Abscess drain retroperitoneal surg code at Aurora Medical Center Bay Area
3003 University Dr, Marinette, WI · Aurorahealthcare · · NPI 1043397177
$2,890.00
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.
$5,780.00
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.
$2,020.00 with Anthem vs $19,000.00 with Cigna — 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 |
|---|---|---|---|
| Anthem | Blue Priority | $2,020.00 | ↓ -30% |
| Everpointe Elite | Commercial | $2,153.00 | ↓ -26% |
| Anthem | Blue Preferred | $2,244.00 | ↓ -22% |
| Aurora Caregiver | Commercial | $2,450.00 | ↓ -15% |
| HealthPartners | Employee Trust Fund | $2,485.40 | ↓ -14% |
| Molina Exchange | Commercial | $2,568.00 | ↓ -11% |
| Common Ground | Envision | $2,727.00 | ↓ -6% |
| Common Ground | Exchange | $2,727.00 | ↓ -6% |
| Common Ground | Employee Trust Fund | $2,727.00 | ↓ -6% |
| Quartz One | Commercial | $2,790.00 | ↓ -3% |
| Wisconsin Physician Service | Aurora Featured | $2,883.00 | ↓ -0% |
| United Healthcare | Exchange | $2,955.00 | ↑ +2% |
| United Healthcare | Nexus | $2,976.00 | ↑ +3% |
| United Healthcare | Charter | $2,976.00 | ↑ +3% |
| Wisconsin Physician Service | Statewide | $3,035.00 | ↑ +5% |
| Wisconsin Physician Service | Arise | $3,035.00 | ↑ +5% |
| Aetna | HMO | $3,119.00 | ↑ +8% |
| HS Technology | Commercial | $3,152.00 | ↑ +9% |
| Centivo | Commercial | $3,169.00 | ↑ +10% |
| United Healthcare | HMO | $3,242.00 | ↑ +12% |
| Quartz Group | Commercial | $3,260.00 | ↑ +13% |
| Health Payment Systems | Commercial | $3,350.00 | ↑ +16% |
| HealthPartners | Robin | $3,352.40 | ↑ +16% |
| Health EOS Plus | Commercial | $3,468.00 | ↑ +20% |
| Anthem | PPO | $4,046.00 | ↑ +40% |
| HealthPartners | Broad | $4,335.00 | ↑ +50% |
| Trilogy | Commercial | $4,387.00 | ↑ +52% |
| Health EOS | PPO | $4,624.00 | ↑ +60% |
| Aetna | PPO | $4,774.28 | ↑ +65% |
| United Healthcare | PPO | $4,866.76 | ↑ +68% |
| Cigna | PPO | $4,889.88 | ↑ +69% |
| Cigna | PPO-GPPO | $19,000.00 | ↑ +557% |
Visitor-reported prices
Comments
Abscess drain retroperitoneal surg code 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 | $4,459.95 | $308.45 – $3,527.44 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $4,459.95 | $308.45 – $3,527.44 |
| UnityPoint Health - Meriter Hospital | Madison | $3,566.92 | $174.22 – $1,480.27 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $1,772.10 | $1,203.19 – $4,867.00 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $1,945.90 | $1,247.68 – $4,321.00 |
| SSM Health St. Mary's Hospital - Madison | Madison | $2,243.45 | $1,203.19 – $4,982.00 |
| SSM Health Monroe Hospital | Monroe | $1,526.25 | $1,604.25 – $4,743.00 |
| SSM Health Ripon Community Hospital | Ripon | $3,294.50 | $3,388.00 – $4,761.00 |