Warde 3008005 oligoclonal bands at Aurora Medical Center Grafton
975 Port Washington Rd, Grafton, WI · Aurorahealthcare · · NPI 1265740195
$92.50
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.
$185.00
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.
$21.91 with United Healthcare vs $157.25 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 | HMO | $21.91 | ↓ -76% |
| United Healthcare | Exchange | $21.91 | ↓ -76% |
| United Healthcare | Charter | $21.91 | ↓ -76% |
| United Healthcare | Nexus | $21.91 | ↓ -76% |
| Aurora Caregiver | Commercial | $27.39 | ↓ -70% |
| Anthem | Blue Priority | $27.39 | ↓ -70% |
| Anthem | Blue Preferred | $32.87 | ↓ -64% |
| Common Ground | Employee Trust Fund | $57.52 | ↓ -38% |
| Common Ground | Exchange | $57.52 | ↓ -38% |
| Everpointe Elite | Commercial | $59.34 | ↓ -36% |
| Common Ground | Envision | $59.87 | ↓ -35% |
| Centivo | Commercial | $59.87 | ↓ -35% |
| Aetna | HMO | $61.08 | ↓ -34% |
| Health Payment Systems | Commercial | $68.48 | ↓ -26% |
| Quartz One | Commercial | $68.48 | ↓ -26% |
| HealthPartners | Employee Trust Fund | $72.65 | ↓ -21% |
| Molina Exchange | Commercial | $75.60 | ↓ -18% |
| HS Technology | Commercial | $77.08 | ↓ -17% |
| Quartz Group | Commercial | $79.43 | ↓ -14% |
| Cigna | PPO-GPPO | $80.28 | ↓ -13% |
| Wisconsin Physician Service | Aurora Featured | $88.74 | ↓ -4% |
| HealthPartners | Robin | $92.99 | ↑ +1% |
| Wisconsin Physician Service | Statewide | $93.40 | ↑ +1% |
| Wisconsin Physician Service | Arise | $93.40 | ↑ +1% |
| Trilogy | Commercial | $96.14 | ↑ +4% |
| Health EOS Plus | Commercial | $111.00 | ↑ +20% |
| HealthPartners | Broad | $138.75 | ↑ +50% |
| Health EOS | PPO | $148.00 | ↑ +60% |
| Aetna | PPO | $152.81 | ↑ +65% |
| United Healthcare | PPO | $155.77 | ↑ +68% |
| Cigna | PPO | $156.51 | ↑ +69% |
| Anthem | PPO | $157.25 | ↑ +70% |
Visitor-reported prices
Comments
Warde 3008005 oligoclonal bands 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 | $130.91 | $27.39 – $87.10 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $130.91 | $27.39 – $87.10 |
| UnityPoint Health - Meriter Hospital | Madison | $249.28 | $16.43 – $97.22 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $145.20 | $20.54 – $199.88 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $174.90 | $20.54 – $159.89 |
| SSM Health St. Mary's Hospital - Madison | Madison | $121.55 | $20.54 – $163.52 |
| SSM Health Monroe Hospital | Monroe | $141.35 | $27.39 – $47.93 |
| SSM Health Ripon Community Hospital | Ripon | $124.85 | $27.39 – $47.93 |