Factor ix at Aurora Medical Center Bay Area
3003 University Dr, Marinette, WI · Aurorahealthcare · · NPI 1043397177
$170.00
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.
$340.00
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.
$15.23 with United Healthcare vs $287.64 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 |
|---|---|---|---|
| United Healthcare | Nexus | $15.23 | ↓ -91% |
| United Healthcare | Exchange | $15.23 | ↓ -91% |
| United Healthcare | HMO | $15.23 | ↓ -91% |
| United Healthcare | Charter | $15.23 | ↓ -91% |
| Anthem | Blue Priority | $19.04 | ↓ -89% |
| Aurora Caregiver | Commercial | $19.04 | ↓ -89% |
| Anthem | Blue Preferred | $22.85 | ↓ -87% |
| Anthem | PPO | $22.85 | ↓ -87% |
| Common Ground | Exchange | $39.98 | ↓ -76% |
| Common Ground | Employee Trust Fund | $39.98 | ↓ -76% |
| Common Ground | Envision | $41.62 | ↓ -76% |
| Centivo | Commercial | $41.62 | ↓ -76% |
| Aetna | HMO | $42.46 | ↓ -75% |
| Quartz One | Commercial | $47.60 | ↓ -72% |
| Health Payment Systems | Commercial | $47.60 | ↓ -72% |
| HealthPartners | Employee Trust Fund | $50.50 | ↓ -70% |
| Molina Exchange | Commercial | $52.55 | ↓ -69% |
| HS Technology | Commercial | $53.58 | ↓ -68% |
| Quartz Group | Commercial | $55.22 | ↓ -68% |
| Cigna | PPO-GPPO | $55.44 | ↓ -67% |
| Everpointe Elite | Commercial | $56.18 | ↓ -67% |
| Wisconsin Physician Service | Aurora Featured | $61.69 | ↓ -64% |
| HealthPartners | Robin | $64.64 | ↓ -62% |
| Wisconsin Physician Service | Statewide | $64.93 | ↓ -62% |
| Wisconsin Physician Service | Arise | $64.93 | ↓ -62% |
| Trilogy | Commercial | $66.82 | ↓ -61% |
| Health EOS Plus | Commercial | $204.00 | ↑ +20% |
| HealthPartners | Broad | $255.00 | ↑ +50% |
| Health EOS | PPO | $272.00 | ↑ +60% |
| Aetna | PPO | $280.84 | ↑ +65% |
| United Healthcare | PPO | $286.28 | ↑ +68% |
| Cigna | PPO | $287.64 | ↑ +69% |
Visitor-reported prices
Comments
Factor ix 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 | $175.43 | $19.04 – $82.54 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $175.43 | $19.04 – $82.54 |
| UnityPoint Health - Meriter Hospital | Madison | $133.60 | $11.42 – $57.01 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $99.00 | $14.28 – $189.28 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $99.00 | $14.28 – $151.43 |
| SSM Health St. Mary's Hospital - Madison | Madison | $99.00 | $14.28 – $154.88 |
| SSM Health Monroe Hospital | Monroe | $139.15 | $19.04 – $33.32 |
| SSM Health Ripon Community Hospital | Ripon | $167.20 | $19.04 – $38.54 |