Drug assay rufinamide at Aurora Medical Center Washington County
1032 E Sumner St, Hartford, WI · Aurorahealthcare · · NPI 1760420103
$135.00
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.
$270.00
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.
$21.69 with United Healthcare vs $229.50 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 | Nexus | $21.69 | ↓ -84% |
| United Healthcare | Exchange | $21.69 | ↓ -84% |
| United Healthcare | HMO | $21.69 | ↓ -84% |
| United Healthcare | Charter | $21.69 | ↓ -84% |
| Anthem | Blue Priority | $27.11 | ↓ -80% |
| Aurora Caregiver | Commercial | $27.11 | ↓ -80% |
| Anthem | Blue Preferred | $32.53 | ↓ -76% |
| Common Ground | Employee Trust Fund | $56.93 | ↓ -58% |
| Common Ground | Exchange | $56.93 | ↓ -58% |
| Centivo | Commercial | $59.26 | ↓ -56% |
| Common Ground | Envision | $59.26 | ↓ -56% |
| Aetna | HMO | $60.46 | ↓ -55% |
| Quartz One | Commercial | $67.78 | ↓ -50% |
| Health Payment Systems | Commercial | $67.78 | ↓ -50% |
| HealthPartners | Employee Trust Fund | $71.90 | ↓ -47% |
| Molina Exchange | Commercial | $74.82 | ↓ -45% |
| HS Technology | Commercial | $76.29 | ↓ -43% |
| Quartz Group | Commercial | $78.62 | ↓ -42% |
| Cigna | PPO-GPPO | $79.32 | ↓ -41% |
| Wisconsin Physician Service | Aurora Featured | $87.84 | ↓ -35% |
| HealthPartners | Robin | $92.03 | ↓ -32% |
| Wisconsin Physician Service | Statewide | $92.45 | ↓ -32% |
| Wisconsin Physician Service | Arise | $92.45 | ↓ -32% |
| Trilogy | Commercial | $95.14 | ↓ -30% |
| Everpointe Elite | Commercial | $135.00 | ↑ +0% |
| Health EOS Plus | Commercial | $162.00 | ↑ +20% |
| HealthPartners | Broad | $202.50 | ↑ +50% |
| Health EOS | PPO | $216.00 | ↑ +60% |
| Aetna | PPO | $223.02 | ↑ +65% |
| United Healthcare | PPO | $227.34 | ↑ +68% |
| Cigna | PPO | $228.42 | ↑ +69% |
| Anthem | PPO | $229.50 | ↑ +70% |
Visitor-reported prices
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Drug assay rufinamide at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $46.64 | $27.11 – $90.82 |
| UnityPoint Health - Meriter Hospital | Madison | $69.72 | $16.27 – $31.81 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $229.90 | $20.33 – $197.83 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $301.95 | $20.33 – $158.27 |
| SSM Health St. Mary's Hospital - Madison | Madison | $216.15 | $20.33 – $161.86 |
| SSM Health Ripon Community Hospital | Ripon | $64.35 | $27.11 – $47.44 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $64.35 | $20.33 – $52.32 |
| SSM Health Waupun Memorial Hospital | Waupun | $64.35 | $27.11 – $47.44 |