Warde lipoprotein-associated phospholipase a2 at Aurora Medical Center Sheboygan County
3400 Union Ave, Sheboygan, WI · Aurorahealthcare · · NPI 1922053107
$117.50
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.
$235.00
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.
$37.05 with United Healthcare vs $199.75 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 | $37.05 | ↓ -68% |
| United Healthcare | Exchange | $37.05 | ↓ -68% |
| United Healthcare | Charter | $37.05 | ↓ -68% |
| United Healthcare | Nexus | $37.05 | ↓ -68% |
| Aurora Caregiver | Commercial | $46.31 | ↓ -61% |
| Anthem | Blue Priority | $46.31 | ↓ -61% |
| Anthem | Blue Preferred | $55.57 | ↓ -53% |
| Common Ground | Employee Trust Fund | $97.25 | ↓ -17% |
| Common Ground | Exchange | $97.25 | ↓ -17% |
| Everpointe Elite | Commercial | $100.14 | ↓ -15% |
| Common Ground | Envision | $101.23 | ↓ -14% |
| Centivo | Commercial | $101.23 | ↓ -14% |
| Aetna | HMO | $103.27 | ↓ -12% |
| Health Payment Systems | Commercial | $115.78 | ↓ -1% |
| Quartz One | Commercial | $115.78 | ↓ -1% |
| HealthPartners | Employee Trust Fund | $122.83 | ↑ +5% |
| Molina Exchange | Commercial | $127.82 | ↑ +9% |
| HS Technology | Commercial | $130.32 | ↑ +11% |
| Quartz Group | Commercial | $134.30 | ↑ +14% |
| Cigna | PPO-GPPO | $134.76 | ↑ +15% |
| Health EOS Plus | Commercial | $141.00 | ↑ +20% |
| Wisconsin Physician Service | Aurora Featured | $150.04 | ↑ +28% |
| HealthPartners | Robin | $157.22 | ↑ +34% |
| Wisconsin Physician Service | Statewide | $157.92 | ↑ +34% |
| Wisconsin Physician Service | Arise | $157.92 | ↑ +34% |
| Trilogy | Commercial | $162.53 | ↑ +38% |
| HealthPartners | Broad | $176.25 | ↑ +50% |
| Health EOS | PPO | $188.00 | ↑ +60% |
| Aetna | PPO | $194.11 | ↑ +65% |
| United Healthcare | PPO | $197.87 | ↑ +68% |
| Cigna | PPO | $198.81 | ↑ +69% |
| Anthem | PPO | $199.75 | ↑ +70% |
Visitor-reported prices
Comments
Warde lipoprotein-associated phospholipase a2 at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HSHS St. Nicholas Hospital | SHEBOYGAN | $107.58 | $46.31 – $104.20 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $228.96 | $46.31 – $147.87 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $228.96 | $46.31 – $147.87 |
| UnityPoint Health - Meriter Hospital | Madison | $184.80 | $27.79 – $62.77 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $198.55 | $34.73 – $337.41 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $239.80 | $34.73 – $269.93 |
| SSM Health St. Mary's Hospital - Madison | Madison | $166.10 | $34.73 – $276.06 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $117.50 | $37.05 – $162.53 |