Cell marker study at Aurora Medical Center Bay Area
3003 University Dr, Marinette, WI · Aurorahealthcare · · NPI 1043397177
$285.00
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.
?
What you pay up front if you don't use insurance.
$570.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$112.31 with United Healthcare vs $482.22 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | Nexus | $112.31 | ↓ -61% |
| United Healthcare | HMO | $112.31 | ↓ -61% |
| United Healthcare | Exchange | $112.31 | ↓ -61% |
| United Healthcare | Charter | $112.31 | ↓ -61% |
| HS Technology | Commercial | $285.00 | ↑ +0% |
| Everpointe Elite | Commercial | $285.00 | ↑ +0% |
| Centivo | Commercial | $285.00 | ↑ +0% |
| Quartz One | Commercial | $313.50 | ↑ +10% |
| Aetna | HMO | $313.50 | ↑ +10% |
| Anthem | Blue Preferred | $330.60 | ↑ +16% |
| Molina Exchange | Commercial | $342.00 | ↑ +20% |
| HealthPartners | Employee Trust Fund | $342.00 | ↑ +20% |
| Anthem | Blue Priority | $342.00 | ↑ +20% |
| Quartz Group | Commercial | $342.00 | ↑ +20% |
| Aurora Caregiver | Commercial | $342.00 | ↑ +20% |
| Common Ground | Exchange | $342.00 | ↑ +20% |
| Common Ground | Employee Trust Fund | $342.00 | ↑ +20% |
| Common Ground | Envision | $342.00 | ↑ +20% |
| Health EOS Plus | Commercial | $342.00 | ↑ +20% |
| Wisconsin Physician Service | Aurora Featured | $353.40 | ↑ +24% |
| Cigna | PPO-GPPO | $369.60 | ↑ +30% |
| Wisconsin Physician Service | Statewide | $370.50 | ↑ +30% |
| Health Payment Systems | Commercial | $370.50 | ↑ +30% |
| Wisconsin Physician Service | Arise | $370.50 | ↑ +30% |
| Anthem | PPO | $393.30 | ↑ +38% |
| Trilogy | Commercial | $399.00 | ↑ +40% |
| HealthPartners | Broad | $427.50 | ↑ +50% |
| HealthPartners | Robin | $427.50 | ↑ +50% |
| Health EOS | PPO | $456.00 | ↑ +60% |
| Aetna | PPO | $470.82 | ↑ +65% |
| United Healthcare | PPO | $479.94 | ↑ +68% |
| Cigna | PPO | $482.22 | ↑ +69% |
Visitor-reported prices
Comments
Cell marker study 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 | $125.61 | $51.17 – $135.31 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $125.61 | $51.17 – $135.31 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $682.55 | $37.96 – $526.24 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $626.45 | $39.37 – $420.99 |
| SSM Health St. Mary's Hospital - Madison | Madison | $305.25 | $37.96 – $430.58 |
| SSM Health Monroe Hospital | Monroe | $148.50 | $50.62 – $123.12 |
| SSM Health Ripon Community Hospital | Ripon | $124.85 | $49.47 – $107.12 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $124.85 | $38.66 – $99.48 |