Cryofibrinogen qualitative - sendout at Aurora Medical Center Sheboygan County
3400 Union Ave, Sheboygan, WI · Aurorahealthcare · · NPI 1922053107
$52.50
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.
$105.00
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.
$11.31 with United Healthcare vs $89.25 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 |
|---|---|---|---|
| United Healthcare | Charter | $11.31 | ↓ -78% |
| United Healthcare | Nexus | $11.31 | ↓ -78% |
| United Healthcare | Exchange | $11.31 | ↓ -78% |
| United Healthcare | HMO | $11.31 | ↓ -78% |
| Anthem | Blue Priority | $14.14 | ↓ -73% |
| Aurora Caregiver | Commercial | $14.14 | ↓ -73% |
| Anthem | Blue Preferred | $16.97 | ↓ -68% |
| Everpointe Elite | Commercial | $18.93 | ↓ -64% |
| Common Ground | Employee Trust Fund | $29.69 | ↓ -43% |
| Common Ground | Exchange | $29.69 | ↓ -43% |
| Common Ground | Envision | $30.91 | ↓ -41% |
| Centivo | Commercial | $30.91 | ↓ -41% |
| Aetna | HMO | $31.53 | ↓ -40% |
| Health Payment Systems | Commercial | $35.35 | ↓ -33% |
| Quartz One | Commercial | $35.35 | ↓ -33% |
| HealthPartners | Employee Trust Fund | $37.50 | ↓ -29% |
| Molina Exchange | Commercial | $39.03 | ↓ -26% |
| HS Technology | Commercial | $39.79 | ↓ -24% |
| Quartz Group | Commercial | $41.01 | ↓ -22% |
| Cigna | PPO-GPPO | $41.10 | ↓ -22% |
| Wisconsin Physician Service | Aurora Featured | $45.81 | ↓ -13% |
| HealthPartners | Robin | $48.01 | ↓ -9% |
| Wisconsin Physician Service | Statewide | $48.22 | ↓ -8% |
| Wisconsin Physician Service | Arise | $48.22 | ↓ -8% |
| Trilogy | Commercial | $49.63 | ↓ -5% |
| Health EOS Plus | Commercial | $63.00 | ↑ +20% |
| HealthPartners | Broad | $78.75 | ↑ +50% |
| Health EOS | PPO | $84.00 | ↑ +60% |
| Aetna | PPO | $86.73 | ↑ +65% |
| United Healthcare | PPO | $88.41 | ↑ +68% |
| Cigna | PPO | $88.83 | ↑ +69% |
| Anthem | PPO | $89.25 | ↑ +70% |
Visitor-reported prices
Comments
Cryofibrinogen qualitative - sendout at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HSHS St. Nicholas Hospital | SHEBOYGAN | $42.24 | $9.02 – $31.82 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $52.47 | $14.14 – $44.25 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $52.47 | $14.14 – $44.25 |
| UnityPoint Health - Meriter Hospital | Madison | $80.18 | $8.48 – $31.27 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $104.50 | $10.60 – $63.77 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $118.80 | $10.60 – $51.03 |
| SSM Health St. Mary's Hospital - Madison | Madison | $102.30 | $10.60 – $52.17 |
| SSM Health Monroe Hospital | Monroe | $129.80 | $14.14 – $24.75 |