I-123 ioflupane diag at Aurora Medical Center Grafton
975 Port Washington Rd, Grafton, WI · Aurorahealthcare · · NPI 1265740195
$2,875.00
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.
?
What you pay up front if you don't use insurance.
$5,750.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,388.02 with United Healthcare vs $4,848.87 with Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1,388.02 | ↓ -52% |
| United Healthcare | Exchange | $1,388.02 | ↓ -52% |
| United Healthcare | HMO | $1,388.02 | ↓ -52% |
| United Healthcare | Charter | $1,388.02 | ↓ -52% |
| Aetna | HMO | $2,369.28 | ↓ -18% |
| Anthem | Blue Priority | $2,468.00 | ↓ -14% |
| HS Technology | Commercial | $2,852.28 | ↓ -1% |
| Everpointe Elite | Commercial | $2,852.28 | ↓ -1% |
| Anthem | Blue Preferred | $2,961.60 | ↑ +3% |
| Quartz One | Commercial | $3,137.50 | ↑ +9% |
| Quartz Group | Commercial | $3,422.73 | ↑ +19% |
| Molina Exchange | Commercial | $3,422.73 | ↑ +19% |
| HealthPartners | Employee Trust Fund | $3,422.73 | ↑ +19% |
| Health EOS Plus | Commercial | $3,422.73 | ↑ +19% |
| Aurora Caregiver | Commercial | $3,422.73 | ↑ +19% |
| Common Ground | Exchange | $3,422.73 | ↑ +19% |
| Common Ground | Employee Trust Fund | $3,422.73 | ↑ +19% |
| Common Ground | Envision | $3,422.73 | ↑ +19% |
| Wisconsin Physician Service | Aurora Featured | $3,536.82 | ↑ +23% |
| Wisconsin Physician Service | Statewide | $3,707.96 | ↑ +29% |
| Health Payment Systems | Commercial | $3,707.96 | ↑ +29% |
| Wisconsin Physician Service | Arise | $3,707.96 | ↑ +29% |
| Cigna | PPO-GPPO | $3,776.04 | ↑ +31% |
| Trilogy | Commercial | $3,993.19 | ↑ +39% |
| HealthPartners | Robin | $4,278.41 | ↑ +49% |
| HealthPartners | Broad | $4,278.41 | ↑ +49% |
| Centivo | Commercial | $4,278.41 | ↑ +49% |
| Health EOS | PPO | $4,563.64 | ↑ +59% |
| Aetna | PPO | $4,711.96 | ↑ +64% |
| United Healthcare | PPO | $4,803.23 | ↑ +67% |
| Cigna | PPO | $4,826.05 | ↑ +68% |
| Anthem | PPO | $4,848.87 | ↑ +69% |
Visitor-reported prices
Comments
I-123 ioflupane diag 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 | $4,482.21 | $2,290.23 – $7,677.95 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $4,482.21 | $2,290.23 – $7,677.95 |
| SSM Health St. Mary's Hospital - Madison | Madison | $3,991.90 | not published |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $2,875.00 | $1,388.02 – $3,776.04 |
| Aurora Medical Center Summit | Summit | $2,875.00 | $1,388.02 – $3,776.04 |
| Aurora Baycare Medical Center | Green Bay | $2,875.00 | $1,388.02 – $3,776.04 |
| Aurora West Allis Medical Center | West Allis | $2,875.00 | $1,388.02 – $3,776.04 |
| Aurora Medical Center Bay Area | Marinette | $2,875.00 | $1,388.02 – $3,776.04 |