Mayo analysis gene smn1 dosage/deletion at Aurora Medical Center Fond du Lac
210 Wisconsin American Dr., Fond Du Lac, WI · Aurorahealthcare · · NPI 1275578064
$437.50
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.
$875.00
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.
$109.60 with United Healthcare vs $480.81 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 | HMO | $109.60 | ↓ -75% |
| United Healthcare | Nexus | $109.60 | ↓ -75% |
| United Healthcare | Exchange | $109.60 | ↓ -75% |
| United Healthcare | Charter | $109.60 | ↓ -75% |
| Health EOS Plus | Commercial | $135.00 | ↓ -69% |
| Anthem | Blue Priority | $137.00 | ↓ -69% |
| Aurora Caregiver | Commercial | $137.00 | ↓ -69% |
| Anthem | Blue Preferred | $164.40 | ↓ -62% |
| HealthPartners | Broad | $168.75 | ↓ -61% |
| Health EOS | PPO | $180.00 | ↓ -59% |
| Aetna | PPO | $185.85 | ↓ -58% |
| United Healthcare | PPO | $189.45 | ↓ -57% |
| Cigna | PPO | $190.35 | ↓ -56% |
| Anthem | PPO | $191.25 | ↓ -56% |
| Common Ground | Employee Trust Fund | $287.70 | ↓ -34% |
| Common Ground | Exchange | $287.70 | ↓ -34% |
| Everpointe Elite | Commercial | $294.69 | ↓ -33% |
| Common Ground | Envision | $299.48 | ↓ -32% |
| Centivo | Commercial | $299.48 | ↓ -32% |
| Aetna | HMO | $305.51 | ↓ -30% |
| Quartz One | Commercial | $342.50 | ↓ -22% |
| Health Payment Systems | Commercial | $342.50 | ↓ -22% |
| HealthPartners | Employee Trust Fund | $363.36 | ↓ -17% |
| Molina Exchange | Commercial | $378.12 | ↓ -14% |
| HS Technology | Commercial | $385.52 | ↓ -12% |
| Quartz Group | Commercial | $397.30 | ↓ -9% |
| Cigna | PPO-GPPO | $399.48 | ↓ -9% |
| Wisconsin Physician Service | Aurora Featured | $443.88 | ↑ +1% |
| HealthPartners | Robin | $465.10 | ↑ +6% |
| Wisconsin Physician Service | Arise | $467.17 | ↑ +7% |
| Wisconsin Physician Service | Statewide | $467.17 | ↑ +7% |
| Trilogy | Commercial | $480.81 | ↑ +10% |
Visitor-reported prices
Comments
Mayo analysis gene smn1 dosage/deletion at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $102.75 – $264.41 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $208.29 | $137.00 – $435.57 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $244.86 | $137.00 – $435.57 |
| UnityPoint Health - Meriter Hospital | Madison | $758.10 | $82.20 – $295.66 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $542.30 | $102.75 – $999.67 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $524.70 | $102.75 – $799.73 |
| SSM Health St. Mary's Hospital - Madison | Madison | $387.20 | $102.75 – $817.91 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $437.50 | $109.60 – $480.81 |