — |
| CENTIVO NW3 | 1013_CENTIVO NW3 MEWI SEWI 20221001 | $2,180.66 | — |
| CENTIVO NW1 | 892_CENTIVO NW1 MEWI SEWI 20221001 | $2,180.66 | — |
Visitor-reported prices
Comments
Repair of kneecap tendon at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $3,165.60 | $570.30 – $1,904.80 |
| Ascension Calumet Hospital, Inc. | Chilton | $799.14 | $654.24 – $1,289.15 |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | $9,804.30 | $1,383.03 – $15,942.51 |
| HSHS St. Nicholas Hospital | SHEBOYGAN | $9,804.30 | $1,383.03 – $15,966.53 |
| HSHS St. Clare Memorial Hospital | OCONTO FALLS | $11,784.30 | $5,078.99 – $7,413.38 |
| HSHS St. Vincent Hospital | Green Bay | $9,804.30 | $1,433.95 – $15,858.44 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $1,001.04 – $2,384.19 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $1,001.04 – $2,384.19 |