Observation direct referral from physician office for admission at Aurora Medical Center Washington County
1032 E Sumner St, Hartford, WI · Aurorahealthcare · · NPI 1760420103
$147.50
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.
$295.00
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.
$177.00 with Health EOS Plus vs $14,330.00 with Quartz Group — 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 |
|---|---|---|---|
| Health EOS Plus | Commercial | $177.00 | ↑ +20% |
| HealthPartners | Broad | $221.25 | ↑ +50% |
| Health EOS | PPO | $236.00 | ↑ +60% |
| Aetna | PPO | $243.67 | ↑ +65% |
| United Healthcare | PPO | $248.39 | ↑ +68% |
| Cigna | PPO | $249.57 | ↑ +69% |
| Anthem | PPO | $250.75 | ↑ +70% |
| Everpointe Elite | Commercial | $7,596.00 | ↑ +5050% |
| Aetna | HMO | $7,798.00 | ↑ +5187% |
| Common Ground | Employee Trust Fund | $8,928.00 | ↑ +5953% |
| Common Ground | Exchange | $8,928.00 | ↑ +5953% |
| Common Ground | Envision | $8,928.00 | ↑ +5953% |
| HealthPartners | Employee Trust Fund | $9,072.00 | ↑ +6051% |
| United Healthcare | Exchange | $9,169.00 | ↑ +6116% |
| United Healthcare | Nexus | $9,233.00 | ↑ +6160% |
| United Healthcare | Charter | $9,233.00 | ↑ +6160% |
| Centivo | Commercial | $9,289.00 | ↑ +6198% |
| Trilogy | Commercial | $9,651.00 | ↑ +6443% |
| Molina Exchange | Commercial | $9,814.00 | ↑ +6554% |
| United Healthcare | HMO | $10,060.00 | ↑ +6720% |
| Anthem | Blue Priority | $10,353.00 | ↑ +6919% |
| HS Technology | Commercial | $10,692.00 | ↑ +7149% |
| Aurora Caregiver | Commercial | $11,000.00 | ↑ +7358% |
| Health Payment Systems | Commercial | $11,000.00 | ↑ +7358% |
| Wisconsin Physician Service | Aurora Featured | $11,362.00 | ↑ +7603% |
| HealthPartners | Robin | $11,670.00 | ↑ +7812% |
| Wisconsin Physician Service | Arise | $11,960.00 | ↑ +8008% |
| Wisconsin Physician Service | Statewide | $11,960.00 | ↑ +8008% |
| Quartz One | Commercial | $12,250.00 | ↑ +8205% |
| Cigna | PPO-GPPO | $12,500.00 | ↑ +8375% |
| Anthem | Blue Preferred | $13,362.00 | ↑ +8959% |
| Quartz Group | Commercial | $14,330.00 | ↑ +9615% |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $176.04 | $32.74 – $592.21 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $318.45 | $433.84 – $578.46 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $343.75 | $449.89 – $599.85 |
| SSM Health St. Mary's Hospital - Madison | Madison | $451.55 | $433.84 – $578.46 |
| SSM Health Monroe Hospital | Monroe | $393.80 | $578.46 – $578.46 |
| SSM Health Ripon Community Hospital | Ripon | $74.80 | not published |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $74.80 | $441.78 – $1,136.86 |
| SSM Health Waupun Memorial Hospital | Waupun | $74.80 | not published |