Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr 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

$38.20

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.

$76.39

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.

$4.37 with Aetna vs $52.48 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 →

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
Aetna HMO $4.37 ↓ -89%
Anthem Blue Priority $4.55 ↓ -88%
Anthem Blue Preferred $5.46 ↓ -86%
Cigna PPO-GPPO $6.96 ↓ -82%
Everpointe Elite Commercial $30.87 ↓ -19%
HS Technology Commercial $30.87 ↓ -19%
Centivo Commercial $30.87 ↓ -19%
Wisconsin Physician Service Aurora Featured $32.10 ↓ -16%
Quartz One Commercial $33.96 ↓ -11%
Wisconsin Physician Service Statewide $33.96 ↓ -11%
Wisconsin Physician Service Arise $33.96 ↓ -11%
Trilogy Commercial $33.96 ↓ -11%
United Healthcare HMO $36.67 ↓ -4%
United Healthcare Exchange $36.67 ↓ -4%
United Healthcare Charter $36.67 ↓ -4%
United Healthcare Nexus $36.67 ↓ -4%
Common Ground Employee Trust Fund $37.04 ↓ -3%
Aurora Caregiver Commercial $37.04 ↓ -3%
Common Ground Exchange $37.04 ↓ -3%
Common Ground Envision $37.04 ↓ -3%
Health EOS Plus Commercial $37.04 ↓ -3%
HealthPartners Employee Trust Fund $37.04 ↓ -3%
Molina Exchange Commercial $37.04 ↓ -3%
Quartz Group Commercial $37.04 ↓ -3%
Health Payment Systems Commercial $40.13 ↑ +5%
HealthPartners Robin $46.31 ↑ +21%
HealthPartners Broad $46.31 ↑ +21%
Health EOS PPO $49.39 ↑ +29%
Aetna PPO $51.00 ↑ +34%
United Healthcare PPO $51.99 ↑ +36%
Cigna PPO $52.23 ↑ +37%
Anthem PPO $52.48 ↑ +37%

Visitor-reported prices

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Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr at other Wisconsin hospitals

Hospital City Cash price Negotiated range
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $26.63 – $26.63
UnityPoint Health - Meriter Hospital Madison $77.00 $4.55 – $45.29
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee $36.50 $4.37 – $6.96
Aurora Medical Center Summit Summit $25.09 $4.37 – $6.96
Aurora Baycare Medical Center Green Bay $21.42 $4.37 – $6.96
Aurora Medical Center Manitowoc Two Rivers $21.99 $4.37 – $6.96
Aurora West Allis Medical Center West Allis $25.35 $4.37 – $6.96
Aurora Medical Center Bay Area Marinette $23.80 $4.37 – $6.96

All Wisconsin hospitals for this procedure →