C-peptide at Aurora Medical Center Burlington
252 McHenry St, Burlington, WI · Aurorahealthcare · · NPI 1861557753
$87.50
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.
$175.00
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.
$15.41 with Everpointe Elite vs $148.75 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 |
|---|---|---|---|
| Everpointe Elite | Commercial | $15.41 | ↓ -82% |
| United Healthcare | Nexus | $16.65 | ↓ -81% |
| United Healthcare | Exchange | $16.65 | ↓ -81% |
| United Healthcare | HMO | $16.65 | ↓ -81% |
| United Healthcare | Charter | $16.65 | ↓ -81% |
| Anthem | Blue Priority | $20.81 | ↓ -76% |
| Aurora Caregiver | Commercial | $20.81 | ↓ -76% |
| Anthem | Blue Preferred | $24.97 | ↓ -71% |
| Common Ground | Employee Trust Fund | $43.70 | ↓ -50% |
| Common Ground | Exchange | $43.70 | ↓ -50% |
| Common Ground | Envision | $45.49 | ↓ -48% |
| Centivo | Commercial | $45.49 | ↓ -48% |
| Aetna | HMO | $46.41 | ↓ -47% |
| Health Payment Systems | Commercial | $52.03 | ↓ -41% |
| Quartz One | Commercial | $52.03 | ↓ -41% |
| HealthPartners | Employee Trust Fund | $55.20 | ↓ -37% |
| Molina Exchange | Commercial | $57.44 | ↓ -34% |
| HS Technology | Commercial | $58.56 | ↓ -33% |
| Quartz Group | Commercial | $60.35 | ↓ -31% |
| Cigna | PPO-GPPO | $61.17 | ↓ -30% |
| Wisconsin Physician Service | Aurora Featured | $67.42 | ↓ -23% |
| HealthPartners | Robin | $70.65 | ↓ -19% |
| Wisconsin Physician Service | Statewide | $70.96 | ↓ -19% |
| Wisconsin Physician Service | Arise | $70.96 | ↓ -19% |
| Trilogy | Commercial | $73.04 | ↓ -17% |
| Health EOS Plus | Commercial | $105.00 | ↑ +20% |
| HealthPartners | Broad | $131.25 | ↑ +50% |
| Health EOS | PPO | $140.00 | ↑ +60% |
| Aetna | PPO | $144.55 | ↑ +65% |
| United Healthcare | PPO | $147.35 | ↑ +68% |
| Cigna | PPO | $148.05 | ↑ +69% |
| Anthem | PPO | $148.75 | ↑ +70% |
Visitor-reported prices
Comments
C-peptide 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 | $43.46 | $12.36 – $80.43 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $43.46 | $12.36 – $80.43 |
| UnityPoint Health - Meriter Hospital | Madison | $200.80 | $12.49 – $29.53 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | $240.09 | $7.37 – $37.28 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $11.00 | $15.61 – $51.89 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $13.75 | $15.61 – $41.50 |
| SSM Health St. Mary's Hospital - Madison | Madison | $9.35 | $15.61 – $42.44 |
| SSM Health Monroe Hospital | Monroe | $146.85 | $20.81 – $36.42 |