Chylomicron screen, bf - sendout at Aurora Medical Center Burlington
252 McHenry St, Burlington, WI · Aurorahealthcare · · NPI 1861557753
$145.00
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.
$290.00
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.
$49.20 with United Healthcare vs $215.84 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 | $49.20 | ↓ -66% |
| United Healthcare | Charter | $49.20 | ↓ -66% |
| United Healthcare | HMO | $49.20 | ↓ -66% |
| United Healthcare | Exchange | $49.20 | ↓ -66% |
| Aurora Caregiver | Commercial | $61.50 | ↓ -58% |
| Anthem | Blue Priority | $61.50 | ↓ -58% |
| Anthem | Blue Preferred | $73.80 | ↓ -49% |
| Everpointe Elite | Commercial | $101.35 | ↓ -30% |
| Health EOS Plus | Commercial | $126.00 | ↓ -13% |
| Common Ground | Employee Trust Fund | $129.15 | ↓ -11% |
| Common Ground | Exchange | $129.15 | ↓ -11% |
| Common Ground | Envision | $134.44 | ↓ -7% |
| Centivo | Commercial | $134.44 | ↓ -7% |
| Aetna | HMO | $137.15 | ↓ -5% |
| Quartz One | Commercial | $153.75 | ↑ +6% |
| Health Payment Systems | Commercial | $153.75 | ↑ +6% |
| HealthPartners | Broad | $157.50 | ↑ +9% |
| HealthPartners | Employee Trust Fund | $163.11 | ↑ +12% |
| Health EOS | PPO | $168.00 | ↑ +16% |
| Molina Exchange | Commercial | $169.74 | ↑ +17% |
| HS Technology | Commercial | $173.06 | ↑ +19% |
| Aetna | PPO | $173.46 | ↑ +20% |
| United Healthcare | PPO | $176.82 | ↑ +22% |
| Cigna | PPO | $177.66 | ↑ +23% |
| Quartz Group | Commercial | $178.35 | ↑ +23% |
| Anthem | PPO | $178.50 | ↑ +23% |
| Cigna | PPO-GPPO | $179.67 | ↑ +24% |
| Wisconsin Physician Service | Aurora Featured | $199.26 | ↑ +37% |
| HealthPartners | Robin | $208.78 | ↑ +44% |
| Wisconsin Physician Service | Arise | $209.72 | ↑ +45% |
| Wisconsin Physician Service | Statewide | $209.72 | ↑ +45% |
| Trilogy | Commercial | $215.84 | ↑ +49% |
Visitor-reported prices
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Chylomicron screen, bf - sendout at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $244.00 | $36.90 – $107.95 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $168.30 | $46.12 – $341.49 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $205.15 | $46.12 – $273.20 |
| SSM Health Monroe Hospital | Monroe | $240.62 | $61.50 – $107.63 |
| SSM Health Ripon Community Hospital | Ripon | $111.10 | $61.50 – $107.63 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $111.10 | $46.12 – $118.70 |
| SSM Health Waupun Memorial Hospital | Waupun | $111.10 | $61.50 – $107.63 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $145.00 | $49.20 – $215.84 |