Graft puraplyam antimicrob 1.6-q4196-cost per sq cm at Aurora Medical Center Fond du Lac

210 Wisconsin American Dr., Fond Du Lac, WI · Aurorahealthcare · · NPI 1275578064

Source: hospital's published price file ↗ · Published Nov 21, 2025 · Ingested Sep 16, 2026

$314.50

Cash price

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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.

$629.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$95.56 with Everpointe Elite vs $271.73 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 →

Payer
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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
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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 $95.56 ↓ -70%
Aurora Caregiver Commercial $105.35 ↓ -67%
Aetna HMO $108.86 ↓ -65%
HealthPartners Employee Trust Fund $123.33 ↓ -61%
HealthPartners Robin $128.99 ↓ -59%
Centivo Commercial $138.56 ↓ -56%
Common Ground Envision $138.56 ↓ -56%
Health Payment Systems Commercial $142.68 ↓ -55%
Quartz One Commercial $142.68 ↓ -55%
Common Ground Exchange $144.33 ↓ -54%
Common Ground Employee Trust Fund $144.33 ↓ -54%
Cigna PPO-GPPO $158.54 ↓ -50%
HS Technology Commercial $159.84 ↓ -49%
Quartz Group Commercial $163.82 ↓ -48%
United Healthcare Nexus $189.89 ↓ -40%
United Healthcare Charter $189.89 ↓ -40%
United Healthcare Exchange $189.89 ↓ -40%
United Healthcare HMO $189.89 ↓ -40%
Anthem Blue Priority $191.81 ↓ -39%
Health EOS Plus Commercial $191.81 ↓ -39%
Wisconsin Physician Service Aurora Featured $198.20 ↓ -37%
Wisconsin Physician Service Statewide $207.79 ↓ -34%
Anthem Blue Preferred $207.79 ↓ -34%
Wisconsin Physician Service Arise $207.79 ↓ -34%
Trilogy Commercial $223.78 ↓ -29%
HealthPartners Broad $239.76 ↓ -24%
Health EOS PPO $255.74 ↓ -19%
Molina Exchange Commercial $257.88 ↓ -18%
Aetna PPO $264.06 ↓ -16%
United Healthcare PPO $269.17 ↓ -14%
Cigna PPO $270.45 ↓ -14%
Anthem PPO $271.73 ↓ -14%

Visitor-reported prices

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Graft puraplyam antimicrob 1.6-q4196-cost per sq cm at other Wisconsin hospitals

Hospital City Cash price Negotiated range
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $92.32 – $287.74
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $176.49 $126.23 – $316.50
UnityPoint Health - Meriter Hospital Madison $272.00 $78.20 – $289.00
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh $141.36 $144.86 – $248.00
Aurora Medical Center Burlington Burlington $215.91 $95.56 – $257.88
Aurora Medical Center Sheboygan County Sheboygan $180.95 $95.56 – $257.88
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee $91.16 $72.24 – $157.48
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton $141.36 $144.86 – $248.00

All Wisconsin hospitals for this procedure →