Immunofluorescence per specimen initial single antibody stain at Aurora Medical Center Sheboygan County
3400 Union Ave, Sheboygan, WI · Aurorahealthcare · · NPI 1922053107
$160.00
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.
$320.00
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.
$102.78 with United Healthcare vs $329.43 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 |
|---|---|---|---|
| United Healthcare | Nexus | $102.78 | ↓ -36% |
| United Healthcare | Charter | $102.78 | ↓ -36% |
| United Healthcare | HMO | $102.78 | ↓ -36% |
| United Healthcare | Exchange | $102.78 | ↓ -36% |
| Everpointe Elite | Commercial | $160.00 | ↑ +0% |
| Centivo | Commercial | $160.00 | ↑ +0% |
| HS Technology | Commercial | $160.00 | ↑ +0% |
| Aetna | HMO | $176.00 | ↑ +10% |
| Quartz One | Commercial | $176.00 | ↑ +10% |
| Common Ground | Envision | $192.00 | ↑ +20% |
| HealthPartners | Employee Trust Fund | $192.00 | ↑ +20% |
| Anthem | Blue Priority | $192.00 | ↑ +20% |
| Aurora Caregiver | Commercial | $192.00 | ↑ +20% |
| Common Ground | Exchange | $192.00 | ↑ +20% |
| Common Ground | Employee Trust Fund | $192.00 | ↑ +20% |
| Quartz Group | Commercial | $192.00 | ↑ +20% |
| Molina Exchange | Commercial | $192.00 | ↑ +20% |
| Health EOS Plus | Commercial | $192.00 | ↑ +20% |
| Wisconsin Physician Service | Aurora Featured | $198.40 | ↑ +24% |
| Wisconsin Physician Service | Statewide | $208.00 | ↑ +30% |
| Health Payment Systems | Commercial | $208.00 | ↑ +30% |
| Wisconsin Physician Service | Arise | $208.00 | ↑ +30% |
| Anthem | Blue Preferred | $208.00 | ↑ +30% |
| Trilogy | Commercial | $224.00 | ↑ +40% |
| HealthPartners | Robin | $240.00 | ↑ +50% |
| HealthPartners | Broad | $240.00 | ↑ +50% |
| Health EOS | PPO | $256.00 | ↑ +60% |
| Aetna | PPO | $264.32 | ↑ +65% |
| United Healthcare | PPO | $269.44 | ↑ +68% |
| Cigna | PPO | $270.72 | ↑ +69% |
| Anthem | PPO | $272.00 | ↑ +70% |
| Cigna | PPO-GPPO | $329.43 | ↑ +106% |
Visitor-reported prices
Comments
Immunofluorescence per specimen initial single antibody stain at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HSHS St. Nicholas Hospital | SHEBOYGAN | $172.26 | $58.17 – $374.88 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $524.17 | $47.82 – $367.00 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $524.17 | $47.82 – $367.00 |
| UnityPoint Health - Meriter Hospital | Madison | $396.00 | $33.02 – $98.74 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | $161.65 | $35.65 – $56.85 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $447.70 | $124.11 – $385.95 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $409.75 | $128.70 – $308.78 |
| SSM Health St. Mary's Hospital - Madison | Madison | $946.00 | $124.11 – $315.80 |