Acetazolamide 500 mg solution for injection at Aurora Medical Center Burlington

252 McHenry St, Burlington, WI · Aurorahealthcare · · NPI 1861557753

Source: hospital's published price file ↗ · Published Nov 21, 2025 · Ingested Sep 16, 2026

not published by hospital

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.

not published by hospital

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$19.06 with Anthem vs $52.75 with Molina Exchange — 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
Anthem Blue Priority $19.06
Aetna HMO $22.27
Everpointe Elite Commercial $22.66
Anthem Blue Preferred $22.87
Aurora Caregiver Commercial $23.65
HealthPartners Employee Trust Fund $25.23
HealthPartners Robin $26.38
Centivo Commercial $28.34
Common Ground Envision $28.34
Quartz One Commercial $29.18
Health Payment Systems Commercial $29.18
Common Ground Employee Trust Fund $32.40
Common Ground Exchange $32.40
Cigna PPO-GPPO $32.43
Quartz Group Commercial $33.51
Molina Exchange Commercial $52.75

Visitor-reported prices

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Acetazolamide 500 mg solution for injection 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 $71.40 $27.52 – $90.59
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $71.40 $27.52 – $90.59
UnityPoint Health - Meriter Hospital Madison $134.00 $17.23 – $127.93
Aurora Medical Center Summit Summit $52.11 $19.06 – $52.75
Aurora Medical Center Manitowoc Two Rivers $31.33 $19.06 – $52.75
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh $83.31 $36.85 – $146.15
Ascension St. Francis Hospital, Inc. Milwaukee $71.40 $26.59 – $65.94
Aurora Medical Center Fond du Lac Fond Du Lac $51.73 $19.06 – $52.75

All Wisconsin hospitals for this procedure →