Abdominal CT scan (with contrast) at Aurora Medical Center Grafton
975 Port Washington Rd, Grafton, WI · Aurorahealthcare · · NPI 1265740195
$1,570.00
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.
$3,140.00
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.
$475.00 with Aurora Caregiver vs $2,669.00 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 |
|---|---|---|---|
| Aurora Caregiver | Commercial | $475.00 | ↓ -70% |
| United Healthcare | Exchange | $538.00 | ↓ -66% |
| United Healthcare | Nexus | $543.00 | ↓ -65% |
| United Healthcare | Charter | $543.00 | ↓ -65% |
| Anthem | Blue Priority | $556.00 | ↓ -65% |
| United Healthcare | HMO | $627.00 | ↓ -60% |
| Anthem | Blue Preferred | $714.00 | ↓ -55% |
| Molina Exchange | Commercial | $796.00 | ↓ -49% |
| HealthPartners | Employee Trust Fund | $796.00 | ↓ -49% |
| Common Ground | Exchange | $812.00 | ↓ -48% |
| Common Ground | Envision | $812.00 | ↓ -48% |
| Common Ground | Employee Trust Fund | $812.00 | ↓ -48% |
| Centivo | Commercial | $820.00 | ↓ -48% |
| Aetna | HMO | $836.00 | ↓ -47% |
| Health Payment Systems | Commercial | $875.00 | ↓ -44% |
| Quartz One | Commercial | $900.00 | ↓ -43% |
| Everpointe Elite | Commercial | $983.00 | ↓ -37% |
| HealthPartners | Robin | $989.00 | ↓ -37% |
| Quartz Group | Commercial | $1,000.00 | ↓ -36% |
| HS Technology | Commercial | $1,014.00 | ↓ -35% |
| Wisconsin Physician Service | Aurora Featured | $1,128.00 | ↓ -28% |
| Trilogy | Commercial | $1,170.00 | ↓ -25% |
| Wisconsin Physician Service | Statewide | $1,187.00 | ↓ -24% |
| Wisconsin Physician Service | Arise | $1,187.00 | ↓ -24% |
| Cigna | PPO-GPPO | $1,700.00 | ↑ +8% |
| Health EOS Plus | Commercial | $1,884.00 | ↑ +20% |
| HealthPartners | Broad | $2,355.00 | ↑ +50% |
| Health EOS | PPO | $2,512.00 | ↑ +60% |
| Aetna | PPO | $2,593.64 | ↑ +65% |
| United Healthcare | PPO | $2,643.88 | ↑ +68% |
| Cigna | PPO | $2,656.44 | ↑ +69% |
| Anthem | PPO | $2,669.00 | ↑ +70% |
Visitor-reported prices
Comments
Abdominal CT scan (with contrast) 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 | $1,226.95 | $99.60 – $401.74 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $1,476.58 | $99.60 – $401.74 |
| UnityPoint Health - Meriter Hospital | Madison | $4,905.25 | $55.96 – $2,035.68 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $1,655.50 | $127.78 – $1,796.50 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $2,032.25 | $132.50 – $1,289.24 |
| SSM Health St. Mary's Hospital - Madison | Madison | $1,727.00 | $127.78 – $1,352.64 |
| SSM Health Monroe Hospital | Monroe | $1,619.20 | $170.37 – $442.11 |
| SSM Health Ripon Community Hospital | Ripon | $1,632.95 | $553.21 – $553.21 |