Cytogenetics 25-99 at Aurora Medical Center Fond du Lac
210 Wisconsin American Dr., Fond Du Lac, WI · Aurorahealthcare · · NPI 1275578064
$265.00
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.
$530.00
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.
$33.90 with United Healthcare vs $450.50 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 | $33.90 | ↓ -87% |
| United Healthcare | Nexus | $33.90 | ↓ -87% |
| United Healthcare | Exchange | $33.90 | ↓ -87% |
| United Healthcare | Charter | $33.90 | ↓ -87% |
| Anthem | Blue Priority | $42.38 | ↓ -84% |
| Aurora Caregiver | Commercial | $42.38 | ↓ -84% |
| Anthem | Blue Preferred | $50.86 | ↓ -81% |
| Common Ground | Exchange | $89.00 | ↓ -66% |
| Common Ground | Employee Trust Fund | $89.00 | ↓ -66% |
| Centivo | Commercial | $92.64 | ↓ -65% |
| Common Ground | Envision | $92.64 | ↓ -65% |
| Aetna | HMO | $94.51 | ↓ -64% |
| Everpointe Elite | Commercial | $102.71 | ↓ -61% |
| Health Payment Systems | Commercial | $105.95 | ↓ -60% |
| Quartz One | Commercial | $105.95 | ↓ -60% |
| HealthPartners | Employee Trust Fund | $112.40 | ↓ -58% |
| Molina Exchange | Commercial | $116.97 | ↓ -56% |
| HS Technology | Commercial | $119.26 | ↓ -55% |
| Quartz Group | Commercial | $122.90 | ↓ -54% |
| Cigna | PPO-GPPO | $123.27 | ↓ -53% |
| Wisconsin Physician Service | Aurora Featured | $137.31 | ↓ -48% |
| HealthPartners | Robin | $143.87 | ↓ -46% |
| Wisconsin Physician Service | Statewide | $144.52 | ↓ -45% |
| Wisconsin Physician Service | Arise | $144.52 | ↓ -45% |
| Trilogy | Commercial | $148.74 | ↓ -44% |
| Health EOS Plus | Commercial | $318.00 | ↑ +20% |
| HealthPartners | Broad | $397.50 | ↑ +50% |
| Health EOS | PPO | $424.00 | ↑ +60% |
| Aetna | PPO | $437.78 | ↑ +65% |
| United Healthcare | PPO | $446.26 | ↑ +68% |
| Cigna | PPO | $448.38 | ↑ +69% |
| Anthem | PPO | $450.50 | ↑ +70% |
Visitor-reported prices
Comments
Cytogenetics 25-99 at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $31.78 – $81.79 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $645.01 | $42.38 – $151.29 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $645.01 | $42.38 – $151.29 |
| UnityPoint Health - Meriter Hospital | Madison | $330.39 | $42.38 – $148.67 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $215.05 | $31.78 – $346.01 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $181.50 | $31.78 – $276.83 |
| SSM Health St. Mary's Hospital - Madison | Madison | $185.35 | $31.78 – $283.12 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $265.00 | $33.90 – $148.74 |