Cell enumeration & id at Aurora Medical Center Burlington
252 McHenry St, Burlington, WI · Aurorahealthcare · · NPI 1861557753
$515.00
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.
$1,030.00
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.
$200.62 with United Healthcare vs $880.13 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 | HMO | $200.62 | ↓ -61% |
| United Healthcare | Nexus | $200.62 | ↓ -61% |
| United Healthcare | Exchange | $200.62 | ↓ -61% |
| United Healthcare | Charter | $200.62 | ↓ -61% |
| Anthem | Blue Priority | $250.78 | ↓ -51% |
| Aurora Caregiver | Commercial | $250.78 | ↓ -51% |
| Anthem | Blue Preferred | $300.94 | ↓ -42% |
| Common Ground | Exchange | $526.64 | ↑ +2% |
| Common Ground | Employee Trust Fund | $526.64 | ↑ +2% |
| Common Ground | Envision | $548.21 | ↑ +6% |
| Centivo | Commercial | $548.21 | ↑ +6% |
| Aetna | HMO | $559.24 | ↑ +9% |
| Health EOS Plus | Commercial | $618.00 | ↑ +20% |
| Quartz One | Commercial | $626.95 | ↑ +22% |
| Health Payment Systems | Commercial | $626.95 | ↑ +22% |
| HealthPartners | Employee Trust Fund | $665.13 | ↑ +29% |
| Molina Exchange | Commercial | $692.15 | ↑ +34% |
| HS Technology | Commercial | $705.69 | ↑ +37% |
| Everpointe Elite | Commercial | $724.98 | ↑ +41% |
| Quartz Group | Commercial | $727.26 | ↑ +41% |
| Cigna | PPO-GPPO | $732.06 | ↑ +42% |
| HealthPartners | Broad | $772.50 | ↑ +50% |
| Wisconsin Physician Service | Aurora Featured | $812.53 | ↑ +58% |
| Health EOS | PPO | $824.00 | ↑ +60% |
| Aetna | PPO | $850.78 | ↑ +65% |
| HealthPartners | Robin | $851.37 | ↑ +65% |
| Wisconsin Physician Service | Statewide | $855.16 | ↑ +66% |
| Wisconsin Physician Service | Arise | $855.16 | ↑ +66% |
| United Healthcare | PPO | $867.26 | ↑ +68% |
| Cigna | PPO | $871.38 | ↑ +69% |
| Anthem | PPO | $875.50 | ↑ +70% |
| Trilogy | Commercial | $880.13 | ↑ +71% |
Visitor-reported prices
Comments
Cell enumeration & id at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $318.00 | $18.58 – $1,070.56 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $515.00 | $200.62 – $880.13 |
| Aurora Medical Center Summit | Summit | $515.00 | $200.62 – $880.13 |
| Aurora Baycare Medical Center | Green Bay | $515.00 | $200.62 – $880.13 |
| Aurora Medical Center Manitowoc | Two Rivers | $515.00 | $200.62 – $880.13 |
| Aurora Psychiatric Hospital | Wauwatosa | $515.00 | $200.62 – $880.13 |
| Aurora West Allis Medical Center | West Allis | $515.00 | $200.62 – $880.13 |
| Aurora Medical Center Bay Area | Marinette | $515.00 | $200.62 – $880.13 |