Cath imag ivus pv 8.5fx90 .035 at Aurora Medical Center Grafton
975 Port Washington Rd, Grafton, WI · Aurorahealthcare · · NPI 1265740195
$2,275.25
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.
$4,550.50
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.
$1,674.11 with Everpointe Elite vs $2,845.98 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 |
|---|---|---|---|
| Everpointe Elite | Commercial | $1,674.11 | ↓ -26% |
| HS Technology | Commercial | $1,674.11 | ↓ -26% |
| Aetna | HMO | $1,787.94 | ↓ -21% |
| Quartz One | Commercial | $1,841.52 | ↓ -19% |
| United Healthcare | Exchange | $1,988.84 | ↓ -13% |
| United Healthcare | Charter | $1,988.84 | ↓ -13% |
| United Healthcare | HMO | $1,988.84 | ↓ -13% |
| United Healthcare | Nexus | $1,988.84 | ↓ -13% |
| Common Ground | Employee Trust Fund | $2,008.93 | ↓ -12% |
| Common Ground | Envision | $2,008.93 | ↓ -12% |
| Health EOS Plus | Commercial | $2,008.93 | ↓ -12% |
| Anthem | Blue Priority | $2,008.93 | ↓ -12% |
| Quartz Group | Commercial | $2,008.93 | ↓ -12% |
| Molina Exchange | Commercial | $2,008.93 | ↓ -12% |
| HealthPartners | Employee Trust Fund | $2,008.93 | ↓ -12% |
| Aurora Caregiver | Commercial | $2,008.93 | ↓ -12% |
| Common Ground | Exchange | $2,008.93 | ↓ -12% |
| Wisconsin Physician Service | Aurora Featured | $2,075.89 | ↓ -9% |
| Wisconsin Physician Service | Statewide | $2,176.34 | ↓ -4% |
| Anthem | Blue Preferred | $2,176.34 | ↓ -4% |
| Health Payment Systems | Commercial | $2,176.34 | ↓ -4% |
| Wisconsin Physician Service | Arise | $2,176.34 | ↓ -4% |
| Trilogy | Commercial | $2,343.75 | ↑ +3% |
| Cigna | PPO-GPPO | $2,511.16 | ↑ +10% |
| HealthPartners | Robin | $2,511.16 | ↑ +10% |
| HealthPartners | Broad | $2,511.16 | ↑ +10% |
| Centivo | Commercial | $2,511.16 | ↑ +10% |
| Health EOS | PPO | $2,678.57 | ↑ +18% |
| Aetna | PPO | $2,765.62 | ↑ +22% |
| United Healthcare | PPO | $2,819.19 | ↑ +24% |
| Cigna | PPO | $2,832.59 | ↑ +24% |
| Anthem | PPO | $2,845.98 | ↑ +25% |
Visitor-reported prices
Comments
Cath imag ivus pv 8.5fx90 .035 at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $2,875.09 | $747.50 – $2,762.50 |
| SSM Health St. Mary's Hospital - Madison | Madison | $2,991.72 | not published |
| SSM Health Monroe Hospital | Monroe | $591.25 | not published |
| SSM Health Ripon Community Hospital | Ripon | $2,595.30 | not published |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $2,595.30 | not published |
| SSM Health Waupun Memorial Hospital | Waupun | $2,595.30 | not published |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $10,640.00 | not published |
| Aurora Medical Center Summit | Summit | $1,875.00 | not published |