Alpha-fetoprotein tumor marker at Aurora Medical Center Burlington
252 McHenry St, Burlington, WI · Aurorahealthcare · · NPI 1861557753
$110.00
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.
$220.00
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.
$13.42 with United Healthcare vs $89.25 with Anthem — 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 |
|---|---|---|---|
| United Healthcare | HMO | $13.42 | ↓ -88% |
| United Healthcare | Nexus | $13.42 | ↓ -88% |
| United Healthcare | Exchange | $13.42 | ↓ -88% |
| United Healthcare | Charter | $13.42 | ↓ -88% |
| Anthem | Blue Priority | $16.77 | ↓ -85% |
| Aurora Caregiver | Commercial | $16.77 | ↓ -85% |
| Anthem | Blue Preferred | $20.12 | ↓ -82% |
| Common Ground | Employee Trust Fund | $35.22 | ↓ -68% |
| Common Ground | Exchange | $35.22 | ↓ -68% |
| Centivo | Commercial | $36.66 | ↓ -67% |
| Common Ground | Envision | $36.66 | ↓ -67% |
| Aetna | HMO | $37.40 | ↓ -66% |
| Quartz One | Commercial | $41.93 | ↓ -62% |
| Health Payment Systems | Commercial | $41.93 | ↓ -62% |
| HealthPartners | Employee Trust Fund | $44.48 | ↓ -60% |
| Molina Exchange | Commercial | $46.29 | ↓ -58% |
| HS Technology | Commercial | $47.19 | ↓ -57% |
| Quartz Group | Commercial | $48.63 | ↓ -56% |
| Cigna | PPO-GPPO | $48.75 | ↓ -56% |
| Everpointe Elite | Commercial | $49.49 | ↓ -55% |
| Wisconsin Physician Service | Aurora Featured | $54.33 | ↓ -51% |
| HealthPartners | Robin | $56.93 | ↓ -48% |
| Wisconsin Physician Service | Statewide | $57.19 | ↓ -48% |
| Wisconsin Physician Service | Arise | $57.19 | ↓ -48% |
| Trilogy | Commercial | $58.85 | ↓ -47% |
| Health EOS Plus | Commercial | $63.00 | ↓ -43% |
| HealthPartners | Broad | $78.75 | ↓ -28% |
| Health EOS | PPO | $84.00 | ↓ -24% |
| Aetna | PPO | $86.73 | ↓ -21% |
| United Healthcare | PPO | $88.41 | ↓ -20% |
| Cigna | PPO | $88.83 | ↓ -19% |
| Anthem | PPO | $89.25 | ↓ -19% |
Visitor-reported prices
Comments
Alpha-fetoprotein tumor marker 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 | $109.71 | $16.77 – $73.37 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $109.71 | $16.77 – $73.37 |
| UnityPoint Health - Meriter Hospital | Madison | $198.01 | $10.06 – $77.22 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | $117.13 | $16.27 – $30.06 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $35.20 | $12.58 – $166.75 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $42.90 | $12.58 – $133.39 |
| SSM Health St. Mary's Hospital - Madison | Madison | $34.10 | $12.58 – $136.41 |
| SSM Health Monroe Hospital | Monroe | $106.70 | $16.77 – $29.35 |