Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm at Aurora Medical Center Burlington
252 McHenry St, Burlington, WI · Aurorahealthcare · · NPI 1861557753
$47.50
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.
$95.00
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.
$31.19 with Aetna vs $80.75 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 | $31.19 | ↓ -34% |
| Aurora Caregiver | Commercial | $34.68 | ↓ -27% |
| HealthPartners | Employee Trust Fund | $35.33 | ↓ -26% |
| HealthPartners | Robin | $36.95 | ↓ -22% |
| Common Ground | Envision | $39.69 | ↓ -16% |
| Centivo | Commercial | $39.69 | ↓ -16% |
| Health Payment Systems | Commercial | $40.87 | ↓ -14% |
| Quartz One | Commercial | $40.87 | ↓ -14% |
| Cigna | PPO-GPPO | $45.42 | ↓ -4% |
| Quartz Group | Commercial | $46.93 | ↓ -1% |
| Everpointe Elite | Commercial | $47.50 | ↑ +0% |
| HS Technology | Commercial | $47.50 | ↑ +0% |
| Common Ground | Exchange | $47.51 | ↑ +0% |
| Common Ground | Employee Trust Fund | $47.51 | ↑ +0% |
| United Healthcare | Charter | $56.43 | ↑ +19% |
| United Healthcare | Nexus | $56.43 | ↑ +19% |
| United Healthcare | HMO | $56.43 | ↑ +19% |
| United Healthcare | Exchange | $56.43 | ↑ +19% |
| Anthem | Blue Priority | $57.00 | ↑ +20% |
| Health EOS Plus | Commercial | $57.00 | ↑ +20% |
| Wisconsin Physician Service | Aurora Featured | $58.90 | ↑ +24% |
| Wisconsin Physician Service | Statewide | $61.75 | ↑ +30% |
| Anthem | Blue Preferred | $61.75 | ↑ +30% |
| Wisconsin Physician Service | Arise | $61.75 | ↑ +30% |
| Trilogy | Commercial | $66.50 | ↑ +40% |
| HealthPartners | Broad | $71.25 | ↑ +50% |
| Molina Exchange | Commercial | $73.88 | ↑ +56% |
| Health EOS | PPO | $76.00 | ↑ +60% |
| Aetna | PPO | $78.47 | ↑ +65% |
| United Healthcare | PPO | $79.99 | ↑ +68% |
| Cigna | PPO | $80.37 | ↑ +69% |
| Anthem | PPO | $80.75 | ↑ +70% |
Visitor-reported prices
Comments
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | not published | $25.17 – $35.34 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $33.71 – $120.88 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $33.71 – $125.35 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $33.71 – $120.88 |
| SSM Health Monroe Hospital | Monroe | not published | $23.25 – $69.74 |
| SSM Health Ripon Community Hospital | Ripon | not published | $25.58 – $82.43 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $25.58 – $237.56 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $25.58 – $82.43 |