Injection for tear sac x-ray at Aurora Medical Center Grafton
975 Port Washington Rd, Grafton, WI · Aurorahealthcare · · NPI 1265740195
$275.00
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.
$550.00
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.
$236.50 with HealthPartners vs $19,000.00 with Cigna — 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 | $236.50 | ↓ -14% |
| HealthPartners | Robin | $319.00 | ↑ +16% |
| Health EOS Plus | Commercial | $330.00 | ↑ +20% |
| HealthPartners | Broad | $412.50 | ↑ +50% |
| Health EOS | PPO | $440.00 | ↑ +60% |
| Aetna | PPO | $454.30 | ↑ +65% |
| United Healthcare | PPO | $463.10 | ↑ +68% |
| Cigna | PPO | $465.30 | ↑ +69% |
| Anthem | PPO | $467.50 | ↑ +70% |
| Anthem | Blue Priority | $1,183.00 | ↑ +330% |
| Everpointe Elite | Commercial | $1,291.00 | ↑ +369% |
| Aurora Caregiver | Commercial | $1,300.00 | ↑ +373% |
| Common Ground | Employee Trust Fund | $1,492.00 | ↑ +443% |
| Common Ground | Exchange | $1,492.00 | ↑ +443% |
| Common Ground | Envision | $1,492.00 | ↑ +443% |
| Anthem | Blue Preferred | $1,530.00 | ↑ +456% |
| United Healthcare | Exchange | $1,630.00 | ↑ +493% |
| United Healthcare | Charter | $1,641.00 | ↑ +497% |
| United Healthcare | Nexus | $1,641.00 | ↑ +497% |
| Quartz One | Commercial | $1,670.00 | ↑ +507% |
| United Healthcare | HMO | $1,789.00 | ↑ +551% |
| Molina Exchange | Commercial | $1,825.00 | ↑ +564% |
| Aetna | HMO | $1,894.00 | ↑ +589% |
| Quartz Group | Commercial | $1,950.00 | ↑ +609% |
| Centivo | Commercial | $1,967.00 | ↑ +615% |
| Wisconsin Physician Service | Aurora Featured | $2,115.00 | ↑ +669% |
| HS Technology | Commercial | $2,138.00 | ↑ +677% |
| Wisconsin Physician Service | Statewide | $2,226.00 | ↑ +709% |
| Wisconsin Physician Service | Arise | $2,226.00 | ↑ +709% |
| Health Payment Systems | Commercial | $2,300.00 | ↑ +736% |
| Trilogy | Commercial | $2,340.00 | ↑ +751% |
| Cigna | PPO-GPPO | $19,000.00 | ↑ +6809% |
Visitor-reported prices
Comments
Injection for tear sac x-ray at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $275.00 | not published |
| Aurora Baycare Medical Center | Green Bay | $275.00 | not published |
| HSHS St. Vincent Hospital | Green Bay | $609.18 | $99.28 – $495.60 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $83.47 – $251.37 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $83.47 – $251.37 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $47.57 – $157.93 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $949.00 – $16,897.00 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $1,676.00 – $1,676.00 |