Dmd dup/delet analysis at Aurora Medical Center Fond du Lac
210 Wisconsin American Dr., Fond Du Lac, WI · Aurorahealthcare · · NPI 1275578064
not published by hospital
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.
not published by hospital
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.
$223.20 with United Healthcare vs $979.17 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 | Nexus | $223.20 | — |
| United Healthcare | Exchange | $223.20 | — |
| United Healthcare | HMO | $223.20 | — |
| United Healthcare | Charter | $223.20 | — |
| Anthem | Blue Priority | $279.00 | — |
| Aurora Caregiver | Commercial | $279.00 | — |
| Everpointe Elite | Commercial | $303.56 | — |
| Anthem | Blue Preferred | $334.80 | — |
| Common Ground | Employee Trust Fund | $585.90 | — |
| Common Ground | Exchange | $585.90 | — |
| Centivo | Commercial | $609.89 | — |
| Common Ground | Envision | $609.89 | — |
| Aetna | HMO | $622.17 | — |
| Quartz One | Commercial | $697.50 | — |
| Health Payment Systems | Commercial | $697.50 | — |
| HealthPartners | Employee Trust Fund | $739.98 | — |
| Molina Exchange | Commercial | $770.04 | — |
| HS Technology | Commercial | $785.11 | — |
| Quartz Group | Commercial | $809.10 | — |
| Cigna | PPO-GPPO | $814.23 | — |
| Wisconsin Physician Service | Aurora Featured | $903.96 | — |
| HealthPartners | Robin | $947.17 | — |
| Wisconsin Physician Service | Arise | $951.39 | — |
| Wisconsin Physician Service | Statewide | $951.39 | — |
| Trilogy | Commercial | $979.17 | — |
Visitor-reported prices
Comments
Dmd dup/delet analysis at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $208.18 – $538.47 |
| UnityPoint Health - Meriter Hospital | Madison | $837.08 | $167.40 – $381.91 |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | $368.28 | $140.01 – $627.75 |
| HSHS St. Nicholas Hospital | SHEBOYGAN | $368.28 | $140.01 – $627.75 |
| HSHS St. Vincent Hospital | Green Bay | $368.28 | $140.01 – $627.75 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $204.87 – $873.17 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $204.87 – $873.17 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $145.35 – $270.63 |