Bx soft tiss pelvis+hip area supf 27040 at Aurora Medical Center Fond du Lac
210 Wisconsin American Dr., Fond Du Lac, WI · Aurorahealthcare · · NPI 1275578064
$1,290.00
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.
$2,580.00
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.
$1,109.40 with HealthPartners vs $4,387.00 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 |
|---|---|---|---|
| HealthPartners | Employee Trust Fund | $1,109.40 | ↓ -14% |
| HealthPartners | Robin | $1,496.40 | ↑ +16% |
| Health EOS Plus | Commercial | $1,548.00 | ↑ +20% |
| Aetna | HMO | $1,894.00 | ↑ +47% |
| HealthPartners | Broad | $1,935.00 | ↑ +50% |
| Anthem | Blue Priority | $1,979.00 | ↑ +53% |
| Health EOS | PPO | $2,064.00 | ↑ +60% |
| Aetna | PPO | $2,131.08 | ↑ +65% |
| Everpointe Elite | Commercial | $2,153.00 | ↑ +67% |
| United Healthcare | PPO | $2,172.36 | ↑ +68% |
| Cigna | PPO | $2,182.68 | ↑ +69% |
| Anthem | PPO | $2,193.00 | ↑ +70% |
| United Healthcare | Exchange | $2,445.00 | ↑ +90% |
| Aurora Caregiver | Commercial | $2,450.00 | ↑ +90% |
| United Healthcare | Nexus | $2,462.00 | ↑ +91% |
| United Healthcare | Charter | $2,462.00 | ↑ +91% |
| Anthem | Blue Preferred | $2,550.00 | ↑ +98% |
| Molina Exchange | Commercial | $2,568.00 | ↑ +99% |
| United Healthcare | HMO | $2,683.00 | ↑ +108% |
| Common Ground | Exchange | $2,727.00 | ↑ +111% |
| Common Ground | Employee Trust Fund | $2,727.00 | ↑ +111% |
| Common Ground | Envision | $2,727.00 | ↑ +111% |
| Quartz One | Commercial | $2,790.00 | ↑ +116% |
| Wisconsin Physician Service | Aurora Featured | $2,883.00 | ↑ +123% |
| Wisconsin Physician Service | Statewide | $3,035.00 | ↑ +135% |
| Wisconsin Physician Service | Arise | $3,035.00 | ↑ +135% |
| HS Technology | Commercial | $3,152.00 | ↑ +144% |
| Centivo | Commercial | $3,169.00 | ↑ +146% |
| Quartz Group | Commercial | $3,260.00 | ↑ +153% |
| Health Payment Systems | Commercial | $3,350.00 | ↑ +160% |
| Cigna | PPO-GPPO | $3,500.00 | ↑ +171% |
| Trilogy | Commercial | $4,387.00 | ↑ +240% |
Visitor-reported prices
Comments
Bx soft tiss pelvis+hip area supf 27040 at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $1,225.21 – $3,152.87 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $312.17 | $317.75 – $1,369.97 |
| UnityPoint Health - Meriter Hospital | Madison | $1,680.00 | $128.57 – $607.65 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $1,290.00 | not published |
| Aurora Medical Center Summit | Summit | $1,290.00 | not published |
| Aurora Baycare Medical Center | Green Bay | $1,290.00 | not published |
| Aurora West Allis Medical Center | West Allis | $1,290.00 | not published |
| Aurora Medical Center Burlington | Burlington | $1,290.00 | not published |