Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-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

$464.97

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.

Full explanation →

What you pay up front if you don't use insurance.

$929.93

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.

$48.87 with Aurora Caregiver vs $118.23 with Molina Exchange — 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
Aurora Caregiver Commercial $48.87 ↓ -89%
Aetna HMO $49.91 ↓ -89%
HealthPartners Employee Trust Fund $56.54 ↓ -88%
HealthPartners Robin $59.14 ↓ -87%
Common Ground Envision $63.52 ↓ -86%
Centivo Commercial $63.52 ↓ -86%
HS Technology Commercial $65.00 ↓ -86%
Health Payment Systems Commercial $65.41 ↓ -86%
Quartz One Commercial $65.41 ↓ -86%
Common Ground Exchange $66.95 ↓ -86%
Common Ground Employee Trust Fund $66.95 ↓ -86%
Everpointe Elite Commercial $68.74 ↓ -85%
Cigna PPO-GPPO $72.68 ↓ -84%
Quartz Group Commercial $75.10 ↓ -84%
United Healthcare Charter $77.22 ↓ -83%
United Healthcare Nexus $77.22 ↓ -83%
United Healthcare HMO $77.22 ↓ -83%
United Healthcare Exchange $77.22 ↓ -83%
Anthem Blue Priority $78.00 ↓ -83%
Health EOS Plus Commercial $78.00 ↓ -83%
Wisconsin Physician Service Aurora Featured $80.60 ↓ -83%
Wisconsin Physician Service Statewide $84.50 ↓ -82%
Anthem Blue Preferred $84.50 ↓ -82%
Wisconsin Physician Service Arise $84.50 ↓ -82%
Trilogy Commercial $91.00 ↓ -80%
HealthPartners Broad $97.50 ↓ -79%
Health EOS PPO $104.00 ↓ -78%
Aetna PPO $107.38 ↓ -77%
United Healthcare PPO $109.46 ↓ -76%
Cigna PPO $109.98 ↓ -76%
Anthem PPO $110.50 ↓ -76%
Molina Exchange Commercial $118.23 ↓ -75%

Visitor-reported prices

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Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-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 $56.97 – $237.56
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $68.90 $50.95 – $103.57
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $68.90 $50.95 – $103.57
UnityPoint Health - Meriter Hospital Madison $56.00 $16.10 – $59.50
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee $65.00 $48.87 – $118.23
Aurora Medical Center Summit Summit $65.00 $48.87 – $118.23
Aurora Baycare Medical Center Green Bay $65.00 $48.87 – $118.23
Aurora Medical Center Manitowoc Two Rivers $65.00 $48.87 – $118.23

All Wisconsin hospitals for this procedure →