Tib/per revasc stent & ather 37231 at Aurora Medical Center Grafton
975 Port Washington Rd, Grafton, WI · Aurorahealthcare · · NPI 1265740195
$17,455.00
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.
$34,910.00
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.
$8,243.00 with Aetna vs $29,673.50 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 |
|---|---|---|---|
| Aetna | HMO | $8,243.00 | ↓ -53% |
| HealthPartners | Employee Trust Fund | $15,011.30 | ↓ -14% |
| Everpointe Elite | Commercial | $17,086.00 | ↓ -2% |
| Molina Exchange | Commercial | $17,293.00 | ↓ -1% |
| Common Ground | Exchange | $17,346.00 | ↓ -1% |
| Common Ground | Employee Trust Fund | $17,346.00 | ↓ -1% |
| Common Ground | Envision | $17,346.00 | ↓ -1% |
| Quartz One | Commercial | $17,830.00 | ↑ +2% |
| Anthem | Blue Priority | $18,187.00 | ↑ +4% |
| Cigna | PPO-GPPO | $19,000.00 | ↑ +9% |
| Health Payment Systems | Commercial | $19,700.00 | ↑ +13% |
| HealthPartners | Robin | $20,247.80 | ↑ +16% |
| HS Technology | Commercial | $20,541.00 | ↑ +18% |
| Quartz Group | Commercial | $20,860.00 | ↑ +20% |
| Health EOS Plus | Commercial | $20,946.00 | ↑ +20% |
| United Healthcare | Exchange | $21,392.00 | ↑ +23% |
| Aurora Caregiver | Commercial | $21,480.00 | ↑ +23% |
| United Healthcare | Nexus | $21,546.00 | ↑ +23% |
| United Healthcare | Charter | $21,546.00 | ↑ +23% |
| Centivo | Commercial | $21,582.00 | ↑ +24% |
| Wisconsin Physician Service | Aurora Featured | $21,606.00 | ↑ +24% |
| Wisconsin Physician Service | Statewide | $22,743.00 | ↑ +30% |
| Wisconsin Physician Service | Arise | $22,743.00 | ↑ +30% |
| Anthem | Blue Preferred | $23,460.00 | ↑ +34% |
| United Healthcare | HMO | $23,474.00 | ↑ +34% |
| Trilogy | Commercial | $25,737.00 | ↑ +47% |
| HealthPartners | Broad | $26,182.50 | ↑ +50% |
| Health EOS | PPO | $27,928.00 | ↑ +60% |
| Aetna | PPO | $28,835.66 | ↑ +65% |
| United Healthcare | PPO | $29,394.22 | ↑ +68% |
| Cigna | PPO | $29,533.86 | ↑ +69% |
| Anthem | PPO | $29,673.50 | ↑ +70% |
Visitor-reported prices
Comments
Tib/per revasc stent & ather 37231 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 | $28,273.91 | $1,113.65 – $56,153.56 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $34,190.30 | $1,113.65 – $56,153.56 |
| UnityPoint Health - Meriter Hospital | Madison | $20,278.40 | $632.86 – $5,914.30 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $10,868.00 | $13,711.00 – $39,723.00 |
| SSM Health St. Mary's Hospital - Madison | Madison | $11,504.90 | $14,021.00 – $41,279.00 |
| SSM Health Monroe Hospital | Monroe | $12,453.65 | $13,352.00 – $41,823.00 |
| SSM Health Ripon Community Hospital | Ripon | $16,951.00 | $8,923.00 – $44,873.00 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $16,951.00 | $8,923.00 – $44,873.00 |