Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im at SSM Health Waupun Memorial Hospital
620 W Brown St, Waupun, WI · SSM Health · · NPI 1548248644
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.
$34.84 with BCBS vs $83.77 with UnitedHealthCare — 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 |
|---|---|---|---|
| BCBS | Blue Preferred / Blue Preferred Plus HMO/POS | $34.84 | — |
| The Alliance | All Commercial Plans | $56.92 | — |
| Centivo | Median(WI2) Other Commercial Plan | $60.17 | — |
| Centivo | Broad(WI1) Other Commercial Plan | $60.17 | — |
| Centivo | Value(WI3) Other Commercial Plan | $60.17 | — |
| UnitedHealthCare | All Commercial Plans | $83.77 | — |
Visitor-reported prices
Comments
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im 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 | $66.78 | $33.80 – $92.63 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $64.13 | $33.80 – $92.63 |
| UnityPoint Health - Meriter Hospital | Madison | $115.62 | $16.79 – $45.14 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $102.15 | $30.77 – $75.08 |
| Aurora Medical Center Summit | Summit | $85.99 | $30.77 – $75.08 |
| Aurora Baycare Medical Center | Green Bay | $63.20 | $30.77 – $75.08 |
| Aurora Medical Center Manitowoc | Two Rivers | $65.98 | $30.77 – $75.08 |
| Aurora West Allis Medical Center | West Allis | $89.29 | $30.77 – $75.08 |