Blood Clotting (PT/INR) Test at Aurora Medical Center Grafton
975 Port Washington Rd, Grafton, WI · Aurorahealthcare · · NPI 1265740195
$35.00
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.
$70.00
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.
$3.43 with United Healthcare vs $46.75 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 | Nexus | $3.43 | ↓ -90% |
| United Healthcare | Exchange | $3.43 | ↓ -90% |
| United Healthcare | HMO | $3.43 | ↓ -90% |
| United Healthcare | Charter | $3.43 | ↓ -90% |
| Anthem | Blue Priority | $4.29 | ↓ -88% |
| Aurora Caregiver | Commercial | $4.29 | ↓ -88% |
| Anthem | Blue Preferred | $5.15 | ↓ -85% |
| Common Ground | Exchange | $9.01 | ↓ -74% |
| Common Ground | Employee Trust Fund | $9.01 | ↓ -74% |
| Centivo | Commercial | $9.38 | ↓ -73% |
| Common Ground | Envision | $9.38 | ↓ -73% |
| Aetna | HMO | $9.57 | ↓ -73% |
| Health Payment Systems | Commercial | $10.73 | ↓ -69% |
| Quartz One | Commercial | $10.73 | ↓ -69% |
| HealthPartners | Employee Trust Fund | $11.38 | ↓ -67% |
| Everpointe Elite | Commercial | $11.59 | ↓ -67% |
| Molina Exchange | Commercial | $11.84 | ↓ -66% |
| HS Technology | Commercial | $12.07 | ↓ -66% |
| Cigna | PPO-GPPO | $12.42 | ↓ -65% |
| Quartz Group | Commercial | $12.44 | ↓ -64% |
| Wisconsin Physician Service | Aurora Featured | $13.90 | ↓ -60% |
| HealthPartners | Robin | $14.56 | ↓ -58% |
| Wisconsin Physician Service | Statewide | $14.63 | ↓ -58% |
| Wisconsin Physician Service | Arise | $14.63 | ↓ -58% |
| Trilogy | Commercial | $15.06 | ↓ -57% |
| Health EOS Plus | Commercial | $33.00 | ↓ -6% |
| HealthPartners | Broad | $41.25 | ↑ +18% |
| Health EOS | PPO | $44.00 | ↑ +26% |
| Aetna | PPO | $45.43 | ↑ +30% |
| United Healthcare | PPO | $46.31 | ↑ +32% |
| Cigna | PPO | $46.53 | ↑ +33% |
| Anthem | PPO | $46.75 | ↑ +34% |
Visitor-reported prices
Comments
Blood Clotting (PT/INR) Test 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 | $34.45 | $4.29 – $17.19 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $34.45 | $4.29 – $17.19 |
| UnityPoint Health - Meriter Hospital | Madison | $61.24 | $4.29 – $23.88 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | $32.86 | $4.16 – $7.04 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $32.45 | $3.22 – $39.12 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $32.45 | $3.22 – $31.28 |
| SSM Health St. Mary's Hospital - Madison | Madison | $32.45 | $3.22 – $32.00 |
| SSM Health Monroe Hospital | Monroe | $26.95 | $4.29 – $7.51 |