Rituximab 10 mg/ml concentrate,intravenous at Aurora Medical Center Sheboygan County
3400 Union Ave, Sheboygan, WI · Aurorahealthcare · · NPI 1922053107
$208.62
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.
$417.24
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.
$76.43 with Anthem vs $352.98 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 |
|---|---|---|---|
| Anthem | Blue Priority | $76.43 | ↓ -63% |
| United Healthcare | Nexus | $76.73 | ↓ -63% |
| United Healthcare | Exchange | $76.73 | ↓ -63% |
| United Healthcare | HMO | $76.73 | ↓ -63% |
| United Healthcare | Charter | $76.73 | ↓ -63% |
| Aurora Caregiver | Commercial | $77.31 | ↓ -63% |
| Aetna | HMO | $79.03 | ↓ -62% |
| HealthPartners | Employee Trust Fund | $89.54 | ↓ -57% |
| Anthem | Blue Preferred | $91.72 | ↓ -56% |
| HealthPartners | Robin | $93.65 | ↓ -55% |
| Centivo | Commercial | $100.59 | ↓ -52% |
| Common Ground | Envision | $100.59 | ↓ -52% |
| Health Payment Systems | Commercial | $103.59 | ↓ -50% |
| Quartz One | Commercial | $103.59 | ↓ -50% |
| Common Ground | Exchange | $105.92 | ↓ -49% |
| Common Ground | Employee Trust Fund | $105.92 | ↓ -49% |
| Cigna | PPO-GPPO | $115.10 | ↓ -45% |
| Quartz Group | Commercial | $118.93 | ↓ -43% |
| Everpointe Elite | Commercial | $152.44 | ↓ -27% |
| Molina Exchange | Commercial | $187.22 | ↓ -10% |
| HS Technology | Commercial | $207.64 | ↓ -0% |
| Wisconsin Physician Service | Aurora Featured | $215.94 | ↑ +4% |
| Wisconsin Physician Service | Arise | $228.40 | ↑ +9% |
| Wisconsin Physician Service | Statewide | $228.40 | ↑ +9% |
| Trilogy | Commercial | $228.40 | ↑ +9% |
| Health EOS Plus | Commercial | $249.16 | ↑ +19% |
| HealthPartners | Broad | $311.45 | ↑ +49% |
| Health EOS | PPO | $332.22 | ↑ +59% |
| Aetna | PPO | $343.01 | ↑ +64% |
| United Healthcare | PPO | $349.66 | ↑ +68% |
| Cigna | PPO | $351.32 | ↑ +68% |
| Anthem | PPO | $352.98 | ↑ +69% |
Visitor-reported prices
Comments
Rituximab 10 mg/ml concentrate,intravenous at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $1,072.60 | $94.01 – $234.03 |
| Adventhealth Durand | Durand | $13,238.89 | not published |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $54.96 – $144.27 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $54.96 – $144.27 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $54.96 – $144.27 |
| SSM Health Monroe Hospital | Monroe | not published | $73.28 – $208.08 |
| SSM Health Ripon Community Hospital | Ripon | not published | $83.08 – $208.89 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $54.96 – $208.89 |