Repair elbow perc at Aurora Medical Center Grafton
975 Port Washington Rd, Grafton, WI · Aurorahealthcare · · NPI 1265740195
$3,770.00
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.
$7,540.00
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.
$3,242.20 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 | $3,242.20 | ↓ -14% |
| HealthPartners | Robin | $4,373.20 | ↑ +16% |
| Health EOS Plus | Commercial | $4,524.00 | ↑ +20% |
| HealthPartners | Broad | $5,655.00 | ↑ +50% |
| Health EOS | PPO | $6,032.00 | ↑ +60% |
| Aetna | PPO | $6,228.04 | ↑ +65% |
| United Healthcare | PPO | $6,348.68 | ↑ +68% |
| Cigna | PPO | $6,378.84 | ↑ +69% |
| Anthem | PPO | $6,409.00 | ↑ +70% |
| Aetna | HMO | $6,461.00 | ↑ +71% |
| United Healthcare | Exchange | $7,640.00 | ↑ +103% |
| United Healthcare | Nexus | $7,696.00 | ↑ +104% |
| United Healthcare | Charter | $7,696.00 | ↑ +104% |
| Everpointe Elite | Commercial | $7,978.00 | ↑ +112% |
| Common Ground | Employee Trust Fund | $8,181.00 | ↑ +117% |
| Common Ground | Exchange | $8,181.00 | ↑ +117% |
| Common Ground | Envision | $8,181.00 | ↑ +117% |
| United Healthcare | HMO | $8,384.00 | ↑ +122% |
| Aurora Caregiver | Commercial | $8,450.00 | ↑ +124% |
| Anthem | Blue Priority | $8,456.00 | ↑ +124% |
| Quartz One | Commercial | $8,690.00 | ↑ +131% |
| Molina Exchange | Commercial | $9,071.00 | ↑ +141% |
| Centivo | Commercial | $9,834.00 | ↑ +161% |
| HS Technology | Commercial | $10,017.00 | ↑ +166% |
| Quartz Group | Commercial | $10,170.00 | ↑ +170% |
| Wisconsin Physician Service | Aurora Featured | $10,544.00 | ↑ +180% |
| Health Payment Systems | Commercial | $10,600.00 | ↑ +181% |
| Anthem | Blue Preferred | $10,914.00 | ↑ +189% |
| Wisconsin Physician Service | Arise | $11,099.00 | ↑ +194% |
| Wisconsin Physician Service | Statewide | $11,099.00 | ↑ +194% |
| Trilogy | Commercial | $11,699.00 | ↑ +210% |
| Cigna | PPO-GPPO | $19,000.00 | ↑ +404% |
Visitor-reported prices
Comments
Repair elbow perc at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $7,269.60 | $388.37 – $2,767.30 |
| SSM Health Ripon Community Hospital | Ripon | $3,581.60 | $3,735.00 – $7,791.00 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $3,581.60 | $2,427.27 – $7,791.00 |
| SSM Health Waupun Memorial Hospital | Waupun | $3,581.60 | $3,735.00 – $7,791.00 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $3,770.00 | not published |
| Aurora Medical Center Summit | Summit | $3,770.00 | not published |
| Aurora Baycare Medical Center | Green Bay | $3,770.00 | not published |
| Aurora Medical Center Manitowoc | Two Rivers | $3,770.00 | not published |