Remove ureter stent percut at Aurora Medical Center Burlington
252 McHenry St, Burlington, WI · Aurorahealthcare · · NPI 1861557753
$2,275.00
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.
$4,550.00
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.
$1,894.00 with Aetna vs $8,384.00 with United Healthcare — 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 | $1,894.00 | ↓ -17% |
| HealthPartners | Employee Trust Fund | $1,956.50 | ↓ -14% |
| Everpointe Elite | Commercial | $2,153.00 | ↓ -5% |
| Aurora Caregiver | Commercial | $2,450.00 | ↑ +8% |
| Molina Exchange | Commercial | $2,568.00 | ↑ +13% |
| HealthPartners | Robin | $2,639.00 | ↑ +16% |
| Common Ground | Exchange | $2,727.00 | ↑ +20% |
| Common Ground | Envision | $2,727.00 | ↑ +20% |
| Common Ground | Employee Trust Fund | $2,727.00 | ↑ +20% |
| Health EOS Plus | Commercial | $2,730.00 | ↑ +20% |
| Quartz One | Commercial | $2,790.00 | ↑ +23% |
| Wisconsin Physician Service | Aurora Featured | $2,883.00 | ↑ +27% |
| Wisconsin Physician Service | Statewide | $3,035.00 | ↑ +33% |
| Wisconsin Physician Service | Arise | $3,035.00 | ↑ +33% |
| HS Technology | Commercial | $3,152.00 | ↑ +39% |
| Centivo | Commercial | $3,169.00 | ↑ +39% |
| Quartz Group | Commercial | $3,260.00 | ↑ +43% |
| Health Payment Systems | Commercial | $3,350.00 | ↑ +47% |
| HealthPartners | Broad | $3,412.50 | ↑ +50% |
| Cigna | PPO-GPPO | $3,500.00 | ↑ +54% |
| Health EOS | PPO | $3,640.00 | ↑ +60% |
| Aetna | PPO | $3,758.30 | ↑ +65% |
| United Healthcare | PPO | $3,831.10 | ↑ +68% |
| Cigna | PPO | $3,849.30 | ↑ +69% |
| Anthem | PPO | $3,867.50 | ↑ +70% |
| Trilogy | Commercial | $4,387.00 | ↑ +93% |
| Anthem | Blue Priority | $5,692.00 | ↑ +150% |
| Anthem | Blue Preferred | $7,344.00 | ↑ +223% |
| United Healthcare | Exchange | $7,640.00 | ↑ +236% |
| United Healthcare | Nexus | $7,696.00 | ↑ +238% |
| United Healthcare | Charter | $7,696.00 | ↑ +238% |
| United Healthcare | HMO | $8,384.00 | ↑ +269% |
Visitor-reported prices
Comments
Remove ureter stent percut at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $4,161.47 | $202.75 – $1,727.01 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $1,824.35 | $1,579.16 – $6,798.00 |
| SSM Health St. Mary's Hospital - Madison | Madison | $2,382.60 | $1,522.84 – $8,124.00 |
| SSM Health Monroe Hospital | Monroe | $2,076.25 | $2,030.46 – $8,701.00 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $2,275.00 | not published |
| Aurora Medical Center Summit | Summit | $2,275.00 | not published |
| Aurora Baycare Medical Center | Green Bay | $2,275.00 | not published |
| Aurora West Allis Medical Center | West Allis | $2,275.00 | not published |