_afb org id by sequencing rflx ast-sendout at Aurora Medical Center Summit
36500 Aurora Dr, Summit, WI · Aurorahealthcare · · NPI 1699008029
$785.00
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.
$1,570.00
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.
$92.29 with United Healthcare vs $556.75 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 | $92.29 | ↓ -88% |
| United Healthcare | Nexus | $92.29 | ↓ -88% |
| United Healthcare | Exchange | $92.29 | ↓ -88% |
| United Healthcare | Charter | $92.29 | ↓ -88% |
| Anthem | Blue Priority | $115.36 | ↓ -85% |
| Aurora Caregiver | Commercial | $115.36 | ↓ -85% |
| Anthem | Blue Preferred | $138.43 | ↓ -82% |
| Common Ground | Employee Trust Fund | $242.26 | ↓ -69% |
| Common Ground | Exchange | $242.26 | ↓ -69% |
| Centivo | Commercial | $252.18 | ↓ -68% |
| Common Ground | Envision | $252.18 | ↓ -68% |
| Aetna | HMO | $257.25 | ↓ -67% |
| Quartz One | Commercial | $288.40 | ↓ -63% |
| Health Payment Systems | Commercial | $288.40 | ↓ -63% |
| HealthPartners | Employee Trust Fund | $305.96 | ↓ -61% |
| Molina Exchange | Commercial | $318.39 | ↓ -59% |
| HS Technology | Commercial | $324.62 | ↓ -59% |
| Quartz Group | Commercial | $334.54 | ↓ -57% |
| Cigna | PPO-GPPO | $336.39 | ↓ -57% |
| Everpointe Elite | Commercial | $340.38 | ↓ -57% |
| Wisconsin Physician Service | Aurora Featured | $373.77 | ↓ -52% |
| HealthPartners | Robin | $391.64 | ↓ -50% |
| Health EOS Plus | Commercial | $393.00 | ↓ -50% |
| Wisconsin Physician Service | Statewide | $393.38 | ↓ -50% |
| Wisconsin Physician Service | Arise | $393.38 | ↓ -50% |
| Trilogy | Commercial | $404.86 | ↓ -48% |
| HealthPartners | Broad | $491.25 | ↓ -37% |
| Health EOS | PPO | $524.00 | ↓ -33% |
| Aetna | PPO | $541.03 | ↓ -31% |
| United Healthcare | PPO | $551.51 | ↓ -30% |
| Cigna | PPO | $554.13 | ↓ -29% |
| Anthem | PPO | $556.75 | ↓ -29% |
Visitor-reported prices
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_afb org id by sequencing rflx ast-sendout at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $351.39 | $115.36 – $503.20 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $372.59 | $115.36 – $503.20 |
| UnityPoint Health - Meriter Hospital | Madison | $515.20 | $69.22 – $179.44 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | $288.85 | $111.90 – $206.66 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $601.70 | $86.52 – $1,146.62 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $713.35 | $86.52 – $917.31 |
| SSM Health St. Mary's Hospital - Madison | Madison | $564.85 | $86.52 – $938.17 |
| SSM Health Monroe Hospital | Monroe | $564.85 | $115.36 – $201.88 |