Anca screen with reflex to titer -quest at Aurora Medical Center Grafton
975 Port Washington Rd, Grafton, WI · Aurorahealthcare · · NPI 1265740195
$157.50
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.
$315.00
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.
$12.04 with United Healthcare vs $267.75 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 →
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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 | HMO | $12.04 | ↓ -92% |
| United Healthcare | Nexus | $12.04 | ↓ -92% |
| United Healthcare | Exchange | $12.04 | ↓ -92% |
| United Healthcare | Charter | $12.04 | ↓ -92% |
| Anthem | Blue Priority | $15.05 | ↓ -90% |
| Aurora Caregiver | Commercial | $15.05 | ↓ -90% |
| Anthem | Blue Preferred | $18.06 | ↓ -89% |
| Common Ground | Employee Trust Fund | $31.61 | ↓ -80% |
| Common Ground | Exchange | $31.61 | ↓ -80% |
| Centivo | Commercial | $32.90 | ↓ -79% |
| Common Ground | Envision | $32.90 | ↓ -79% |
| Aetna | HMO | $33.56 | ↓ -79% |
| Quartz One | Commercial | $37.63 | ↓ -76% |
| Health Payment Systems | Commercial | $37.63 | ↓ -76% |
| HealthPartners | Employee Trust Fund | $39.91 | ↓ -75% |
| Molina Exchange | Commercial | $41.54 | ↓ -74% |
| HS Technology | Commercial | $42.35 | ↓ -73% |
| Quartz Group | Commercial | $43.65 | ↓ -72% |
| Cigna | PPO-GPPO | $43.95 | ↓ -72% |
| Everpointe Elite | Commercial | $44.42 | ↓ -72% |
| Wisconsin Physician Service | Aurora Featured | $48.76 | ↓ -69% |
| HealthPartners | Robin | $51.09 | ↓ -68% |
| Wisconsin Physician Service | Statewide | $51.32 | ↓ -67% |
| Wisconsin Physician Service | Arise | $51.32 | ↓ -67% |
| Trilogy | Commercial | $52.82 | ↓ -66% |
| Health EOS Plus | Commercial | $189.00 | ↑ +20% |
| HealthPartners | Broad | $236.25 | ↑ +50% |
| Health EOS | PPO | $252.00 | ↑ +60% |
| Aetna | PPO | $260.19 | ↑ +65% |
| United Healthcare | PPO | $265.23 | ↑ +68% |
| Cigna | PPO | $266.49 | ↑ +69% |
| Anthem | PPO | $267.75 | ↑ +70% |
Visitor-reported prices
Comments
Anca screen with reflex to titer -quest 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 | $131.44 | $15.05 – $65.33 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $131.44 | $15.05 – $65.33 |
| UnityPoint Health - Meriter Hospital | Madison | $63.20 | $9.03 – $29.23 |
| SSM Health Monroe Hospital | Monroe | $245.30 | $15.05 – $26.34 |
| SSM Health Ripon Community Hospital | Ripon | $24.75 | $15.05 – $30.47 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $24.75 | $11.29 – $29.05 |
| SSM Health Waupun Memorial Hospital | Waupun | $24.75 | $15.05 – $30.47 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $157.50 | $12.04 – $52.82 |