Chromogenic substrate assay at Aurora Medical Center Fond du Lac
210 Wisconsin American Dr., Fond Du Lac, WI · Aurorahealthcare · · NPI 1275578064
$137.50
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.
$275.00
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.
$9.51 with United Healthcare vs $233.75 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 |
|---|---|---|---|
| United Healthcare | HMO | $9.51 | ↓ -93% |
| United Healthcare | Nexus | $9.51 | ↓ -93% |
| United Healthcare | Exchange | $9.51 | ↓ -93% |
| United Healthcare | Charter | $9.51 | ↓ -93% |
| Anthem | Blue Priority | $11.89 | ↓ -91% |
| Aurora Caregiver | Commercial | $11.89 | ↓ -91% |
| Anthem | Blue Preferred | $14.27 | ↓ -90% |
| Common Ground | Exchange | $24.97 | ↓ -82% |
| Common Ground | Employee Trust Fund | $24.97 | ↓ -82% |
| Centivo | Commercial | $25.99 | ↓ -81% |
| Common Ground | Envision | $25.99 | ↓ -81% |
| Aetna | HMO | $26.51 | ↓ -81% |
| Quartz One | Commercial | $29.73 | ↓ -78% |
| Health Payment Systems | Commercial | $29.73 | ↓ -78% |
| HealthPartners | Employee Trust Fund | $31.54 | ↓ -77% |
| Molina Exchange | Commercial | $32.82 | ↓ -76% |
| HS Technology | Commercial | $33.46 | ↓ -76% |
| Cigna | PPO-GPPO | $34.41 | ↓ -75% |
| Quartz Group | Commercial | $34.48 | ↓ -75% |
| Everpointe Elite | Commercial | $35.09 | ↓ -74% |
| Wisconsin Physician Service | Aurora Featured | $38.52 | ↓ -72% |
| HealthPartners | Robin | $40.37 | ↓ -71% |
| Wisconsin Physician Service | Statewide | $40.54 | ↓ -71% |
| Wisconsin Physician Service | Arise | $40.54 | ↓ -71% |
| Trilogy | Commercial | $41.72 | ↓ -70% |
| Health EOS Plus | Commercial | $165.00 | ↑ +20% |
| HealthPartners | Broad | $206.25 | ↑ +50% |
| Health EOS | PPO | $220.00 | ↑ +60% |
| Aetna | PPO | $227.15 | ↑ +65% |
| United Healthcare | PPO | $231.55 | ↑ +68% |
| Cigna | PPO | $232.65 | ↑ +69% |
| Anthem | PPO | $233.75 | ↑ +70% |
Visitor-reported prices
Comments
Chromogenic substrate assay at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $8.92 – $22.95 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $40.81 | $11.89 – $51.59 |
| UnityPoint Health - Meriter Hospital | Madison | $119.20 | $7.13 – $48.60 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $137.50 | $9.51 – $41.72 |
| Aurora Medical Center Summit | Summit | $137.50 | $9.51 – $41.72 |
| Aurora Baycare Medical Center | Green Bay | $137.50 | $9.51 – $41.72 |
| Aurora Medical Center Manitowoc | Two Rivers | $137.50 | $9.51 – $41.72 |
| Aurora West Allis Medical Center | West Allis | $137.50 | $9.51 – $41.72 |