New Patient Office Visit (level 5) at Aurora Medical Center Summit
36500 Aurora Dr, Summit, WI · Aurorahealthcare · · NPI 1699008029
$242.50
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.
?
What you pay up front if you don't use insurance.
$485.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$65.00 with Common Ground vs $412.25 with Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Common Ground | Employee Trust Fund | $65.00 | ↓ -73% |
| Common Ground | Exchange | $65.00 | ↓ -73% |
| Common Ground | Envision | $65.00 | ↓ -73% |
| Anthem | Blue Priority | $66.00 | ↓ -73% |
| Quartz One | Commercial | $70.00 | ↓ -71% |
| Molina Exchange | Commercial | $74.00 | ↓ -69% |
| HealthPartners | Employee Trust Fund | $74.00 | ↓ -69% |
| Everpointe Elite | Commercial | $75.00 | ↓ -69% |
| Centivo | Commercial | $76.00 | ↓ -69% |
| Aetna | HMO | $78.00 | ↓ -68% |
| Quartz Group | Commercial | $80.00 | ↓ -67% |
| Aurora Caregiver | Commercial | $80.00 | ↓ -67% |
| United Healthcare | Exchange | $82.00 | ↓ -66% |
| United Healthcare | Charter | $83.00 | ↓ -66% |
| United Healthcare | Nexus | $83.00 | ↓ -66% |
| Anthem | Blue Preferred | $87.00 | ↓ -64% |
| United Healthcare | HMO | $90.00 | ↓ -63% |
| Wisconsin Physician Service | Aurora Featured | $90.00 | ↓ -63% |
| HS Technology | Commercial | $90.00 | ↓ -63% |
| HealthPartners | Robin | $93.00 | ↓ -62% |
| Wisconsin Physician Service | Statewide | $95.00 | ↓ -61% |
| Wisconsin Physician Service | Arise | $95.00 | ↓ -61% |
| Cigna | PPO-GPPO | $100.00 | ↓ -59% |
| Health Payment Systems | Commercial | $115.00 | ↓ -53% |
| Trilogy | Commercial | $116.00 | ↓ -52% |
| Health EOS Plus | Commercial | $291.00 | ↑ +20% |
| HealthPartners | Broad | $363.75 | ↑ +50% |
| Health EOS | PPO | $388.00 | ↑ +60% |
| Aetna | PPO | $400.61 | ↑ +65% |
| United Healthcare | PPO | $408.37 | ↑ +68% |
| Cigna | PPO | $410.31 | ↑ +69% |
| Anthem | PPO | $412.25 | ↑ +70% |
Visitor-reported prices
Comments
New Patient Office Visit (level 5) at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $151.58 | $209.02 – $493.65 |
| UnityPoint Health - Meriter Hospital | Madison | $497.60 | $57.50 – $435.10 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $169.40 | not published |
| SSM Health Ripon Community Hospital | Ripon | $295.90 | not published |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $295.90 | not published |
| SSM Health Waupun Memorial Hospital | Waupun | $295.90 | not published |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $460.00 | not published |
| Aurora Baycare Medical Center | Green Bay | $785.00 | not published |