Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm at Aurora Medical Center Fond du Lac
210 Wisconsin American Dr., Fond Du Lac, WI · Aurorahealthcare · · NPI 1275578064
$5,185.42
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.
$10,370.83
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.
$176.96 with Aetna vs $1,101.90 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 |
|---|---|---|---|
| Aetna | HMO | $176.96 | ↓ -97% |
| HealthPartners | Employee Trust Fund | $200.48 | ↓ -96% |
| HealthPartners | Robin | $209.69 | ↓ -96% |
| Centivo | Commercial | $225.24 | ↓ -96% |
| Common Ground | Envision | $225.24 | ↓ -96% |
| Quartz One | Commercial | $231.94 | ↓ -96% |
| Health Payment Systems | Commercial | $231.94 | ↓ -96% |
| Cigna | PPO-GPPO | $257.72 | ↓ -95% |
| Quartz Group | Commercial | $266.30 | ↓ -95% |
| Molina Exchange | Commercial | $419.21 | ↓ -92% |
| Everpointe Elite | Commercial | $648.18 | ↓ -87% |
| HS Technology | Commercial | $648.18 | ↓ -87% |
| United Healthcare | Charter | $770.03 | ↓ -85% |
| United Healthcare | HMO | $770.03 | ↓ -85% |
| United Healthcare | Nexus | $770.03 | ↓ -85% |
| United Healthcare | Exchange | $770.03 | ↓ -85% |
| Health EOS Plus | Commercial | $777.81 | ↓ -85% |
| Aurora Caregiver | Commercial | $777.81 | ↓ -85% |
| Common Ground | Exchange | $777.81 | ↓ -85% |
| Common Ground | Employee Trust Fund | $777.81 | ↓ -85% |
| Anthem | Blue Priority | $777.81 | ↓ -85% |
| Wisconsin Physician Service | Aurora Featured | $803.74 | ↓ -85% |
| Wisconsin Physician Service | Statewide | $842.63 | ↓ -84% |
| Anthem | Blue Preferred | $842.63 | ↓ -84% |
| Wisconsin Physician Service | Arise | $842.63 | ↓ -84% |
| Trilogy | Commercial | $907.45 | ↓ -82% |
| HealthPartners | Broad | $972.26 | ↓ -81% |
| Health EOS | PPO | $1,037.08 | ↓ -80% |
| Aetna | PPO | $1,070.79 | ↓ -79% |
| United Healthcare | PPO | $1,091.53 | ↓ -79% |
| Cigna | PPO | $1,096.71 | ↓ -79% |
| Anthem | PPO | $1,101.90 | ↓ -79% |
Visitor-reported prices
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Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-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 – $467.76 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $164.84 – $383.38 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $90.66 – $317.85 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $94.01 – $317.85 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $90.66 – $317.85 |
| SSM Health Monroe Hospital | Monroe | not published | $120.88 – $459.89 |
| SSM Health Ripon Community Hospital | Ripon | not published | $185.81 – $467.76 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $185.81 – $467.76 |