Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic at Aurora Medical Center Grafton
975 Port Washington Rd, Grafton, WI · Aurorahealthcare · · NPI 1265740195
$7,570.00
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.
$15,140.00
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.
$6,510.20 with HealthPartners vs $23,460.00 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 |
|---|---|---|---|
| HealthPartners | Employee Trust Fund | $6,510.20 | ↓ -14% |
| Aetna | HMO | $8,466.00 | ↑ +12% |
| HealthPartners | Robin | $8,781.20 | ↑ +16% |
| Health EOS Plus | Commercial | $9,084.00 | ↑ +20% |
| Common Ground | Envision | $11,037.00 | ↑ +46% |
| Common Ground | Exchange | $11,037.00 | ↑ +46% |
| Common Ground | Employee Trust Fund | $11,037.00 | ↑ +46% |
| Everpointe Elite | Commercial | $11,136.00 | ↑ +47% |
| Quartz One | Commercial | $11,150.00 | ↑ +47% |
| HealthPartners | Broad | $11,355.00 | ↑ +50% |
| Aurora Caregiver | Commercial | $11,750.00 | ↑ +55% |
| Health EOS | PPO | $12,112.00 | ↑ +60% |
| Aetna | PPO | $12,505.64 | ↑ +65% |
| Molina Exchange | Commercial | $12,508.00 | ↑ +65% |
| United Healthcare | PPO | $12,747.88 | ↑ +68% |
| Cigna | PPO | $12,808.44 | ↑ +69% |
| Anthem | PPO | $12,869.00 | ↑ +70% |
| HS Technology | Commercial | $12,943.00 | ↑ +71% |
| Quartz Group | Commercial | $13,050.00 | ↑ +72% |
| United Healthcare | Exchange | $13,752.00 | ↑ +82% |
| United Healthcare | Charter | $13,851.00 | ↑ +83% |
| United Healthcare | Nexus | $13,851.00 | ↑ +83% |
| Centivo | Commercial | $13,933.00 | ↑ +84% |
| Health Payment Systems | Commercial | $14,150.00 | ↑ +87% |
| Wisconsin Physician Service | Aurora Featured | $14,623.00 | ↑ +93% |
| United Healthcare | HMO | $15,090.00 | ↑ +99% |
| Wisconsin Physician Service | Statewide | $15,393.00 | ↑ +103% |
| Wisconsin Physician Service | Arise | $15,393.00 | ↑ +103% |
| Trilogy | Commercial | $16,378.00 | ↑ +116% |
| Anthem | Blue Priority | $18,187.00 | ↑ +140% |
| Cigna | PPO-GPPO | $19,000.00 | ↑ +151% |
| Anthem | Blue Preferred | $23,460.00 | ↑ +210% |
Visitor-reported prices
Comments
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic 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 | $10,530.57 | $795.41 – $26,488.62 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $10,530.57 | $795.41 – $26,488.62 |
| UnityPoint Health - Meriter Hospital | Madison | $16,339.28 | $452.11 – $6,780.80 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $6,188.60 | $5,481.64 – $18,190.00 |
| SSM Health St. Mary's Hospital - Madison | Madison | $7,139.55 | $5,286.15 – $19,855.00 |
| SSM Health Monroe Hospital | Monroe | $6,619.80 | $7,048.20 – $17,116.00 |
| SSM Health Ripon Community Hospital | Ripon | $7,004.80 | $6,779.00 – $18,364.00 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $7,004.80 | $5,382.89 – $18,364.00 |