Disaccharidases at Aurora Medical Center Burlington
252 McHenry St, Burlington, WI · Aurorahealthcare · · NPI 1861557753
$357.50
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.
$715.00
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.
$17.74 with United Healthcare vs $535.50 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 |
|---|---|---|---|
| United Healthcare | HMO | $17.74 | ↓ -95% |
| United Healthcare | Nexus | $17.74 | ↓ -95% |
| United Healthcare | Exchange | $17.74 | ↓ -95% |
| United Healthcare | Charter | $17.74 | ↓ -95% |
| Anthem | Blue Priority | $22.17 | ↓ -94% |
| Aurora Caregiver | Commercial | $22.17 | ↓ -94% |
| Anthem | Blue Preferred | $26.60 | ↓ -93% |
| Common Ground | Exchange | $46.56 | ↓ -87% |
| Common Ground | Employee Trust Fund | $46.56 | ↓ -87% |
| Centivo | Commercial | $48.46 | ↓ -86% |
| Common Ground | Envision | $48.46 | ↓ -86% |
| Aetna | HMO | $49.44 | ↓ -86% |
| Everpointe Elite | Commercial | $53.28 | ↓ -85% |
| Health Payment Systems | Commercial | $55.43 | ↓ -84% |
| Quartz One | Commercial | $55.43 | ↓ -84% |
| HealthPartners | Employee Trust Fund | $58.80 | ↓ -84% |
| Molina Exchange | Commercial | $61.19 | ↓ -83% |
| HS Technology | Commercial | $62.39 | ↓ -83% |
| Quartz Group | Commercial | $64.29 | ↓ -82% |
| Cigna | PPO-GPPO | $64.98 | ↓ -82% |
| Wisconsin Physician Service | Aurora Featured | $71.83 | ↓ -80% |
| HealthPartners | Robin | $75.26 | ↓ -79% |
| Wisconsin Physician Service | Statewide | $75.60 | ↓ -79% |
| Wisconsin Physician Service | Arise | $75.60 | ↓ -79% |
| Trilogy | Commercial | $77.81 | ↓ -78% |
| Health EOS Plus | Commercial | $378.00 | ↑ +6% |
| HealthPartners | Broad | $472.50 | ↑ +32% |
| Health EOS | PPO | $504.00 | ↑ +41% |
| Aetna | PPO | $520.38 | ↑ +46% |
| United Healthcare | PPO | $530.46 | ↑ +48% |
| Cigna | PPO | $532.98 | ↑ +49% |
| Anthem | PPO | $535.50 | ↑ +50% |
Visitor-reported prices
Comments
Disaccharidases 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 | $335.49 | $22.17 – $79.09 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $335.49 | $22.17 – $79.09 |
| UnityPoint Health - Meriter Hospital | Madison | $132.32 | $13.30 – $51.60 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $365.75 | $16.63 – $179.50 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $527.78 | $16.63 – $143.58 |
| SSM Health St. Mary's Hospital - Madison | Madison | $358.05 | $16.63 – $146.88 |
| SSM Health Monroe Hospital | Monroe | $453.20 | $22.17 – $38.80 |
| SSM Health Ripon Community Hospital | Ripon | $165.55 | $22.17 – $38.80 |