Implant cartilage 10mm synthetic at Aurora Medical Center Burlington
252 McHenry St, Burlington, WI · Aurorahealthcare · · NPI 1861557753
$2,056.25
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.
$4,112.50
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.
$1,705.53 with Aetna vs $2,982.93 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 |
|---|---|---|---|
| Aetna | HMO | $1,705.53 | ↓ -17% |
| Everpointe Elite | Commercial | $1,754.67 | ↓ -15% |
| HS Technology | Commercial | $1,754.67 | ↓ -15% |
| Quartz One | Commercial | $1,930.13 | ↓ -6% |
| United Healthcare | Exchange | $2,084.54 | ↑ +1% |
| United Healthcare | Charter | $2,084.54 | ↑ +1% |
| United Healthcare | HMO | $2,084.54 | ↑ +1% |
| United Healthcare | Nexus | $2,084.54 | ↑ +1% |
| Common Ground | Employee Trust Fund | $2,105.60 | ↑ +2% |
| Common Ground | Envision | $2,105.60 | ↑ +2% |
| Health EOS Plus | Commercial | $2,105.60 | ↑ +2% |
| Anthem | Blue Priority | $2,105.60 | ↑ +2% |
| Quartz Group | Commercial | $2,105.60 | ↑ +2% |
| Molina Exchange | Commercial | $2,105.60 | ↑ +2% |
| HealthPartners | Employee Trust Fund | $2,105.60 | ↑ +2% |
| Aurora Caregiver | Commercial | $2,105.60 | ↑ +2% |
| Common Ground | Exchange | $2,105.60 | ↑ +2% |
| Wisconsin Physician Service | Aurora Featured | $2,175.78 | ↑ +6% |
| Wisconsin Physician Service | Statewide | $2,281.06 | ↑ +11% |
| Anthem | Blue Preferred | $2,281.06 | ↑ +11% |
| Health Payment Systems | Commercial | $2,281.06 | ↑ +11% |
| Wisconsin Physician Service | Arise | $2,281.06 | ↑ +11% |
| Trilogy | Commercial | $2,456.53 | ↑ +19% |
| Cigna | PPO-GPPO | $2,632.00 | ↑ +28% |
| HealthPartners | Robin | $2,632.00 | ↑ +28% |
| HealthPartners | Broad | $2,632.00 | ↑ +28% |
| Centivo | Commercial | $2,632.00 | ↑ +28% |
| Health EOS | PPO | $2,807.46 | ↑ +37% |
| Aetna | PPO | $2,898.71 | ↑ +41% |
| United Healthcare | PPO | $2,954.86 | ↑ +44% |
| Cigna | PPO | $2,968.89 | ↑ +44% |
| Anthem | PPO | $2,982.93 | ↑ +45% |
Visitor-reported prices
Comments
Implant cartilage 10mm synthetic at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $4,402.90 | $1,265.83 – $5,228.44 |
| SSM Health Monroe Hospital | Monroe | $766.90 | not published |
| SSM Health Ripon Community Hospital | Ripon | $1,407.18 | not published |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $1,407.18 | not published |
| SSM Health Waupun Memorial Hospital | Waupun | $1,407.18 | not published |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $15,400.00 | not published |
| Aurora Baycare Medical Center | Green Bay | $1,706.53 | not published |
| Aurora West Allis Medical Center | West Allis | $8,005.00 | not published |