In-111 autol wbc diag per dose 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

$3,210.00

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.

$6,420.00

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.

$1,031.39 with United Healthcare vs $6,441.24 with Cigna — 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
United Healthcare Charter $1,031.39 ↓ -68%
United Healthcare Nexus $1,031.39 ↓ -68%
United Healthcare HMO $1,031.39 ↓ -68%
United Healthcare Exchange $1,031.39 ↓ -68%
HS Technology Commercial $3,210.00 ↑ +0%
Everpointe Elite Commercial $3,210.00 ↑ +0%
Quartz One Commercial $3,531.00 ↑ +10%
Common Ground Employee Trust Fund $3,852.00 ↑ +20%
Quartz Group Commercial $3,852.00 ↑ +20%
Molina Exchange Commercial $3,852.00 ↑ +20%
HealthPartners Employee Trust Fund $3,852.00 ↑ +20%
Health EOS Plus Commercial $3,852.00 ↑ +20%
Common Ground Exchange $3,852.00 ↑ +20%
Common Ground Envision $3,852.00 ↑ +20%
Aurora Caregiver Commercial $3,852.00 ↑ +20%
Wisconsin Physician Service Aurora Featured $3,980.40 ↑ +24%
Aetna HMO $4,041.56 ↑ +26%
Wisconsin Physician Service Statewide $4,173.00 ↑ +30%
Health Payment Systems Commercial $4,173.00 ↑ +30%
Wisconsin Physician Service Arise $4,173.00 ↑ +30%
Anthem Blue Priority $4,209.96 ↑ +31%
Trilogy Commercial $4,494.00 ↑ +40%
Centivo Commercial $4,815.00 ↑ +50%
HealthPartners Broad $4,815.00 ↑ +50%
HealthPartners Robin $4,815.00 ↑ +50%
Anthem Blue Preferred $5,051.95 ↑ +57%
Health EOS PPO $5,136.00 ↑ +60%
Aetna PPO $5,302.92 ↑ +65%
United Healthcare PPO $5,405.64 ↑ +68%
Cigna PPO $5,431.32 ↑ +69%
Anthem PPO $5,457.00 ↑ +70%
Cigna PPO-GPPO $6,441.24 ↑ +101%

Visitor-reported prices

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In-111 autol wbc diag per dose at other Wisconsin hospitals

Hospital City Cash price Negotiated range
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac $983.95 $827.39 – $2,807.95
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $5,749.44 $1,701.79 – $6,734.57
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $5,749.44 $1,701.79 – $6,734.57
UnityPoint Health - Meriter Hospital Madison $4,915.04 $1,031.39 – $2,242.48
SSM Health St. Clare Hospital - Baraboo Baraboo $1,370.60 not published
SSM Health St. Mary's Hospital - Janesville Janesville $1,833.15 not published
SSM Health St. Mary's Hospital - Madison Madison $1,833.15 not published
SSM Health Monroe Hospital Monroe $6,106.95 $1,103.19 – $2,807.95

All Wisconsin hospitals for this procedure →