5' nucleotidase - sendout at Aurora Medical Center Grafton
975 Port Washington Rd, Grafton, WI · Aurorahealthcare · · NPI 1265740195
$62.50
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.
$125.00
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.
$8.92 with United Healthcare vs $106.25 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 |
|---|---|---|---|
| United Healthcare | Nexus | $8.92 | ↓ -86% |
| United Healthcare | Exchange | $8.92 | ↓ -86% |
| United Healthcare | Charter | $8.92 | ↓ -86% |
| United Healthcare | HMO | $8.92 | ↓ -86% |
| Anthem | Blue Priority | $11.15 | ↓ -82% |
| Aurora Caregiver | Commercial | $11.15 | ↓ -82% |
| Anthem | Blue Preferred | $13.38 | ↓ -79% |
| Common Ground | Employee Trust Fund | $23.42 | ↓ -63% |
| Common Ground | Exchange | $23.42 | ↓ -63% |
| Centivo | Commercial | $24.37 | ↓ -61% |
| Common Ground | Envision | $24.37 | ↓ -61% |
| Aetna | HMO | $24.86 | ↓ -60% |
| Health Payment Systems | Commercial | $27.88 | ↓ -55% |
| Quartz One | Commercial | $27.88 | ↓ -55% |
| HealthPartners | Employee Trust Fund | $29.57 | ↓ -53% |
| Molina Exchange | Commercial | $30.77 | ↓ -51% |
| HS Technology | Commercial | $31.38 | ↓ -50% |
| Quartz Group | Commercial | $32.34 | ↓ -48% |
| Cigna | PPO-GPPO | $32.49 | ↓ -48% |
| Everpointe Elite | Commercial | $32.92 | ↓ -47% |
| Wisconsin Physician Service | Aurora Featured | $36.13 | ↓ -42% |
| HealthPartners | Robin | $37.85 | ↓ -39% |
| Wisconsin Physician Service | Statewide | $38.02 | ↓ -39% |
| Wisconsin Physician Service | Arise | $38.02 | ↓ -39% |
| Trilogy | Commercial | $39.14 | ↓ -37% |
| Health EOS Plus | Commercial | $75.00 | ↑ +20% |
| HealthPartners | Broad | $93.75 | ↑ +50% |
| Health EOS | PPO | $100.00 | ↑ +60% |
| Aetna | PPO | $103.25 | ↑ +65% |
| United Healthcare | PPO | $105.25 | ↑ +68% |
| Cigna | PPO | $105.75 | ↑ +69% |
| Anthem | PPO | $106.25 | ↑ +70% |
Visitor-reported prices
Comments
5' nucleotidase - sendout at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $38.16 | $11.15 – $48.14 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $38.16 | $11.15 – $48.14 |
| UnityPoint Health - Meriter Hospital | Madison | $79.20 | $6.69 – $15.26 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $18.70 | $8.36 – $110.84 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $21.45 | $8.36 – $88.68 |
| SSM Health St. Mary's Hospital - Madison | Madison | $18.15 | $8.36 – $90.69 |
| SSM Health Monroe Hospital | Monroe | $23.10 | $11.15 – $19.51 |
| SSM Health Ripon Community Hospital | Ripon | $19.80 | $11.15 – $22.56 |