Revision tips at Aurora Medical Center Burlington
252 McHenry St, Burlington, WI · Aurorahealthcare · · NPI 1861557753
$8,940.00
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.
$17,880.00
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.
$7,688.40 with HealthPartners vs $19,992.00 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 |
|---|---|---|---|
| HealthPartners | Employee Trust Fund | $7,688.40 | ↓ -14% |
| HealthPartners | Robin | $10,370.40 | ↑ +16% |
| Health EOS Plus | Commercial | $10,728.00 | ↑ +20% |
| Common Ground | Employee Trust Fund | $11,037.00 | ↑ +23% |
| Common Ground | Envision | $11,037.00 | ↑ +23% |
| Common Ground | Exchange | $11,037.00 | ↑ +23% |
| Everpointe Elite | Commercial | $11,136.00 | ↑ +25% |
| Quartz One | Commercial | $11,150.00 | ↑ +25% |
| Aurora Caregiver | Commercial | $11,750.00 | ↑ +31% |
| Molina Exchange | Commercial | $12,508.00 | ↑ +40% |
| HS Technology | Commercial | $12,943.00 | ↑ +45% |
| Quartz Group | Commercial | $13,050.00 | ↑ +46% |
| HealthPartners | Broad | $13,410.00 | ↑ +50% |
| Centivo | Commercial | $13,933.00 | ↑ +56% |
| Health Payment Systems | Commercial | $14,150.00 | ↑ +58% |
| Health EOS | PPO | $14,304.00 | ↑ +60% |
| Aetna | HMO | $14,482.00 | ↑ +62% |
| Wisconsin Physician Service | Aurora Featured | $14,623.00 | ↑ +64% |
| Aetna | PPO | $14,768.88 | ↑ +65% |
| United Healthcare | PPO | $15,054.96 | ↑ +68% |
| Cigna | PPO | $15,126.48 | ↑ +69% |
| Anthem | PPO | $15,198.00 | ↑ +70% |
| Wisconsin Physician Service | Arise | $15,393.00 | ↑ +72% |
| Wisconsin Physician Service | Statewide | $15,393.00 | ↑ +72% |
| Anthem | Blue Priority | $15,494.00 | ↑ +73% |
| Trilogy | Commercial | $16,378.00 | ↑ +83% |
| United Healthcare | Exchange | $17,828.00 | ↑ +99% |
| United Healthcare | Charter | $17,955.00 | ↑ +101% |
| United Healthcare | Nexus | $17,955.00 | ↑ +101% |
| Cigna | PPO-GPPO | $19,000.00 | ↑ +113% |
| United Healthcare | HMO | $19,562.00 | ↑ +119% |
| Anthem | Blue Preferred | $19,992.00 | ↑ +124% |
Visitor-reported prices
Comments
Revision tips 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 | $21,619.23 | $590.43 – $24,724.85 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $21,619.23 | $590.43 – $24,724.85 |
| SSM Health St. Mary's Hospital - Madison | Madison | $14,012.35 | $4,146.30 – $27,690.00 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $8,940.00 | not published |
| Aurora Medical Center Summit | Summit | $8,940.00 | not published |
| Aurora Baycare Medical Center | Green Bay | $8,940.00 | not published |
| Aurora West Allis Medical Center | West Allis | $8,940.00 | not published |
| Aurora Medical Center Bay Area | Marinette | $8,940.00 | not published |