Acetazolamide 500 mg solution for injection at Aurora Medical Center Fond du Lac
210 Wisconsin American Dr., Fond Du Lac, WI · Aurorahealthcare · · NPI 1275578064
$51.73
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.
$103.45
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.
$19.06 with Anthem vs $87.93 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 |
|---|---|---|---|
| Anthem | Blue Priority | $19.06 | ↓ -63% |
| Aetna | HMO | $22.27 | ↓ -57% |
| Everpointe Elite | Commercial | $22.66 | ↓ -56% |
| Anthem | Blue Preferred | $22.87 | ↓ -56% |
| Aurora Caregiver | Commercial | $23.65 | ↓ -54% |
| HealthPartners | Employee Trust Fund | $25.23 | ↓ -51% |
| HealthPartners | Robin | $26.38 | ↓ -49% |
| Centivo | Commercial | $28.34 | ↓ -45% |
| Common Ground | Envision | $28.34 | ↓ -45% |
| Quartz One | Commercial | $29.18 | ↓ -44% |
| Health Payment Systems | Commercial | $29.18 | ↓ -44% |
| Common Ground | Exchange | $32.40 | ↓ -37% |
| Common Ground | Employee Trust Fund | $32.40 | ↓ -37% |
| Cigna | PPO-GPPO | $32.43 | ↓ -37% |
| Quartz Group | Commercial | $33.51 | ↓ -35% |
| HS Technology | Commercial | $51.73 | ↑ +0% |
| Molina Exchange | Commercial | $52.75 | ↑ +2% |
| Wisconsin Physician Service | Aurora Featured | $53.79 | ↑ +4% |
| Wisconsin Physician Service | Statewide | $56.90 | ↑ +10% |
| Trilogy | Commercial | $56.90 | ↑ +10% |
| Wisconsin Physician Service | Arise | $56.90 | ↑ +10% |
| United Healthcare | Charter | $61.45 | ↑ +19% |
| United Healthcare | Nexus | $61.45 | ↑ +19% |
| United Healthcare | Exchange | $61.45 | ↑ +19% |
| United Healthcare | HMO | $61.45 | ↑ +19% |
| Health EOS Plus | Commercial | $62.07 | ↑ +20% |
| HealthPartners | Broad | $77.59 | ↑ +50% |
| Health EOS | PPO | $82.76 | ↑ +60% |
| Aetna | PPO | $85.45 | ↑ +65% |
| United Healthcare | PPO | $87.10 | ↑ +68% |
| Cigna | PPO | $87.52 | ↑ +69% |
| Anthem | PPO | $87.93 | ↑ +70% |
Visitor-reported prices
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Acetazolamide 500 mg solution for injection at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $20.97 – $58.86 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $71.40 | $27.52 – $90.59 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $71.40 | $27.52 – $90.59 |
| UnityPoint Health - Meriter Hospital | Madison | $134.00 | $17.23 – $127.93 |
| Aurora Medical Center Summit | Summit | $52.11 | $19.06 – $52.75 |
| Aurora Medical Center Manitowoc | Two Rivers | $31.33 | $19.06 – $52.75 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $83.31 | $36.85 – $146.15 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $71.40 | $26.59 – $65.94 |