Analysis gene f2 20210g>a variant at Aurora Medical Center Fond du Lac
210 Wisconsin American Dr., Fond Du Lac, WI · Aurorahealthcare · · NPI 1275578064
$112.50
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.
$225.00
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.
$52.55 with United Healthcare vs $230.55 with Trilogy — 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 |
|---|---|---|---|
| United Healthcare | Charter | $52.55 | ↓ -53% |
| United Healthcare | Nexus | $52.55 | ↓ -53% |
| United Healthcare | Exchange | $52.55 | ↓ -53% |
| United Healthcare | HMO | $52.55 | ↓ -53% |
| Anthem | Blue Priority | $65.69 | ↓ -42% |
| Aurora Caregiver | Commercial | $65.69 | ↓ -42% |
| Anthem | Blue Preferred | $78.83 | ↓ -30% |
| Health EOS Plus | Commercial | $135.00 | ↑ +20% |
| Common Ground | Exchange | $137.95 | ↑ +23% |
| Common Ground | Employee Trust Fund | $137.95 | ↑ +23% |
| Common Ground | Envision | $143.60 | ↑ +28% |
| Centivo | Commercial | $143.60 | ↑ +28% |
| Everpointe Elite | Commercial | $145.19 | ↑ +29% |
| Aetna | HMO | $146.49 | ↑ +30% |
| Health Payment Systems | Commercial | $164.23 | ↑ +46% |
| Quartz One | Commercial | $164.23 | ↑ +46% |
| HealthPartners | Broad | $168.75 | ↑ +50% |
| HealthPartners | Employee Trust Fund | $174.22 | ↑ +55% |
| Health EOS | PPO | $180.00 | ↑ +60% |
| Molina Exchange | Commercial | $181.30 | ↑ +61% |
| HS Technology | Commercial | $184.85 | ↑ +64% |
| Aetna | PPO | $185.85 | ↑ +65% |
| United Healthcare | PPO | $189.45 | ↑ +68% |
| Cigna | PPO | $190.35 | ↑ +69% |
| Quartz Group | Commercial | $190.50 | ↑ +69% |
| Anthem | PPO | $191.25 | ↑ +70% |
| Cigna | PPO-GPPO | $192.09 | ↑ +71% |
| Wisconsin Physician Service | Aurora Featured | $212.84 | ↑ +89% |
| HealthPartners | Robin | $223.01 | ↑ +98% |
| Wisconsin Physician Service | Arise | $224.00 | ↑ +99% |
| Wisconsin Physician Service | Statewide | $224.00 | ↑ +99% |
| Trilogy | Commercial | $230.55 | ↑ +105% |
Visitor-reported prices
Comments
Analysis gene f2 20210g>a variant at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $315.70 | $49.27 – $126.78 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $478.06 | $65.69 – $214.33 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $478.06 | $65.69 – $214.33 |
| UnityPoint Health - Meriter Hospital | Madison | $132.80 | $31.41 – $65.69 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | $261.29 | $63.72 – $85.47 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $557.70 | $49.27 – $489.13 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $540.10 | $49.27 – $391.29 |
| SSM Health St. Mary's Hospital - Madison | Madison | $398.75 | $49.27 – $400.19 |