Allograft graftjacket 2x12cm-q4107-cost per sq cm at Aurora Medical Center Grafton

975 Port Washington Rd, Grafton, WI · Aurorahealthcare · · NPI 1265740195

Source: hospital's published price file ↗ · Published Nov 21, 2025 · Ingested Sep 16, 2026

$210.00

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.

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What you pay up front if you don't use insurance.

$420.00

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.

$80.90 with Aetna vs $241.75 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 $80.90 ↓ -61%
Cigna PPO-GPPO $128.94 ↓ -39%
Everpointe Elite Commercial $137.59 ↓ -34%
HS Technology Commercial $142.21 ↓ -32%
Quartz One Commercial $156.43 ↓ -26%
United Healthcare HMO $168.94 ↓ -20%
United Healthcare Nexus $168.94 ↓ -20%
United Healthcare Exchange $168.94 ↓ -20%
United Healthcare Charter $168.94 ↓ -20%
Anthem Blue Priority $170.65 ↓ -19%
Aurora Caregiver Commercial $170.65 ↓ -19%
Common Ground Exchange $170.65 ↓ -19%
Common Ground Employee Trust Fund $170.65 ↓ -19%
Common Ground Envision $170.65 ↓ -19%
Health EOS Plus Commercial $170.65 ↓ -19%
HealthPartners Employee Trust Fund $170.65 ↓ -19%
Molina Exchange Commercial $170.65 ↓ -19%
Quartz Group Commercial $170.65 ↓ -19%
Wisconsin Physician Service Aurora Featured $176.33 ↓ -16%
Wisconsin Physician Service Arise $184.87 ↓ -12%
Wisconsin Physician Service Statewide $184.87 ↓ -12%
Anthem Blue Preferred $184.87 ↓ -12%
Health Payment Systems Commercial $184.87 ↓ -12%
Trilogy Commercial $199.09 ↓ -5%
Centivo Commercial $213.31 ↑ +2%
HealthPartners Robin $213.31 ↑ +2%
HealthPartners Broad $213.31 ↑ +2%
Health EOS PPO $227.53 ↑ +8%
Aetna PPO $234.92 ↑ +12%
United Healthcare PPO $239.47 ↑ +14%
Cigna PPO $240.61 ↑ +15%
Anthem PPO $241.75 ↑ +15%

Visitor-reported prices

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Allograft graftjacket 2x12cm-q4107-cost per sq cm at other Wisconsin hospitals

Hospital City Cash price Negotiated range
UnityPoint Health - Meriter Hospital Madison $1,305.31 $112.95 – $1,386.89
SSM Health Monroe Hospital Monroe not published $120.88 – $371.55
SSM Health Ripon Community Hospital Ripon not published $371.55 – $371.55
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $92.32 – $371.55
SSM Health Waupun Memorial Hospital Waupun not published $371.55 – $371.55
Aurora Baycare Medical Center Green Bay not published $80.90 – $137.59
Aurora Medical Center Manitowoc Two Rivers not published $80.90 – $137.59
Aurora Psychiatric Hospital Wauwatosa not published $80.90 – $137.59

All Wisconsin hospitals for this procedure →