Mycobacteria dna amp probe at Aurora Medical Center Washington County
1032 E Sumner St, Hartford, WI · Aurorahealthcare · · NPI 1760420103
$635.00
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.
$1,270.00
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.
$38.59 with United Healthcare vs $1,079.50 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 | $38.59 | ↓ -94% |
| United Healthcare | Charter | $38.59 | ↓ -94% |
| United Healthcare | HMO | $38.59 | ↓ -94% |
| United Healthcare | Exchange | $38.59 | ↓ -94% |
| Anthem | Blue Priority | $48.24 | ↓ -92% |
| Aurora Caregiver | Commercial | $48.24 | ↓ -92% |
| Anthem | Blue Preferred | $57.89 | ↓ -91% |
| Common Ground | Exchange | $101.30 | ↓ -84% |
| Common Ground | Employee Trust Fund | $101.30 | ↓ -84% |
| Everpointe Elite | Commercial | $103.55 | ↓ -84% |
| Common Ground | Envision | $105.45 | ↓ -83% |
| Centivo | Commercial | $105.45 | ↓ -83% |
| Aetna | HMO | $107.58 | ↓ -83% |
| Health Payment Systems | Commercial | $120.60 | ↓ -81% |
| Quartz One | Commercial | $120.60 | ↓ -81% |
| HealthPartners | Employee Trust Fund | $127.95 | ↓ -80% |
| Molina Exchange | Commercial | $133.14 | ↓ -79% |
| HS Technology | Commercial | $135.75 | ↓ -79% |
| Quartz Group | Commercial | $139.90 | ↓ -78% |
| Cigna | PPO-GPPO | $140.49 | ↓ -78% |
| Wisconsin Physician Service | Aurora Featured | $156.30 | ↓ -75% |
| HealthPartners | Robin | $163.77 | ↓ -74% |
| Wisconsin Physician Service | Statewide | $164.50 | ↓ -74% |
| Wisconsin Physician Service | Arise | $164.50 | ↓ -74% |
| Trilogy | Commercial | $169.30 | ↓ -73% |
| Health EOS Plus | Commercial | $762.00 | ↑ +20% |
| HealthPartners | Broad | $952.50 | ↑ +50% |
| Health EOS | PPO | $1,016.00 | ↑ +60% |
| Aetna | PPO | $1,049.02 | ↑ +65% |
| United Healthcare | PPO | $1,069.34 | ↑ +68% |
| Cigna | PPO | $1,074.42 | ↑ +69% |
| Anthem | PPO | $1,079.50 | ↑ +70% |
Visitor-reported prices
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Mycobacteria dna amp probe at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $144.73 | $28.94 – $66.03 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | $235.85 | $46.79 – $62.88 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $618.75 | $36.18 – $348.80 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $834.90 | $36.18 – $279.04 |
| SSM Health St. Mary's Hospital - Madison | Madison | $439.45 | $36.18 – $285.37 |
| SSM Health Monroe Hospital | Monroe | $107.80 | $48.24 – $84.42 |
| SSM Health Ripon Community Hospital | Ripon | $107.80 | $48.24 – $84.42 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $107.80 | $36.18 – $93.10 |