Biopsy of salivary gland 42400 at Aurora Medical Center Washington County
1032 E Sumner St, Hartford, WI · Aurorahealthcare · · NPI 1760420103
$725.00
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.
?
What you pay up front if you don't use insurance.
$1,450.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$623.50 with HealthPartners vs $3,500.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| HealthPartners | Employee Trust Fund | $623.50 | ↓ -14% |
| HealthPartners | Robin | $841.00 | ↑ +16% |
| Health EOS Plus | Commercial | $870.00 | ↑ +20% |
| HealthPartners | Broad | $1,087.50 | ↑ +50% |
| Health EOS | PPO | $1,160.00 | ↑ +60% |
| Anthem | Blue Priority | $1,183.00 | ↑ +63% |
| Aetna | PPO | $1,197.70 | ↑ +65% |
| United Healthcare | PPO | $1,220.90 | ↑ +68% |
| Cigna | PPO | $1,226.70 | ↑ +69% |
| Anthem | PPO | $1,232.50 | ↑ +70% |
| Everpointe Elite | Commercial | $1,291.00 | ↑ +78% |
| Common Ground | Employee Trust Fund | $1,492.00 | ↑ +106% |
| Common Ground | Exchange | $1,492.00 | ↑ +106% |
| Common Ground | Envision | $1,492.00 | ↑ +106% |
| Anthem | Blue Preferred | $1,530.00 | ↑ +111% |
| Quartz One | Commercial | $1,670.00 | ↑ +130% |
| Molina Exchange | Commercial | $1,825.00 | ↑ +152% |
| Aetna | HMO | $1,894.00 | ↑ +161% |
| Quartz Group | Commercial | $1,950.00 | ↑ +169% |
| Centivo | Commercial | $1,967.00 | ↑ +171% |
| Wisconsin Physician Service | Aurora Featured | $2,115.00 | ↑ +192% |
| HS Technology | Commercial | $2,138.00 | ↑ +195% |
| Wisconsin Physician Service | Arise | $2,226.00 | ↑ +207% |
| Wisconsin Physician Service | Statewide | $2,226.00 | ↑ +207% |
| Aurora Caregiver | Commercial | $2,250.00 | ↑ +210% |
| Health Payment Systems | Commercial | $2,300.00 | ↑ +217% |
| Trilogy | Commercial | $2,340.00 | ↑ +223% |
| United Healthcare | Exchange | $2,445.00 | ↑ +237% |
| United Healthcare | Nexus | $2,462.00 | ↑ +240% |
| United Healthcare | Charter | $2,462.00 | ↑ +240% |
| United Healthcare | HMO | $2,683.00 | ↑ +270% |
| Cigna | PPO-GPPO | $3,500.00 | ↑ +383% |
Visitor-reported prices
Comments
Biopsy of salivary gland 42400 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 | $1,748.47 | $85.24 – $1,506.85 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $1,748.47 | $85.24 – $1,506.85 |
| UnityPoint Health - Meriter Hospital | Madison | $2,295.35 | $48.89 – $895.18 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $1,528.45 | $515.87 – $4,401.00 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $1,022.45 | $534.95 – $4,074.00 |
| SSM Health St. Mary's Hospital - Madison | Madison | $957.55 | $515.87 – $4,198.00 |
| SSM Health Monroe Hospital | Monroe | $988.35 | $687.83 – $4,217.00 |
| SSM Health Ripon Community Hospital | Ripon | $1,483.35 | $2,654.00 – $3,030.00 |