Dch validity tests at Aurora Medical Center Washington County
1032 E Sumner St, Hartford, WI · Aurorahealthcare · · NPI 1760420103
$15.00
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.
$30.00
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.
$2.78 with United Healthcare vs $25.50 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 | $2.78 | ↓ -81% |
| United Healthcare | Exchange | $2.78 | ↓ -81% |
| United Healthcare | Charter | $2.78 | ↓ -81% |
| United Healthcare | Nexus | $2.78 | ↓ -81% |
| Aurora Caregiver | Commercial | $3.48 | ↓ -77% |
| Anthem | Blue Priority | $3.48 | ↓ -77% |
| Anthem | Blue Preferred | $4.18 | ↓ -72% |
| Common Ground | Employee Trust Fund | $7.31 | ↓ -51% |
| Common Ground | Exchange | $7.31 | ↓ -51% |
| Everpointe Elite | Commercial | $7.54 | ↓ -50% |
| Common Ground | Envision | $7.61 | ↓ -49% |
| Centivo | Commercial | $7.61 | ↓ -49% |
| Aetna | HMO | $7.76 | ↓ -48% |
| Health Payment Systems | Commercial | $8.70 | ↓ -42% |
| Quartz One | Commercial | $8.70 | ↓ -42% |
| HealthPartners | Employee Trust Fund | $9.23 | ↓ -38% |
| Molina Exchange | Commercial | $9.60 | ↓ -36% |
| HS Technology | Commercial | $9.79 | ↓ -35% |
| Quartz Group | Commercial | $10.09 | ↓ -33% |
| Cigna | PPO-GPPO | $10.50 | ↓ -30% |
| Wisconsin Physician Service | Aurora Featured | $11.28 | ↓ -25% |
| HealthPartners | Robin | $11.81 | ↓ -21% |
| Wisconsin Physician Service | Statewide | $11.87 | ↓ -21% |
| Wisconsin Physician Service | Arise | $11.87 | ↓ -21% |
| Trilogy | Commercial | $12.21 | ↓ -19% |
| Health EOS Plus | Commercial | $18.00 | ↑ +20% |
| HealthPartners | Broad | $22.50 | ↑ +50% |
| Health EOS | PPO | $24.00 | ↑ +60% |
| Aetna | PPO | $24.78 | ↑ +65% |
| United Healthcare | PPO | $25.26 | ↑ +68% |
| Cigna | PPO | $25.38 | ↑ +69% |
| Anthem | PPO | $25.50 | ↑ +70% |
Visitor-reported prices
Comments
Dch validity tests 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 | $13.78 | $3.48 – $11.46 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $13.78 | $3.48 – $11.46 |
| UnityPoint Health - Meriter Hospital | Madison | $76.00 | $3.48 – $16.49 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | $27.03 | $3.38 – $4.58 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $15.40 | $2.61 – $25.40 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $16.50 | $2.61 – $20.32 |
| SSM Health St. Mary's Hospital - Madison | Madison | $15.95 | $2.61 – $20.78 |
| SSM Health Monroe Hospital | Monroe | $19.80 | $3.48 – $6.09 |