ER Visit (level 2) at Aurora Medical Center Bay Area
3003 University Dr, Marinette, WI · Aurorahealthcare · · NPI 1043397177
$257.50
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.
$515.00
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.
$255.00 with Anthem vs $2,200.00 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 | $255.00 | ↓ -1% |
| Anthem | Blue Preferred | $281.00 | ↑ +9% |
| Health EOS Plus | Commercial | $303.00 | ↑ +18% |
| Anthem | PPO | $326.00 | ↑ +27% |
| HealthPartners | Employee Trust Fund | $346.00 | ↑ +34% |
| Quartz One | Commercial | $350.00 | ↑ +36% |
| Aurora Caregiver | Commercial | $350.00 | ↑ +36% |
| Common Ground | Envision | $368.00 | ↑ +43% |
| Common Ground | Exchange | $368.00 | ↑ +43% |
| Aetna | HMO | $368.00 | ↑ +43% |
| Common Ground | Employee Trust Fund | $368.00 | ↑ +43% |
| HealthPartners | Broad | $378.75 | ↑ +47% |
| Everpointe Elite | Commercial | $382.00 | ↑ +48% |
| Centivo | Commercial | $383.00 | ↑ +49% |
| Molina Exchange | Commercial | $403.00 | ↑ +57% |
| Health EOS | PPO | $404.00 | ↑ +57% |
| Quartz Group | Commercial | $410.00 | ↑ +59% |
| Aetna | PPO | $417.13 | ↑ +62% |
| United Healthcare | PPO | $425.21 | ↑ +65% |
| Cigna | PPO | $427.23 | ↑ +66% |
| Wisconsin Physician Service | Aurora Featured | $429.00 | ↑ +67% |
| HealthPartners | Robin | $434.00 | ↑ +69% |
| Health Payment Systems | Commercial | $450.00 | ↑ +75% |
| HS Technology | Commercial | $450.00 | ↑ +75% |
| Wisconsin Physician Service | Statewide | $452.00 | ↑ +76% |
| Wisconsin Physician Service | Arise | $452.00 | ↑ +76% |
| Trilogy | Commercial | $526.00 | ↑ +104% |
| United Healthcare | Exchange | $1,985.00 | ↑ +671% |
| United Healthcare | Nexus | $2,000.00 | ↑ +677% |
| United Healthcare | Charter | $2,000.00 | ↑ +677% |
| United Healthcare | HMO | $2,180.00 | ↑ +747% |
| Cigna | PPO-GPPO | $2,200.00 | ↑ +754% |
Visitor-reported prices
Comments
ER Visit (level 2) 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 | $457.92 | $66.88 – $339.15 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $457.92 | $66.88 – $339.15 |
| UnityPoint Health - Meriter Hospital | Madison | $719.99 | $12.65 – $39.86 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $276.10 | $111.86 – $149.14 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $460.90 | $115.99 – $154.66 |
| SSM Health St. Mary's Hospital - Madison | Madison | $652.85 | $111.86 – $149.14 |
| SSM Health Monroe Hospital | Monroe | $370.70 | $149.14 – $149.14 |
| SSM Health Ripon Community Hospital | Ripon | $363.55 | not published |