Hrdtry brst ca-rlatd do 5+ at Aurora Medical Center Fond du Lac
210 Wisconsin American Dr., Fond Du Lac, WI · Aurorahealthcare · · NPI 1275578064
$2,815.00
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.
$5,630.00
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.
$543.24 with United Healthcare vs $4,785.50 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 | Nexus | $543.24 | ↓ -81% |
| United Healthcare | Exchange | $543.24 | ↓ -81% |
| United Healthcare | HMO | $543.24 | ↓ -81% |
| United Healthcare | Charter | $543.24 | ↓ -81% |
| Aurora Caregiver | Commercial | $679.05 | ↓ -76% |
| Anthem | Blue Priority | $679.05 | ↓ -76% |
| Anthem | Blue Preferred | $814.86 | ↓ -71% |
| Common Ground | Exchange | $1,426.01 | ↓ -49% |
| Common Ground | Employee Trust Fund | $1,426.01 | ↓ -49% |
| Common Ground | Envision | $1,484.40 | ↓ -47% |
| Centivo | Commercial | $1,484.40 | ↓ -47% |
| Quartz One | Commercial | $1,697.63 | ↓ -40% |
| Health Payment Systems | Commercial | $1,697.63 | ↓ -40% |
| HealthPartners | Employee Trust Fund | $1,801.01 | ↓ -36% |
| HS Technology | Commercial | $1,910.85 | ↓ -32% |
| Quartz Group | Commercial | $1,969.25 | ↓ -30% |
| Cigna | PPO-GPPO | $1,982.10 | ↓ -30% |
| Everpointe Elite | Commercial | $2,003.65 | ↓ -29% |
| Wisconsin Physician Service | Aurora Featured | $2,200.12 | ↓ -22% |
| HealthPartners | Robin | $2,305.29 | ↓ -18% |
| Wisconsin Physician Service | Statewide | $2,315.56 | ↓ -18% |
| Wisconsin Physician Service | Arise | $2,315.56 | ↓ -18% |
| Trilogy | Commercial | $2,383.19 | ↓ -15% |
| Aetna | HMO | $2,907.81 | ↑ +3% |
| Health EOS Plus | Commercial | $3,378.00 | ↑ +20% |
| Molina Exchange | Commercial | $3,598.90 | ↑ +28% |
| HealthPartners | Broad | $4,222.50 | ↑ +50% |
| Health EOS | PPO | $4,504.00 | ↑ +60% |
| Aetna | PPO | $4,650.38 | ↑ +65% |
| United Healthcare | PPO | $4,740.46 | ↑ +68% |
| Cigna | PPO | $4,762.98 | ↑ +69% |
| Anthem | PPO | $4,785.50 | ↑ +70% |
Visitor-reported prices
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Hrdtry brst ca-rlatd do 5+ at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $679.05 – $2,516.62 |
| UnityPoint Health - Meriter Hospital | Madison | $2,017.15 | $407.43 – $1,303.95 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $2,815.00 | $543.24 – $3,598.90 |
| Aurora Medical Center Summit | Summit | $2,815.00 | $543.24 – $3,598.90 |
| Aurora Medical Center Manitowoc | Two Rivers | $2,815.00 | $543.24 – $3,598.90 |
| Aurora West Allis Medical Center | West Allis | $2,815.00 | $543.24 – $3,598.90 |
| Aurora Medical Center Burlington | Burlington | $2,815.00 | $543.24 – $3,598.90 |
| Aurora Medical Center Washington County | Hartford | $2,815.00 | $543.24 – $3,598.90 |