Coombs indirect qualitative each reagent red cell reference at Aurora Medical Center Kenosha
10400 75th St, Kenosha, WI · Aurorahealthcare · · NPI 1225156888
not published by hospital
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.
not published by hospital
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.
$4.58 with United Healthcare vs $20.07 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 | Charter | $4.58 | — |
| United Healthcare | Exchange | $4.58 | — |
| United Healthcare | HMO | $4.58 | — |
| United Healthcare | Nexus | $4.58 | — |
| Anthem | Blue Priority | $5.72 | — |
| Aurora Caregiver | Commercial | $5.72 | — |
| Anthem | Blue Preferred | $6.86 | — |
| Common Ground | Employee Trust Fund | $12.01 | — |
| Common Ground | Exchange | $12.01 | — |
| Centivo | Commercial | $12.50 | — |
| Common Ground | Envision | $12.50 | — |
| Aetna | HMO | $12.76 | — |
| Quartz One | Commercial | $14.30 | — |
| Health Payment Systems | Commercial | $14.30 | — |
| HealthPartners | Employee Trust Fund | $15.17 | — |
| Molina Exchange | Commercial | $15.79 | — |
| HS Technology | Commercial | $16.10 | — |
| Cigna | PPO-GPPO | $16.26 | — |
| Quartz Group | Commercial | $16.59 | — |
| Everpointe Elite | Commercial | $16.88 | — |
| Wisconsin Physician Service | Aurora Featured | $18.53 | — |
| HealthPartners | Robin | $19.42 | — |
| Wisconsin Physician Service | Statewide | $19.51 | — |
| Wisconsin Physician Service | Arise | $19.51 | — |
| Trilogy | Commercial | $20.07 | — |
Visitor-reported prices
Comments
Coombs indirect qualitative each reagent red cell reference at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $68.23 | $3.43 – $165.52 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $68.20 | $7.15 – $165.49 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $78.65 | $7.15 – $171.61 |
| SSM Health St. Mary's Hospital - Madison | Madison | $74.25 | $7.15 – $165.49 |
| SSM Health Monroe Hospital | Monroe | $44.55 | $6.80 – $15.73 |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | $172.26 | $5.91 – $374.32 |
| HSHS St. Nicholas Hospital | SHEBOYGAN | $172.26 | $5.91 – $374.88 |
| HSHS St. Clare Memorial Hospital | OCONTO FALLS | $172.26 | $5.91 – $174.06 |