Cell function assay w/stim at Aurora Medical Center Burlington
252 McHenry St, Burlington, WI · Aurorahealthcare · · NPI 1861557753
$270.00
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.
$540.00
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.
$108.69 with United Healthcare vs $476.81 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 | Nexus | $108.69 | ↓ -60% |
| United Healthcare | Exchange | $108.69 | ↓ -60% |
| United Healthcare | HMO | $108.69 | ↓ -60% |
| United Healthcare | Charter | $108.69 | ↓ -60% |
| Aurora Caregiver | Commercial | $135.86 | ↓ -50% |
| Anthem | Blue Priority | $135.86 | ↓ -50% |
| Anthem | Blue Preferred | $163.03 | ↓ -40% |
| Health EOS Plus | Commercial | $180.00 | ↓ -33% |
| HealthPartners | Broad | $225.00 | ↓ -17% |
| Health EOS | PPO | $240.00 | ↓ -11% |
| Aetna | PPO | $247.80 | ↓ -8% |
| United Healthcare | PPO | $252.60 | ↓ -6% |
| Cigna | PPO | $253.80 | ↓ -6% |
| Anthem | PPO | $255.00 | ↓ -6% |
| Common Ground | Employee Trust Fund | $285.31 | ↑ +6% |
| Common Ground | Exchange | $285.31 | ↑ +6% |
| Common Ground | Envision | $296.99 | ↑ +10% |
| Centivo | Commercial | $296.99 | ↑ +10% |
| Aetna | HMO | $302.97 | ↑ +12% |
| Quartz One | Commercial | $339.65 | ↑ +26% |
| Health Payment Systems | Commercial | $339.65 | ↑ +26% |
| HealthPartners | Employee Trust Fund | $360.34 | ↑ +33% |
| Molina Exchange | Commercial | $374.97 | ↑ +39% |
| HS Technology | Commercial | $382.31 | ↑ +42% |
| Quartz Group | Commercial | $393.99 | ↑ +46% |
| Cigna | PPO-GPPO | $396.60 | ↑ +47% |
| Everpointe Elite | Commercial | $400.90 | ↑ +48% |
| Wisconsin Physician Service | Aurora Featured | $440.19 | ↑ +63% |
| HealthPartners | Robin | $461.22 | ↑ +71% |
| Wisconsin Physician Service | Arise | $463.28 | ↑ +72% |
| Wisconsin Physician Service | Statewide | $463.28 | ↑ +72% |
| Trilogy | Commercial | $476.81 | ↑ +77% |
Visitor-reported prices
Comments
Cell function assay w/stim 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 | $162.18 | $135.86 – $592.58 |
| UnityPoint Health - Meriter Hospital | Madison | $606.40 | $81.52 – $184.13 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $751.85 | $101.90 – $1,350.44 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $1,008.70 | $101.90 – $1,080.35 |
| SSM Health St. Mary's Hospital - Madison | Madison | $563.75 | $101.90 – $1,104.89 |
| SSM Health Ripon Community Hospital | Ripon | $224.40 | $135.86 – $274.91 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $224.40 | $101.90 – $262.21 |
| SSM Health Waupun Memorial Hospital | Waupun | $224.40 | $135.86 – $274.91 |