System pcmkr dual chamber leadless micra av2 intrdcr cath at Aurora Medical Center Fond du Lac
210 Wisconsin American Dr., Fond Du Lac, WI · Aurorahealthcare · · NPI 1275578064
$3,899.40
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.
$7,798.80
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.
$3,712.43 with Aetna vs $6,492.94 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 | $3,712.43 | ↓ -5% |
| Everpointe Elite | Commercial | $3,819.38 | ↓ -2% |
| HS Technology | Commercial | $3,819.38 | ↓ -2% |
| Quartz One | Commercial | $4,201.31 | ↑ +8% |
| United Healthcare | Exchange | $4,537.42 | ↑ +16% |
| United Healthcare | Charter | $4,537.42 | ↑ +16% |
| United Healthcare | HMO | $4,537.42 | ↑ +16% |
| United Healthcare | Nexus | $4,537.42 | ↑ +16% |
| Common Ground | Employee Trust Fund | $4,583.25 | ↑ +18% |
| Common Ground | Envision | $4,583.25 | ↑ +18% |
| Health EOS Plus | Commercial | $4,583.25 | ↑ +18% |
| Anthem | Blue Priority | $4,583.25 | ↑ +18% |
| Quartz Group | Commercial | $4,583.25 | ↑ +18% |
| Molina Exchange | Commercial | $4,583.25 | ↑ +18% |
| HealthPartners | Employee Trust Fund | $4,583.25 | ↑ +18% |
| Aurora Caregiver | Commercial | $4,583.25 | ↑ +18% |
| Common Ground | Exchange | $4,583.25 | ↑ +18% |
| Wisconsin Physician Service | Aurora Featured | $4,736.03 | ↑ +21% |
| Wisconsin Physician Service | Statewide | $4,965.19 | ↑ +27% |
| Anthem | Blue Preferred | $4,965.19 | ↑ +27% |
| Health Payment Systems | Commercial | $4,965.19 | ↑ +27% |
| Wisconsin Physician Service | Arise | $4,965.19 | ↑ +27% |
| Trilogy | Commercial | $5,347.13 | ↑ +37% |
| Cigna | PPO-GPPO | $5,729.06 | ↑ +47% |
| HealthPartners | Robin | $5,729.06 | ↑ +47% |
| HealthPartners | Broad | $5,729.06 | ↑ +47% |
| Centivo | Commercial | $5,729.06 | ↑ +47% |
| Health EOS | PPO | $6,111.00 | ↑ +57% |
| Aetna | PPO | $6,309.61 | ↑ +62% |
| United Healthcare | PPO | $6,431.83 | ↑ +65% |
| Cigna | PPO | $6,462.38 | ↑ +66% |
| Anthem | PPO | $6,492.94 | ↑ +67% |
Visitor-reported prices
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System pcmkr dual chamber leadless micra av2 intrdcr cath at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $4,180.35 | not published |
| UnityPoint Health - Meriter Hospital | Madison | $8,390.20 | $1,644.50 – $6,792.50 |
| SSM Health St. Mary's Hospital - Madison | Madison | $32,518.75 | not published |
| SSM Health Monroe Hospital | Monroe | $1,733.54 | not published |
| SSM Health Ripon Community Hospital | Ripon | $4,180.35 | not published |
| SSM Health Waupun Memorial Hospital | Waupun | $4,180.35 | not published |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $7,504.00 | not published |
| Aurora Medical Center Summit | Summit | $4,649.80 | not published |