Graft impl ult thck 6x12cm -cost per sq cm at Aurora Medical Center Grafton
975 Port Washington Rd, Grafton, WI · Aurorahealthcare · · NPI 1265740195
$129.78
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.
$259.55
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.
$24.89 with Aetna vs $114.33 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 | $24.89 | ↓ -81% |
| Cigna | PPO-GPPO | $46.67 | ↓ -64% |
| HS Technology | Commercial | $67.26 | ↓ -48% |
| Everpointe Elite | Commercial | $67.26 | ↓ -48% |
| Quartz One | Commercial | $73.98 | ↓ -43% |
| United Healthcare | Charter | $79.90 | ↓ -38% |
| United Healthcare | Nexus | $79.90 | ↓ -38% |
| United Healthcare | Exchange | $79.90 | ↓ -38% |
| United Healthcare | HMO | $79.90 | ↓ -38% |
| Anthem | Blue Priority | $80.71 | ↓ -38% |
| Health EOS Plus | Commercial | $80.71 | ↓ -38% |
| Molina Exchange | Commercial | $80.71 | ↓ -38% |
| HealthPartners | Employee Trust Fund | $80.71 | ↓ -38% |
| Common Ground | Envision | $80.71 | ↓ -38% |
| Aurora Caregiver | Commercial | $80.71 | ↓ -38% |
| Common Ground | Exchange | $80.71 | ↓ -38% |
| Quartz Group | Commercial | $80.71 | ↓ -38% |
| Common Ground | Employee Trust Fund | $80.71 | ↓ -38% |
| Wisconsin Physician Service | Aurora Featured | $83.40 | ↓ -36% |
| Wisconsin Physician Service | Statewide | $87.43 | ↓ -33% |
| Anthem | Blue Preferred | $87.43 | ↓ -33% |
| Health Payment Systems | Commercial | $87.43 | ↓ -33% |
| Wisconsin Physician Service | Arise | $87.43 | ↓ -33% |
| Trilogy | Commercial | $94.16 | ↓ -27% |
| HealthPartners | Robin | $100.88 | ↓ -22% |
| HealthPartners | Broad | $100.88 | ↓ -22% |
| Centivo | Commercial | $100.88 | ↓ -22% |
| Health EOS | PPO | $107.61 | ↓ -17% |
| Aetna | PPO | $111.11 | ↓ -14% |
| United Healthcare | PPO | $113.26 | ↓ -13% |
| Cigna | PPO | $113.80 | ↓ -12% |
| Anthem | PPO | $114.33 | ↓ -12% |
Visitor-reported prices
Comments
Graft impl ult thck 6x12cm -cost per sq cm at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Mary's Hospital - Madison | Madison | $5,704.08 | not published |
| SSM Health Ripon Community Hospital | Ripon | $12,177.38 | not published |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $12,177.38 | not published |
| SSM Health Waupun Memorial Hospital | Waupun | $12,177.38 | not published |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | $3,316.90 | $52.89 – $273.42 |
| HSHS St. Nicholas Hospital | SHEBOYGAN | $8,843.47 | $51.33 – $273.83 |
| HSHS St. Vincent Hospital | Green Bay | $11,028.20 | $52.89 – $271.97 |
| Aurora Medical Center Summit | Summit | not published | $24.89 – $46.67 |