Idh1 common variants at Aurora Medical Center Sheboygan County
3400 Union Ave, Sheboygan, WI · Aurorahealthcare · · NPI 1922053107
$560.00
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.
$1,120.00
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.
$154.60 with United Healthcare vs $952.00 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 | HMO | $154.60 | ↓ -72% |
| United Healthcare | Exchange | $154.60 | ↓ -72% |
| United Healthcare | Charter | $154.60 | ↓ -72% |
| United Healthcare | Nexus | $154.60 | ↓ -72% |
| Aurora Caregiver | Commercial | $193.25 | ↓ -65% |
| Anthem | Blue Priority | $193.25 | ↓ -65% |
| Anthem | Blue Preferred | $231.90 | ↓ -59% |
| Common Ground | Employee Trust Fund | $405.83 | ↓ -28% |
| Common Ground | Exchange | $405.83 | ↓ -28% |
| Everpointe Elite | Commercial | $415.69 | ↓ -26% |
| Common Ground | Envision | $422.44 | ↓ -25% |
| Centivo | Commercial | $422.44 | ↓ -25% |
| Aetna | HMO | $430.95 | ↓ -23% |
| Health Payment Systems | Commercial | $483.13 | ↓ -14% |
| Quartz One | Commercial | $483.13 | ↓ -14% |
| HealthPartners | Employee Trust Fund | $512.55 | ↓ -8% |
| Molina Exchange | Commercial | $533.37 | ↓ -5% |
| HS Technology | Commercial | $543.81 | ↓ -3% |
| Quartz Group | Commercial | $560.43 | ↑ +0% |
| Cigna | PPO-GPPO | $563.85 | ↑ +1% |
| Wisconsin Physician Service | Aurora Featured | $626.13 | ↑ +12% |
| HealthPartners | Robin | $656.06 | ↑ +17% |
| Wisconsin Physician Service | Statewide | $658.98 | ↑ +18% |
| Wisconsin Physician Service | Arise | $658.98 | ↑ +18% |
| Health EOS Plus | Commercial | $672.00 | ↑ +20% |
| Trilogy | Commercial | $678.23 | ↑ +21% |
| HealthPartners | Broad | $840.00 | ↑ +50% |
| Health EOS | PPO | $896.00 | ↑ +60% |
| Aetna | PPO | $925.12 | ↑ +65% |
| United Healthcare | PPO | $943.04 | ↑ +68% |
| Cigna | PPO | $947.52 | ↑ +69% |
| Anthem | PPO | $952.00 | ↑ +70% |
Visitor-reported prices
Comments
Idh1 common variants at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HSHS St. Nicholas Hospital | SHEBOYGAN | $712.80 | $154.60 – $434.81 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $283.02 | $193.25 – $615.52 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $283.02 | $193.25 – $615.52 |
| UnityPoint Health - Meriter Hospital | Madison | $258.18 | $74.23 – $193.25 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $698.50 | $144.94 – $1,355.89 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $675.95 | $144.94 – $1,084.71 |
| SSM Health St. Mary's Hospital - Madison | Madison | $498.30 | $144.94 – $1,109.37 |
| SSM Health Ripon Community Hospital | Ripon | $496.10 | $193.25 – $338.19 |