Cystatin c at Aurora Medical Center Washington County
1032 E Sumner St, Hartford, WI · Aurorahealthcare · · NPI 1760420103
$90.00
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.
$180.00
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.
$14.82 with United Healthcare vs $153.00 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 | $14.82 | ↓ -84% |
| United Healthcare | Exchange | $14.82 | ↓ -84% |
| United Healthcare | Charter | $14.82 | ↓ -84% |
| United Healthcare | Nexus | $14.82 | ↓ -84% |
| Aurora Caregiver | Commercial | $18.52 | ↓ -79% |
| Anthem | Blue Priority | $18.52 | ↓ -79% |
| Anthem | Blue Preferred | $22.22 | ↓ -75% |
| Common Ground | Employee Trust Fund | $38.89 | ↓ -57% |
| Common Ground | Exchange | $38.89 | ↓ -57% |
| Everpointe Elite | Commercial | $40.12 | ↓ -55% |
| Common Ground | Envision | $40.48 | ↓ -55% |
| Centivo | Commercial | $40.48 | ↓ -55% |
| Aetna | HMO | $41.30 | ↓ -54% |
| Health Payment Systems | Commercial | $46.30 | ↓ -49% |
| Quartz One | Commercial | $46.30 | ↓ -49% |
| HealthPartners | Employee Trust Fund | $49.12 | ↓ -45% |
| Molina Exchange | Commercial | $51.12 | ↓ -43% |
| HS Technology | Commercial | $52.12 | ↓ -42% |
| Quartz Group | Commercial | $53.71 | ↓ -40% |
| Cigna | PPO-GPPO | $54.48 | ↓ -39% |
| Wisconsin Physician Service | Aurora Featured | $60.00 | ↓ -33% |
| HealthPartners | Robin | $62.87 | ↓ -30% |
| Wisconsin Physician Service | Statewide | $63.15 | ↓ -30% |
| Wisconsin Physician Service | Arise | $63.15 | ↓ -30% |
| Trilogy | Commercial | $64.99 | ↓ -28% |
| Health EOS Plus | Commercial | $108.00 | ↑ +20% |
| HealthPartners | Broad | $135.00 | ↑ +50% |
| Health EOS | PPO | $144.00 | ↑ +60% |
| Aetna | PPO | $148.68 | ↑ +65% |
| United Healthcare | PPO | $151.56 | ↑ +68% |
| Cigna | PPO | $152.28 | ↑ +69% |
| Anthem | PPO | $153.00 | ↑ +70% |
Visitor-reported prices
Comments
Cystatin c 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 | $266.59 | $18.52 – $59.60 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $266.59 | $18.52 – $59.60 |
| UnityPoint Health - Meriter Hospital | Madison | $142.00 | $11.11 – $55.38 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $40.15 | $13.89 – $135.13 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $45.65 | $13.89 – $108.11 |
| SSM Health St. Mary's Hospital - Madison | Madison | $39.05 | $13.89 – $110.56 |
| SSM Health Monroe Hospital | Monroe | $49.50 | $18.52 – $32.41 |
| SSM Health Ripon Community Hospital | Ripon | $60.50 | $18.52 – $32.41 |