Genetic tstg severe inh cond at Aurora Medical Center Washington County
1032 E Sumner St, Hartford, WI · Aurorahealthcare · · NPI 1760420103
$1,870.00
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.
$3,740.00
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.
$1,958.85 with United Healthcare vs $8,593.41 with Trilogy — 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 | $1,958.85 | ↑ +5% |
| United Healthcare | Exchange | $1,958.85 | ↑ +5% |
| United Healthcare | HMO | $1,958.85 | ↑ +5% |
| United Healthcare | Charter | $1,958.85 | ↑ +5% |
| Health EOS Plus | Commercial | $2,244.00 | ↑ +20% |
| Aurora Caregiver | Commercial | $2,448.56 | ↑ +31% |
| Anthem | Blue Priority | $2,448.56 | ↑ +31% |
| HealthPartners | Broad | $2,805.00 | ↑ +50% |
| Anthem | Blue Preferred | $2,938.27 | ↑ +57% |
| Health EOS | PPO | $2,992.00 | ↑ +60% |
| Aetna | PPO | $3,089.24 | ↑ +65% |
| United Healthcare | PPO | $3,149.08 | ↑ +68% |
| Cigna | PPO | $3,164.04 | ↑ +69% |
| Anthem | PPO | $3,179.00 | ↑ +70% |
| Common Ground | Employee Trust Fund | $5,141.98 | ↑ +175% |
| Common Ground | Exchange | $5,141.98 | ↑ +175% |
| Everpointe Elite | Commercial | $5,266.97 | ↑ +182% |
| Common Ground | Envision | $5,352.55 | ↑ +186% |
| Centivo | Commercial | $5,352.55 | ↑ +186% |
| Aetna | HMO | $5,460.29 | ↑ +192% |
| Quartz One | Commercial | $6,121.40 | ↑ +227% |
| Health Payment Systems | Commercial | $6,121.40 | ↑ +227% |
| HealthPartners | Employee Trust Fund | $6,494.19 | ↑ +247% |
| Molina Exchange | Commercial | $6,758.03 | ↑ +261% |
| HS Technology | Commercial | $6,890.25 | ↑ +268% |
| Quartz Group | Commercial | $7,100.82 | ↑ +280% |
| Cigna | PPO-GPPO | $7,146.60 | ↑ +282% |
| Wisconsin Physician Service | Aurora Featured | $7,933.33 | ↑ +324% |
| HealthPartners | Robin | $8,312.56 | ↑ +345% |
| Wisconsin Physician Service | Arise | $8,349.59 | ↑ +347% |
| Wisconsin Physician Service | Statewide | $8,349.59 | ↑ +347% |
| Trilogy | Commercial | $8,593.41 | ↑ +360% |
Visitor-reported prices
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Genetic tstg severe inh cond at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $6,993.78 | $1,469.14 – $3,190.91 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $1,870.00 | $1,958.85 – $8,593.41 |
| Aurora Medical Center Summit | Summit | $1,870.00 | $1,958.85 – $8,593.41 |
| Aurora Baycare Medical Center | Green Bay | $1,870.00 | $1,958.85 – $8,593.41 |
| Aurora Medical Center Manitowoc | Two Rivers | $1,870.00 | $1,958.85 – $8,593.41 |
| Aurora West Allis Medical Center | West Allis | $1,870.00 | $1,958.85 – $8,593.41 |
| Aurora Medical Center Burlington | Burlington | $1,870.00 | $1,958.85 – $8,593.41 |
| Aurora Medical Center Fond du Lac | Fond Du Lac | $1,870.00 | $1,958.85 – $8,593.41 |