Observation per hour at Aurora Medical Center Washington County
1032 E Sumner St, Hartford, WI · Aurorahealthcare · · NPI 1760420103
$50.00
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.
$100.00
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.
$60.00 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 | $60.00 | ↑ +20% |
| HealthPartners | Broad | $75.00 | ↑ +50% |
| Health EOS | PPO | $80.00 | ↑ +60% |
| Aetna | PPO | $82.60 | ↑ +65% |
| United Healthcare | PPO | $84.20 | ↑ +68% |
| Cigna | PPO | $84.60 | ↑ +69% |
| Anthem | PPO | $85.00 | ↑ +70% |
| Everpointe Elite | Commercial | $7,596.00 | ↑ +15092% |
| Aetna | HMO | $7,798.00 | ↑ +15496% |
| Common Ground | Exchange | $8,928.00 | ↑ +17756% |
| Common Ground | Employee Trust Fund | $8,928.00 | ↑ +17756% |
| Common Ground | Envision | $8,928.00 | ↑ +17756% |
| HealthPartners | Employee Trust Fund | $9,072.00 | ↑ +18044% |
| United Healthcare | Exchange | $9,169.00 | ↑ +18238% |
| United Healthcare | Charter | $9,233.00 | ↑ +18366% |
| United Healthcare | Nexus | $9,233.00 | ↑ +18366% |
| Centivo | Commercial | $9,289.00 | ↑ +18478% |
| Trilogy | Commercial | $9,651.00 | ↑ +19202% |
| Molina Exchange | Commercial | $9,814.00 | ↑ +19528% |
| United Healthcare | HMO | $10,060.00 | ↑ +20020% |
| Anthem | Blue Priority | $10,353.00 | ↑ +20606% |
| HS Technology | Commercial | $10,692.00 | ↑ +21284% |
| Health Payment Systems | Commercial | $11,000.00 | ↑ +21900% |
| Aurora Caregiver | Commercial | $11,000.00 | ↑ +21900% |
| Wisconsin Physician Service | Aurora Featured | $11,362.00 | ↑ +22624% |
| HealthPartners | Robin | $11,670.00 | ↑ +23240% |
| Wisconsin Physician Service | Statewide | $11,960.00 | ↑ +23820% |
| Wisconsin Physician Service | Arise | $11,960.00 | ↑ +23820% |
| Quartz One | Commercial | $12,250.00 | ↑ +24400% |
| Cigna | PPO-GPPO | $12,500.00 | ↑ +24900% |
| Anthem | Blue Preferred | $13,362.00 | ↑ +26624% |
| Quartz Group | Commercial | $14,330.00 | ↑ +28560% |
Visitor-reported prices
Comments
Observation per hour at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $144.27 | $29.38 – $153.28 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $77.50 | not published |
| Aurora Medical Center Summit | Summit | $45.00 | not published |
| Aurora Baycare Medical Center | Green Bay | $55.00 | not published |
| Aurora Medical Center Manitowoc | Two Rivers | $42.50 | not published |
| Aurora West Allis Medical Center | West Allis | $70.00 | not published |
| Aurora Medical Center Bay Area | Marinette | $82.50 | not published |
| Aurora Medical Center Burlington | Burlington | $55.00 | not published |