Foam drg > 48 sq in w/border at Aurora Medical Center Burlington
252 McHenry St, Burlington, WI · Aurorahealthcare · · NPI 1861557753
$74.58
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.
$149.16
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.
$42.50 with Everpointe Elite vs $72.25 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 |
|---|---|---|---|
| Everpointe Elite | Commercial | $42.50 | ↓ -43% |
| HS Technology | Commercial | $42.50 | ↓ -43% |
| Aetna | HMO | $45.39 | ↓ -39% |
| Quartz One | Commercial | $46.75 | ↓ -37% |
| United Healthcare | Exchange | $50.49 | ↓ -32% |
| United Healthcare | Charter | $50.49 | ↓ -32% |
| United Healthcare | HMO | $50.49 | ↓ -32% |
| United Healthcare | Nexus | $50.49 | ↓ -32% |
| Common Ground | Employee Trust Fund | $51.00 | ↓ -32% |
| Common Ground | Envision | $51.00 | ↓ -32% |
| Health EOS Plus | Commercial | $51.00 | ↓ -32% |
| Anthem | Blue Priority | $51.00 | ↓ -32% |
| Quartz Group | Commercial | $51.00 | ↓ -32% |
| Molina Exchange | Commercial | $51.00 | ↓ -32% |
| HealthPartners | Employee Trust Fund | $51.00 | ↓ -32% |
| Aurora Caregiver | Commercial | $51.00 | ↓ -32% |
| Common Ground | Exchange | $51.00 | ↓ -32% |
| Wisconsin Physician Service | Aurora Featured | $52.70 | ↓ -29% |
| Wisconsin Physician Service | Statewide | $55.25 | ↓ -26% |
| Anthem | Blue Preferred | $55.25 | ↓ -26% |
| Health Payment Systems | Commercial | $55.25 | ↓ -26% |
| Wisconsin Physician Service | Arise | $55.25 | ↓ -26% |
| Trilogy | Commercial | $59.50 | ↓ -20% |
| Cigna | PPO-GPPO | $63.75 | ↓ -15% |
| HealthPartners | Robin | $63.75 | ↓ -15% |
| HealthPartners | Broad | $63.75 | ↓ -15% |
| Centivo | Commercial | $63.75 | ↓ -15% |
| Health EOS | PPO | $68.00 | ↓ -9% |
| Aetna | PPO | $70.21 | ↓ -6% |
| United Healthcare | PPO | $71.57 | ↓ -4% |
| Cigna | PPO | $71.91 | ↓ -4% |
| Anthem | PPO | $72.25 | ↓ -3% |
Visitor-reported prices
Comments
Foam drg > 48 sq in w/border at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $42.50 | not published |
| Aurora Medical Center Summit | Summit | $42.50 | not published |
| Aurora Baycare Medical Center | Green Bay | $42.50 | not published |
| Aurora Medical Center Manitowoc | Two Rivers | $42.50 | not published |
| Aurora West Allis Medical Center | West Allis | $42.50 | not published |
| Aurora Medical Center Washington County | Hartford | $42.50 | not published |
| Aurora Medical Center Fond du Lac | Fond Du Lac | $42.50 | not published |
| Aurora Medical Center Sheboygan County | Sheboygan | $42.50 | not published |