Ustekinumab 130 mg/26 ml intravenous solution at Aurora Medical Center Grafton
975 Port Washington Rd, Grafton, WI · Aurorahealthcare · · NPI 1265740195
$53.46
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.
$106.92
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.
$12.76 with United Healthcare vs $90.88 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 | $12.76 | ↓ -76% |
| United Healthcare | Nexus | $12.76 | ↓ -76% |
| United Healthcare | Exchange | $12.76 | ↓ -76% |
| United Healthcare | HMO | $12.76 | ↓ -76% |
| Anthem | Blue Priority | $12.81 | ↓ -76% |
| Aurora Caregiver | Commercial | $12.97 | ↓ -76% |
| Aetna | HMO | $13.14 | ↓ -75% |
| HealthPartners | Employee Trust Fund | $14.89 | ↓ -72% |
| Anthem | Blue Preferred | $15.37 | ↓ -71% |
| HealthPartners | Robin | $15.57 | ↓ -71% |
| Common Ground | Envision | $16.73 | ↓ -69% |
| Centivo | Commercial | $16.73 | ↓ -69% |
| Quartz One | Commercial | $17.22 | ↓ -68% |
| Health Payment Systems | Commercial | $17.22 | ↓ -68% |
| Common Ground | Exchange | $17.76 | ↓ -67% |
| Common Ground | Employee Trust Fund | $17.76 | ↓ -67% |
| Cigna | PPO-GPPO | $19.14 | ↓ -64% |
| Everpointe Elite | Commercial | $19.48 | ↓ -64% |
| Quartz Group | Commercial | $19.78 | ↓ -63% |
| Molina Exchange | Commercial | $31.13 | ↓ -42% |
| HS Technology | Commercial | $53.46 | ↑ +0% |
| Wisconsin Physician Service | Aurora Featured | $55.60 | ↑ +4% |
| Wisconsin Physician Service | Statewide | $58.81 | ↑ +10% |
| Trilogy | Commercial | $58.81 | ↑ +10% |
| Wisconsin Physician Service | Arise | $58.81 | ↑ +10% |
| Health EOS Plus | Commercial | $64.15 | ↑ +20% |
| HealthPartners | Broad | $80.19 | ↑ +50% |
| Health EOS | PPO | $85.54 | ↑ +60% |
| Aetna | PPO | $88.32 | ↑ +65% |
| United Healthcare | PPO | $90.03 | ↑ +68% |
| Cigna | PPO | $90.45 | ↑ +69% |
| Anthem | PPO | $90.88 | ↑ +70% |
Visitor-reported prices
Comments
Ustekinumab 130 mg/26 ml intravenous solution at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Durand | Durand | $16,791.75 | not published |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $8.52 – $25.25 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $8.52 – $25.25 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $8.52 – $25.25 |
| SSM Health Monroe Hospital | Monroe | not published | $11.36 – $34.88 |
| SSM Health Ripon Community Hospital | Ripon | not published | $13.81 – $34.73 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $8.52 – $34.73 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $13.81 – $34.73 |