CT heart w/evaluation of calcium without contrast at Aurora Medical Center Bay Area
3003 University Dr, Marinette, WI · Aurorahealthcare · · NPI 1043397177
$24.50
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.
$49.00
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.
$29.40 with Health EOS Plus vs $1,700.00 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 |
|---|---|---|---|
| Health EOS Plus | Commercial | $29.40 | ↑ +20% |
| Anthem | PPO | $34.30 | ↑ +40% |
| HealthPartners | Broad | $36.75 | ↑ +50% |
| Health EOS | PPO | $39.20 | ↑ +60% |
| Aetna | PPO | $40.47 | ↑ +65% |
| United Healthcare | PPO | $41.26 | ↑ +68% |
| Cigna | PPO | $41.45 | ↑ +69% |
| Aurora Caregiver | Commercial | $475.00 | ↑ +1839% |
| United Healthcare | Exchange | $538.00 | ↑ +2096% |
| United Healthcare | Nexus | $543.00 | ↑ +2116% |
| United Healthcare | Charter | $543.00 | ↑ +2116% |
| United Healthcare | HMO | $627.00 | ↑ +2459% |
| Anthem | Blue Priority | $714.00 | ↑ +2814% |
| Anthem | Blue Preferred | $714.00 | ↑ +2814% |
| HealthPartners | Employee Trust Fund | $796.00 | ↑ +3149% |
| Molina Exchange | Commercial | $796.00 | ↑ +3149% |
| Common Ground | Employee Trust Fund | $812.00 | ↑ +3214% |
| Common Ground | Exchange | $812.00 | ↑ +3214% |
| Common Ground | Envision | $812.00 | ↑ +3214% |
| Centivo | Commercial | $820.00 | ↑ +3247% |
| Aetna | HMO | $836.00 | ↑ +3312% |
| Health Payment Systems | Commercial | $875.00 | ↑ +3471% |
| Quartz One | Commercial | $900.00 | ↑ +3573% |
| Everpointe Elite | Commercial | $983.00 | ↑ +3912% |
| Quartz Group | Commercial | $1,000.00 | ↑ +3982% |
| HS Technology | Commercial | $1,014.00 | ↑ +4039% |
| HealthPartners | Robin | $1,018.00 | ↑ +4055% |
| Wisconsin Physician Service | Aurora Featured | $1,128.00 | ↑ +4504% |
| Trilogy | Commercial | $1,170.00 | ↑ +4676% |
| Wisconsin Physician Service | Arise | $1,187.00 | ↑ +4745% |
| Wisconsin Physician Service | Statewide | $1,187.00 | ↑ +4745% |
| Cigna | PPO-GPPO | $1,700.00 | ↑ +6839% |
Visitor-reported prices
Comments
CT heart w/evaluation of calcium without contrast 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 | $25.97 | $45.63 – $188.56 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $25.97 | $45.63 – $188.56 |
| UnityPoint Health - Meriter Hospital | Madison | $171.60 | $25.58 – $123.83 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $145.75 | $65.74 – $552.68 |
| SSM Health St. Mary's Hospital - Madison | Madison | $90.75 | $63.40 – $579.85 |
| SSM Health Monroe Hospital | Monroe | $55.00 | $84.53 – $189.92 |
| SSM Health Ripon Community Hospital | Ripon | $13.75 | $237.15 – $237.15 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $13.75 | $64.56 – $166.13 |