Cath ptca pcltxl agent 3x20mm at Aurora Medical Center Fond du Lac
210 Wisconsin American Dr., Fond Du Lac, WI · Aurorahealthcare · · NPI 1275578064
$8,220.75
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.
$16,441.50
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.
$8,220.75 with Everpointe Elite vs $13,975.28 with Anthem — 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 |
|---|---|---|---|
| Everpointe Elite | Commercial | $8,220.75 | ↑ +0% |
| HS Technology | Commercial | $8,220.75 | ↑ +0% |
| Aetna | HMO | $8,779.76 | ↑ +7% |
| Quartz One | Commercial | $9,042.83 | ↑ +10% |
| United Healthcare | Exchange | $9,766.25 | ↑ +19% |
| United Healthcare | Charter | $9,766.25 | ↑ +19% |
| United Healthcare | HMO | $9,766.25 | ↑ +19% |
| United Healthcare | Nexus | $9,766.25 | ↑ +19% |
| Common Ground | Employee Trust Fund | $9,864.90 | ↑ +20% |
| Common Ground | Envision | $9,864.90 | ↑ +20% |
| Health EOS Plus | Commercial | $9,864.90 | ↑ +20% |
| Anthem | Blue Priority | $9,864.90 | ↑ +20% |
| Quartz Group | Commercial | $9,864.90 | ↑ +20% |
| Molina Exchange | Commercial | $9,864.90 | ↑ +20% |
| HealthPartners | Employee Trust Fund | $9,864.90 | ↑ +20% |
| Aurora Caregiver | Commercial | $9,864.90 | ↑ +20% |
| Common Ground | Exchange | $9,864.90 | ↑ +20% |
| Wisconsin Physician Service | Aurora Featured | $10,193.73 | ↑ +24% |
| Wisconsin Physician Service | Statewide | $10,686.98 | ↑ +30% |
| Anthem | Blue Preferred | $10,686.98 | ↑ +30% |
| Health Payment Systems | Commercial | $10,686.98 | ↑ +30% |
| Wisconsin Physician Service | Arise | $10,686.98 | ↑ +30% |
| Trilogy | Commercial | $11,509.05 | ↑ +40% |
| Cigna | PPO-GPPO | $12,331.13 | ↑ +50% |
| HealthPartners | Robin | $12,331.13 | ↑ +50% |
| HealthPartners | Broad | $12,331.13 | ↑ +50% |
| Centivo | Commercial | $12,331.13 | ↑ +50% |
| Health EOS | PPO | $13,153.20 | ↑ +60% |
| Aetna | PPO | $13,580.68 | ↑ +65% |
| United Healthcare | PPO | $13,843.74 | ↑ +68% |
| Cigna | PPO | $13,909.51 | ↑ +69% |
| Anthem | PPO | $13,975.28 | ↑ +70% |
Visitor-reported prices
Comments
Cath ptca pcltxl agent 3x20mm at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $15,820.00 | not published |
| Aurora Medical Center Summit | Summit | $9,802.75 | not published |
| Aurora Medical Center Grafton | Grafton | $13,390.50 | not published |
| Aurora Medical Center Kenosha | Kenosha | $11,328.25 | not published |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | $10,593.00 | $5,938.50 – $13,361.63 |
| HSHS St. Nicholas Hospital | SHEBOYGAN | $10,593.00 | $4,397.70 – $9,894.83 |
| HSHS St. Vincent Hospital | Green Bay | $10,593.00 | $2,311.20 – $5,200.20 |