Athrectomy fem/pop/unilateral 37225 at Aurora Medical Center Grafton
975 Port Washington Rd, Grafton, WI · Aurorahealthcare · · NPI 1265740195
$10,265.00
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.
$20,530.00
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.
$8,243.00 with Aetna vs $19,992.00 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 |
|---|---|---|---|
| Aetna | HMO | $8,243.00 | ↓ -20% |
| HealthPartners | Employee Trust Fund | $8,827.90 | ↓ -14% |
| HealthPartners | Robin | $11,907.40 | ↑ +16% |
| Health EOS Plus | Commercial | $12,318.00 | ↑ +20% |
| Common Ground | Envision | $14,619.00 | ↑ +42% |
| Common Ground | Employee Trust Fund | $14,619.00 | ↑ +42% |
| Common Ground | Exchange | $14,619.00 | ↑ +42% |
| Everpointe Elite | Commercial | $14,688.00 | ↑ +43% |
| HealthPartners | Broad | $15,397.50 | ↑ +50% |
| Anthem | Blue Priority | $15,494.00 | ↑ +51% |
| Quartz One | Commercial | $15,600.00 | ↑ +52% |
| Molina Exchange | Commercial | $15,818.00 | ↑ +54% |
| Health EOS | PPO | $16,424.00 | ↑ +60% |
| Aetna | PPO | $16,957.78 | ↑ +65% |
| United Healthcare | PPO | $17,286.26 | ↑ +68% |
| Cigna | PPO | $17,368.38 | ↑ +69% |
| HS Technology | Commercial | $17,445.00 | ↑ +70% |
| Anthem | PPO | $17,450.50 | ↑ +70% |
| United Healthcare | Exchange | $17,828.00 | ↑ +74% |
| Health Payment Systems | Commercial | $17,900.00 | ↑ +74% |
| United Healthcare | Charter | $17,955.00 | ↑ +75% |
| United Healthcare | Nexus | $17,955.00 | ↑ +75% |
| Centivo | Commercial | $18,030.00 | ↑ +76% |
| Quartz Group | Commercial | $18,250.00 | ↑ +78% |
| Wisconsin Physician Service | Aurora Featured | $18,424.00 | ↑ +79% |
| Cigna | PPO-GPPO | $19,000.00 | ↑ +85% |
| Aurora Caregiver | Commercial | $19,140.00 | ↑ +86% |
| Wisconsin Physician Service | Arise | $19,394.00 | ↑ +89% |
| Wisconsin Physician Service | Statewide | $19,394.00 | ↑ +89% |
| United Healthcare | HMO | $19,562.00 | ↑ +91% |
| Trilogy | Commercial | $19,887.00 | ↑ +94% |
| Anthem | Blue Preferred | $19,992.00 | ↑ +95% |
Visitor-reported prices
Comments
Athrectomy fem/pop/unilateral 37225 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 | $20,498.28 | $894.15 – $44,920.67 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $20,498.28 | $894.15 – $44,920.67 |
| UnityPoint Health - Meriter Hospital | Madison | $40,168.27 | $504.44 – $15,665.62 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $8,222.50 | $16,352.00 – $24,224.00 |
| SSM Health St. Mary's Hospital - Madison | Madison | $8,703.75 | $20,778.00 – $27,690.00 |
| SSM Health Monroe Hospital | Monroe | $9,421.50 | $16,164.00 – $25,004.00 |
| SSM Health Ripon Community Hospital | Ripon | $13,229.15 | $7,609.00 – $27,583.00 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $13,229.15 | $7,609.00 – $27,583.00 |