Lipoprotein blood quant at Aurora Medical Center Kenosha
10400 75th St, Kenosha, WI · Aurorahealthcare · · NPI 1225156888
$137.50
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.
$275.00
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.
$27.35 with United Healthcare vs $233.75 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 | HMO | $27.35 | ↓ -80% |
| United Healthcare | Nexus | $27.35 | ↓ -80% |
| United Healthcare | Exchange | $27.35 | ↓ -80% |
| United Healthcare | Charter | $27.35 | ↓ -80% |
| Anthem | Blue Priority | $34.19 | ↓ -75% |
| Aurora Caregiver | Commercial | $34.19 | ↓ -75% |
| Anthem | Blue Preferred | $41.03 | ↓ -70% |
| Common Ground | Exchange | $71.80 | ↓ -48% |
| Common Ground | Employee Trust Fund | $71.80 | ↓ -48% |
| Centivo | Commercial | $74.74 | ↓ -46% |
| Common Ground | Envision | $74.74 | ↓ -46% |
| Aetna | HMO | $76.24 | ↓ -45% |
| Quartz One | Commercial | $85.48 | ↓ -38% |
| Health Payment Systems | Commercial | $85.48 | ↓ -38% |
| HealthPartners | Employee Trust Fund | $90.68 | ↓ -34% |
| Everpointe Elite | Commercial | $93.09 | ↓ -32% |
| Molina Exchange | Commercial | $94.36 | ↓ -31% |
| HS Technology | Commercial | $96.21 | ↓ -30% |
| Quartz Group | Commercial | $99.15 | ↓ -28% |
| Cigna | PPO-GPPO | $99.39 | ↓ -28% |
| Wisconsin Physician Service | Aurora Featured | $110.78 | ↓ -19% |
| HealthPartners | Robin | $116.07 | ↓ -16% |
| Wisconsin Physician Service | Statewide | $116.59 | ↓ -15% |
| Wisconsin Physician Service | Arise | $116.59 | ↓ -15% |
| Trilogy | Commercial | $120.00 | ↓ -13% |
| Health EOS Plus | Commercial | $165.00 | ↑ +20% |
| HealthPartners | Broad | $206.25 | ↑ +50% |
| Health EOS | PPO | $220.00 | ↑ +60% |
| Aetna | PPO | $227.15 | ↑ +65% |
| United Healthcare | PPO | $231.55 | ↑ +68% |
| Cigna | PPO | $232.65 | ↑ +69% |
| Anthem | PPO | $233.75 | ↑ +70% |
Visitor-reported prices
Comments
Lipoprotein blood quant 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 | $334.43 | $34.19 – $137.55 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $334.43 | $34.19 – $137.55 |
| UnityPoint Health - Meriter Hospital | Madison | $390.17 | $20.51 – $152.17 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | $143.63 | $33.16 – $56.52 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $96.80 | $25.64 – $313.62 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $116.60 | $25.64 – $250.90 |
| SSM Health St. Mary's Hospital - Madison | Madison | $81.40 | $25.64 – $256.59 |
| SSM Health Monroe Hospital | Monroe | $157.30 | $34.19 – $59.83 |