Levothyroxine 100 mcg intravenous powder for solution at Aurora Medical Center Kenosha

10400 75th St, Kenosha, WI · Aurorahealthcare · · NPI 1225156888

Source: hospital's published price file ↗ · Published Nov 21, 2025 · Ingested Sep 16, 2026

$21.81

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$43.62

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$5.55 with Aetna vs $37.08 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 →

Payer
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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
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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
Aetna HMO $5.55 ↓ -75%
HealthPartners Employee Trust Fund $6.29 ↓ -71%
HealthPartners Robin $6.58 ↓ -70%
Common Ground Envision $7.07 ↓ -68%
Centivo Commercial $7.07 ↓ -68%
Anthem Blue Priority $7.26 ↓ -67%
Health Payment Systems Commercial $7.28 ↓ -67%
Quartz One Commercial $7.28 ↓ -67%
Cigna PPO-GPPO $8.09 ↓ -63%
Quartz Group Commercial $8.35 ↓ -62%
Anthem Blue Preferred $8.71 ↓ -60%
Molina Exchange Commercial $13.15 ↓ -40%
HS Technology Commercial $21.81 ↑ +0%
Everpointe Elite Commercial $21.81 ↑ +0%
Wisconsin Physician Service Aurora Featured $22.68 ↑ +4%
Wisconsin Physician Service Arise $23.99 ↑ +10%
Wisconsin Physician Service Statewide $23.99 ↑ +10%
Trilogy Commercial $23.99 ↑ +10%
United Healthcare Exchange $25.91 ↑ +19%
United Healthcare Nexus $25.91 ↑ +19%
United Healthcare Charter $25.91 ↑ +19%
United Healthcare HMO $25.91 ↑ +19%
Common Ground Employee Trust Fund $26.17 ↑ +20%
Aurora Caregiver Commercial $26.17 ↑ +20%
Common Ground Exchange $26.17 ↑ +20%
Health EOS Plus Commercial $26.17 ↑ +20%
HealthPartners Broad $32.72 ↑ +50%
Health EOS PPO $34.90 ↑ +60%
Aetna PPO $36.03 ↑ +65%
United Healthcare PPO $36.73 ↑ +68%
Cigna PPO $36.90 ↑ +69%
Anthem PPO $37.08 ↑ +70%

Visitor-reported prices

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Levothyroxine 100 mcg intravenous powder for solution at other Wisconsin hospitals

Hospital City Cash price Negotiated range
Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Milwaukee $187.92 $8.89 – $20.31
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon $187.92 $8.89 – $20.31
UnityPoint Health - Meriter Hospital Madison $25.93 $7.45 – $27.55
Ascension St. Francis Hospital, Inc. Milwaukee $187.92 $6.63 – $16.44
Aurora Medical Center Burlington Burlington $23.74 $5.55 – $13.15
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee $187.92 $6.63 – $16.44
HSHS St. Mary's Hospital Medical Center GREEN BAY $34.71 $9.87 – $10.70
HSHS St. Nicholas Hospital SHEBOYGAN $34.70 $9.87 – $10.70

All Wisconsin hospitals for this procedure →