Mr safety determination physician/other qhp at Aurora Medical Center Bay Area
3003 University Dr, Marinette, WI · Aurorahealthcare · · NPI 1043397177
$260.00
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.
$520.00
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.
$312.00 with Health EOS Plus vs $2,550.00 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 | $312.00 | ↑ +20% |
| Anthem | PPO | $364.00 | ↑ +40% |
| HealthPartners | Broad | $390.00 | ↑ +50% |
| Health EOS | PPO | $416.00 | ↑ +60% |
| Aetna | PPO | $429.52 | ↑ +65% |
| United Healthcare | PPO | $437.84 | ↑ +68% |
| Cigna | PPO | $439.92 | ↑ +69% |
| Aurora Caregiver | Commercial | $650.00 | ↑ +150% |
| United Healthcare | Exchange | $767.00 | ↑ +195% |
| United Healthcare | Nexus | $773.00 | ↑ +197% |
| United Healthcare | Charter | $773.00 | ↑ +197% |
| United Healthcare | HMO | $853.00 | ↑ +228% |
| HealthPartners | Employee Trust Fund | $954.00 | ↑ +267% |
| Anthem | Blue Priority | $969.00 | ↑ +273% |
| Anthem | Blue Preferred | $969.00 | ↑ +273% |
| Centivo | Commercial | $1,038.00 | ↑ +299% |
| Common Ground | Employee Trust Fund | $1,083.00 | ↑ +317% |
| Common Ground | Exchange | $1,083.00 | ↑ +317% |
| Common Ground | Envision | $1,083.00 | ↑ +317% |
| Aetna | HMO | $1,114.00 | ↑ +328% |
| Health Payment Systems | Commercial | $1,170.00 | ↑ +350% |
| Quartz One | Commercial | $1,200.00 | ↑ +362% |
| HealthPartners | Robin | $1,220.00 | ↑ +369% |
| Molina Exchange | Commercial | $1,273.00 | ↑ +390% |
| HS Technology | Commercial | $1,350.00 | ↑ +419% |
| Quartz Group | Commercial | $1,350.00 | ↑ +419% |
| Everpointe Elite | Commercial | $1,352.00 | ↑ +420% |
| Trilogy | Commercial | $1,520.00 | ↑ +485% |
| Wisconsin Physician Service | Aurora Featured | $1,636.00 | ↑ +529% |
| Wisconsin Physician Service | Statewide | $1,722.00 | ↑ +562% |
| Wisconsin Physician Service | Arise | $1,722.00 | ↑ +562% |
| Cigna | PPO-GPPO | $2,550.00 | ↑ +881% |
Visitor-reported prices
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Mr safety determination physician/other qhp 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 | $163.24 | $79.10 – $198.11 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $163.24 | $79.10 – $198.11 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $260.00 | not published |
| Aurora Medical Center Summit | Summit | $260.00 | not published |
| Aurora Medical Center Manitowoc | Two Rivers | $260.00 | not published |
| Aurora West Allis Medical Center | West Allis | $260.00 | not published |
| Midwest Orthopedic Specialty Hospital | Franklin | $163.24 | $85.50 – $198.11 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $163.24 | $85.50 – $198.11 |