Reticulated platelet assay at Aurora Medical Center Grafton
975 Port Washington Rd, Grafton, WI · Aurorahealthcare · · NPI 1265740195
$75.00
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.
$150.00
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.
$28.59 with United Healthcare vs $127.50 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 |
|---|---|---|---|
| United Healthcare | Nexus | $28.59 | ↓ -62% |
| United Healthcare | Exchange | $28.59 | ↓ -62% |
| United Healthcare | HMO | $28.59 | ↓ -62% |
| United Healthcare | Charter | $28.59 | ↓ -62% |
| Anthem | Blue Priority | $35.74 | ↓ -52% |
| Aurora Caregiver | Commercial | $35.74 | ↓ -52% |
| Anthem | Blue Preferred | $42.89 | ↓ -43% |
| Common Ground | Employee Trust Fund | $75.05 | ↑ +0% |
| Common Ground | Exchange | $75.05 | ↑ +0% |
| Centivo | Commercial | $78.13 | ↑ +4% |
| Common Ground | Envision | $78.13 | ↑ +4% |
| Everpointe Elite | Commercial | $79.02 | ↑ +5% |
| Aetna | HMO | $79.70 | ↑ +6% |
| Quartz One | Commercial | $89.35 | ↑ +19% |
| Health Payment Systems | Commercial | $89.35 | ↑ +19% |
| Health EOS Plus | Commercial | $90.00 | ↑ +20% |
| HealthPartners | Employee Trust Fund | $94.79 | ↑ +26% |
| Molina Exchange | Commercial | $98.64 | ↑ +32% |
| HS Technology | Commercial | $100.57 | ↑ +34% |
| Quartz Group | Commercial | $103.65 | ↑ +38% |
| Cigna | PPO-GPPO | $104.16 | ↑ +39% |
| HealthPartners | Broad | $112.50 | ↑ +50% |
| Wisconsin Physician Service | Aurora Featured | $115.80 | ↑ +54% |
| Health EOS | PPO | $120.00 | ↑ +60% |
| HealthPartners | Robin | $121.33 | ↑ +62% |
| Wisconsin Physician Service | Statewide | $121.87 | ↑ +62% |
| Wisconsin Physician Service | Arise | $121.87 | ↑ +62% |
| Aetna | PPO | $123.90 | ↑ +65% |
| Trilogy | Commercial | $125.43 | ↑ +67% |
| United Healthcare | PPO | $126.30 | ↑ +68% |
| Cigna | PPO | $126.90 | ↑ +69% |
| Anthem | PPO | $127.50 | ↑ +70% |
Visitor-reported prices
Comments
Reticulated platelet assay 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 | $31.27 | $35.74 – $116.92 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $31.27 | $35.74 – $116.92 |
| UnityPoint Health - Meriter Hospital | Madison | $36.35 | $10.45 – $35.74 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $92.40 | $26.80 – $266.13 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $92.40 | $26.80 – $212.90 |
| SSM Health St. Mary's Hospital - Madison | Madison | $92.40 | $26.80 – $217.72 |
| SSM Health Monroe Hospital | Monroe | $92.40 | $35.74 – $62.55 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $75.00 | $28.59 – $125.43 |