Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution at Aurora Medical Center Sheboygan County
3400 Union Ave, Sheboygan, WI · Aurorahealthcare · · NPI 1922053107
$11.36
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.
$22.72
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.
$4.94 with Aurora Caregiver vs $19.31 with Anthem — 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 |
|---|---|---|---|
| Aurora Caregiver | Commercial | $4.94 | ↓ -57% |
| United Healthcare | Nexus | $5.09 | ↓ -55% |
| United Healthcare | Exchange | $5.09 | ↓ -55% |
| United Healthcare | HMO | $5.09 | ↓ -55% |
| United Healthcare | Charter | $5.09 | ↓ -55% |
| Anthem | Blue Priority | $5.16 | ↓ -55% |
| Aetna | HMO | $5.24 | ↓ -54% |
| HealthPartners | Employee Trust Fund | $5.94 | ↓ -48% |
| Anthem | Blue Preferred | $6.19 | ↓ -46% |
| HealthPartners | Robin | $6.21 | ↓ -45% |
| Common Ground | Envision | $6.67 | ↓ -41% |
| Centivo | Commercial | $6.67 | ↓ -41% |
| Common Ground | Employee Trust Fund | $6.76 | ↓ -40% |
| Common Ground | Exchange | $6.76 | ↓ -40% |
| Quartz One | Commercial | $6.87 | ↓ -40% |
| Health Payment Systems | Commercial | $6.87 | ↓ -40% |
| Everpointe Elite | Commercial | $7.28 | ↓ -36% |
| Cigna | PPO-GPPO | $7.64 | ↓ -33% |
| Quartz Group | Commercial | $7.89 | ↓ -31% |
| HS Technology | Commercial | $11.36 | ↑ +0% |
| Wisconsin Physician Service | Aurora Featured | $11.81 | ↑ +4% |
| Molina Exchange | Commercial | $12.42 | ↑ +9% |
| Wisconsin Physician Service | Statewide | $12.50 | ↑ +10% |
| Trilogy | Commercial | $12.50 | ↑ +10% |
| Wisconsin Physician Service | Arise | $12.50 | ↑ +10% |
| Health EOS Plus | Commercial | $13.63 | ↑ +20% |
| HealthPartners | Broad | $17.04 | ↑ +50% |
| Health EOS | PPO | $18.18 | ↑ +60% |
| Aetna | PPO | $18.77 | ↑ +65% |
| United Healthcare | PPO | $19.13 | ↑ +68% |
| Cigna | PPO | $19.22 | ↑ +69% |
| Anthem | PPO | $19.31 | ↑ +70% |
Visitor-reported prices
Comments
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $9.62 | $2.75 – $5.19 |
| Aurora Medical Center Bay Area | Marinette | $17.07 | $4.94 – $12.42 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $7.50 | $4.77 – $13.23 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | $6.53 | $5.40 – $11.46 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $3.85 – $9.85 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $3.85 – $9.85 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $3.85 – $9.85 |
| SSM Health Monroe Hospital | Monroe | not published | $5.13 – $14.04 |