Tissue culture tumor at Aurora Medical Center Grafton
975 Port Washington Rd, Grafton, WI · Aurorahealthcare · · NPI 1265740195
$372.50
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.
$745.00
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.
$118.02 with United Healthcare vs $633.25 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 | Charter | $118.02 | ↓ -68% |
| United Healthcare | Nexus | $118.02 | ↓ -68% |
| United Healthcare | Exchange | $118.02 | ↓ -68% |
| United Healthcare | HMO | $118.02 | ↓ -68% |
| Everpointe Elite | Commercial | $146.97 | ↓ -61% |
| Anthem | Blue Priority | $147.52 | ↓ -60% |
| Aurora Caregiver | Commercial | $147.52 | ↓ -60% |
| Anthem | Blue Preferred | $177.02 | ↓ -52% |
| Common Ground | Employee Trust Fund | $309.79 | ↓ -17% |
| Common Ground | Exchange | $309.79 | ↓ -17% |
| Common Ground | Envision | $322.48 | ↓ -13% |
| Centivo | Commercial | $322.48 | ↓ -13% |
| Aetna | HMO | $328.97 | ↓ -12% |
| Quartz One | Commercial | $368.80 | ↓ -1% |
| Health Payment Systems | Commercial | $368.80 | ↓ -1% |
| HealthPartners | Employee Trust Fund | $391.26 | ↑ +5% |
| Molina Exchange | Commercial | $407.16 | ↑ +9% |
| HS Technology | Commercial | $415.12 | ↑ +11% |
| Quartz Group | Commercial | $427.81 | ↑ +15% |
| Cigna | PPO-GPPO | $431.01 | ↑ +16% |
| Health EOS Plus | Commercial | $447.00 | ↑ +20% |
| Wisconsin Physician Service | Aurora Featured | $477.96 | ↑ +28% |
| HealthPartners | Robin | $500.82 | ↑ +34% |
| Wisconsin Physician Service | Arise | $503.04 | ↑ +35% |
| Wisconsin Physician Service | Statewide | $503.04 | ↑ +35% |
| Trilogy | Commercial | $517.73 | ↑ +39% |
| HealthPartners | Broad | $558.75 | ↑ +50% |
| Health EOS | PPO | $596.00 | ↑ +60% |
| Aetna | PPO | $615.37 | ↑ +65% |
| United Healthcare | PPO | $627.29 | ↑ +68% |
| Cigna | PPO | $630.27 | ↑ +69% |
| Anthem | PPO | $633.25 | ↑ +70% |
Visitor-reported prices
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Tissue culture tumor 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 | $283.02 | $117.97 – $569.97 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $283.02 | $117.97 – $569.97 |
| UnityPoint Health - Meriter Hospital | Madison | $442.60 | $127.25 – $201.93 |
| SSM Health St. Mary's Hospital - Madison | Madison | $240.35 | $110.64 – $405.09 |
| SSM Health Monroe Hospital | Monroe | $836.00 | $147.52 – $258.16 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $372.50 | $118.02 – $517.73 |
| Aurora Medical Center Summit | Summit | $372.50 | $118.02 – $517.73 |
| Aurora Baycare Medical Center | Green Bay | $372.50 | $118.02 – $517.73 |