Cdna analysis for variants at Aurora Medical Center Burlington
252 McHenry St, Burlington, WI · Aurorahealthcare · · NPI 1861557753
$860.00
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.
$1,720.00
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.
$148.16 with United Healthcare vs $649.97 with Trilogy — 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 | Charter | $148.16 | ↓ -83% |
| United Healthcare | Nexus | $148.16 | ↓ -83% |
| United Healthcare | Exchange | $148.16 | ↓ -83% |
| United Healthcare | HMO | $148.16 | ↓ -83% |
| Anthem | Blue Priority | $185.20 | ↓ -78% |
| Aurora Caregiver | Commercial | $185.20 | ↓ -78% |
| Anthem | Blue Preferred | $222.24 | ↓ -74% |
| Health EOS Plus | Commercial | $369.00 | ↓ -57% |
| Common Ground | Exchange | $388.92 | ↓ -55% |
| Common Ground | Employee Trust Fund | $388.92 | ↓ -55% |
| Everpointe Elite | Commercial | $398.36 | ↓ -54% |
| Centivo | Commercial | $404.85 | ↓ -53% |
| Common Ground | Envision | $404.85 | ↓ -53% |
| Aetna | HMO | $413.00 | ↓ -52% |
| HealthPartners | Broad | $461.25 | ↓ -46% |
| Health Payment Systems | Commercial | $463.00 | ↓ -46% |
| Quartz One | Commercial | $463.00 | ↓ -46% |
| HealthPartners | Employee Trust Fund | $491.20 | ↓ -43% |
| Health EOS | PPO | $492.00 | ↓ -43% |
| Aetna | PPO | $507.99 | ↓ -41% |
| Molina Exchange | Commercial | $511.15 | ↓ -41% |
| United Healthcare | PPO | $517.83 | ↓ -40% |
| Cigna | PPO | $520.29 | ↓ -40% |
| HS Technology | Commercial | $521.15 | ↓ -39% |
| Anthem | PPO | $522.75 | ↓ -39% |
| Quartz Group | Commercial | $537.08 | ↓ -38% |
| Cigna | PPO-GPPO | $540.93 | ↓ -37% |
| Wisconsin Physician Service | Aurora Featured | $600.05 | ↓ -30% |
| HealthPartners | Robin | $628.73 | ↓ -27% |
| Wisconsin Physician Service | Statewide | $631.53 | ↓ -27% |
| Wisconsin Physician Service | Arise | $631.53 | ↓ -27% |
| Trilogy | Commercial | $649.97 | ↓ -24% |
Visitor-reported prices
Comments
Cdna analysis for variants 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 | $1,319.70 | $185.20 – $589.16 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $1,319.70 | $185.20 – $589.16 |
| UnityPoint Health - Meriter Hospital | Madison | $519.20 | $84.62 – $185.20 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $1,508.65 | $138.90 – $1,299.41 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $1,459.15 | $138.90 – $1,039.52 |
| SSM Health St. Mary's Hospital - Madison | Madison | $1,078.00 | $138.90 – $1,063.16 |
| SSM Health Monroe Hospital | Monroe | $816.75 | $185.20 – $324.10 |
| SSM Health Ripon Community Hospital | Ripon | $493.90 | $185.20 – $324.10 |