Immunofixation electrophoresis serum at Aurora Medical Center Sheboygan County
3400 Union Ave, Sheboygan, WI · Aurorahealthcare · · NPI 1922053107
$142.50
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.
$285.00
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.
$17.87 with United Healthcare vs $242.25 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 | HMO | $17.87 | ↓ -87% |
| United Healthcare | Nexus | $17.87 | ↓ -87% |
| United Healthcare | Exchange | $17.87 | ↓ -87% |
| United Healthcare | Charter | $17.87 | ↓ -87% |
| Anthem | Blue Priority | $22.34 | ↓ -84% |
| Aurora Caregiver | Commercial | $22.34 | ↓ -84% |
| Anthem | Blue Preferred | $26.81 | ↓ -81% |
| Common Ground | Employee Trust Fund | $46.91 | ↓ -67% |
| Common Ground | Exchange | $46.91 | ↓ -67% |
| Centivo | Commercial | $48.84 | ↓ -66% |
| Common Ground | Envision | $48.84 | ↓ -66% |
| Aetna | HMO | $49.82 | ↓ -65% |
| Quartz One | Commercial | $55.85 | ↓ -61% |
| Health Payment Systems | Commercial | $55.85 | ↓ -61% |
| HealthPartners | Employee Trust Fund | $59.26 | ↓ -58% |
| Molina Exchange | Commercial | $61.66 | ↓ -57% |
| HS Technology | Commercial | $62.86 | ↓ -56% |
| Quartz Group | Commercial | $64.79 | ↓ -55% |
| Cigna | PPO-GPPO | $64.98 | ↓ -54% |
| Everpointe Elite | Commercial | $65.94 | ↓ -54% |
| Wisconsin Physician Service | Aurora Featured | $72.38 | ↓ -49% |
| HealthPartners | Robin | $75.84 | ↓ -47% |
| Wisconsin Physician Service | Statewide | $76.18 | ↓ -47% |
| Wisconsin Physician Service | Arise | $76.18 | ↓ -47% |
| Trilogy | Commercial | $78.41 | ↓ -45% |
| Health EOS Plus | Commercial | $171.00 | ↑ +20% |
| HealthPartners | Broad | $213.75 | ↑ +50% |
| Health EOS | PPO | $228.00 | ↑ +60% |
| Aetna | PPO | $235.41 | ↑ +65% |
| United Healthcare | PPO | $239.97 | ↑ +68% |
| Cigna | PPO | $241.11 | ↑ +69% |
| Anthem | PPO | $242.25 | ↑ +70% |
Visitor-reported prices
Comments
Immunofixation electrophoresis serum at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HSHS St. Nicholas Hospital | SHEBOYGAN | $207.90 | $22.34 – $50.27 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $235.85 | $22.34 – $61.14 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $235.85 | $22.34 – $61.14 |
| UnityPoint Health - Meriter Hospital | Madison | $256.00 | $11.03 – $98.28 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | $130.38 | $17.83 – $40.03 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $277.20 | $16.76 – $222.11 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $373.45 | $16.76 – $177.70 |
| SSM Health St. Mary's Hospital - Madison | Madison | $208.45 | $16.76 – $181.73 |