Tpmt gene com vrnts at Aurora Medical Center Burlington
252 McHenry St, Burlington, WI · Aurorahealthcare · · NPI 1861557753
$202.50
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.
?
What you pay up front if you don't use insurance.
$405.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$139.85 with United Healthcare vs $613.52 with Trilogy — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United Healthcare | HMO | $139.85 | ↓ -31% |
| United Healthcare | Charter | $139.85 | ↓ -31% |
| United Healthcare | Nexus | $139.85 | ↓ -31% |
| United Healthcare | Exchange | $139.85 | ↓ -31% |
| Anthem | Blue Priority | $174.81 | ↓ -14% |
| Aurora Caregiver | Commercial | $174.81 | ↓ -14% |
| Anthem | Blue Preferred | $209.77 | ↑ +4% |
| Health EOS Plus | Commercial | $243.00 | ↑ +20% |
| HealthPartners | Broad | $303.75 | ↑ +50% |
| Health EOS | PPO | $324.00 | ↑ +60% |
| Aetna | PPO | $334.53 | ↑ +65% |
| United Healthcare | PPO | $341.01 | ↑ +68% |
| Cigna | PPO | $342.63 | ↑ +69% |
| Anthem | PPO | $344.25 | ↑ +70% |
| Common Ground | Exchange | $367.10 | ↑ +81% |
| Common Ground | Employee Trust Fund | $367.10 | ↑ +81% |
| Everpointe Elite | Commercial | $376.03 | ↑ +86% |
| Common Ground | Envision | $382.13 | ↑ +89% |
| Centivo | Commercial | $382.13 | ↑ +89% |
| Aetna | HMO | $389.83 | ↑ +93% |
| Quartz One | Commercial | $437.03 | ↑ +116% |
| Health Payment Systems | Commercial | $437.03 | ↑ +116% |
| HealthPartners | Employee Trust Fund | $463.64 | ↑ +129% |
| Molina Exchange | Commercial | $482.48 | ↑ +138% |
| HS Technology | Commercial | $491.92 | ↑ +143% |
| Quartz Group | Commercial | $506.95 | ↑ +150% |
| Cigna | PPO-GPPO | $510.33 | ↑ +152% |
| Wisconsin Physician Service | Aurora Featured | $566.38 | ↑ +180% |
| HealthPartners | Robin | $593.46 | ↑ +193% |
| Wisconsin Physician Service | Arise | $596.10 | ↑ +194% |
| Wisconsin Physician Service | Statewide | $596.10 | ↑ +194% |
| Trilogy | Commercial | $613.52 | ↑ +203% |
Visitor-reported prices
Comments
Tpmt gene com vrnts 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 | $1,428.88 | $174.81 – $557.06 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $1,428.88 | $174.81 – $557.06 |
| UnityPoint Health - Meriter Hospital | Madison | $756.80 | $104.89 – $247.81 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $227.70 | $131.11 – $1,226.51 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $218.35 | $131.11 – $981.20 |
| SSM Health St. Mary's Hospital - Madison | Madison | $227.70 | $131.11 – $1,003.52 |
| SSM Health Monroe Hospital | Monroe | $217.25 | $174.81 – $305.92 |
| SSM Health Ripon Community Hospital | Ripon | $464.75 | $174.81 – $305.92 |