Alteplase 100 mg infusion from pyxis vial at Aurora Medical Center Manitowoc
5000 Memorial Dr, Two Rivers, WI · Aurorahealthcare · · NPI 1477508687
$216.13
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.
$432.26
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.
$91.46 with Anthem vs $367.42 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 | $91.46 | ↓ -58% |
| Aurora Caregiver | Commercial | $91.47 | ↓ -58% |
| United Healthcare | Exchange | $91.48 | ↓ -58% |
| United Healthcare | HMO | $91.48 | ↓ -58% |
| United Healthcare | Nexus | $91.48 | ↓ -58% |
| United Healthcare | Charter | $91.48 | ↓ -58% |
| Aetna | HMO | $94.23 | ↓ -56% |
| HealthPartners | Employee Trust Fund | $106.75 | ↓ -51% |
| Anthem | Blue Preferred | $109.75 | ↓ -49% |
| HealthPartners | Robin | $111.65 | ↓ -48% |
| Common Ground | Envision | $119.93 | ↓ -45% |
| Centivo | Commercial | $119.93 | ↓ -45% |
| Health Payment Systems | Commercial | $123.50 | ↓ -43% |
| Quartz One | Commercial | $123.50 | ↓ -43% |
| Common Ground | Employee Trust Fund | $125.31 | ↓ -42% |
| Common Ground | Exchange | $125.31 | ↓ -42% |
| Cigna | PPO-GPPO | $137.22 | ↓ -37% |
| Everpointe Elite | Commercial | $140.21 | ↓ -35% |
| Quartz Group | Commercial | $141.80 | ↓ -34% |
| HS Technology | Commercial | $216.13 | ↑ +0% |
| Molina Exchange | Commercial | $223.21 | ↑ +3% |
| Wisconsin Physician Service | Aurora Featured | $224.78 | ↑ +4% |
| Trilogy | Commercial | $237.74 | ↑ +10% |
| Wisconsin Physician Service | Statewide | $237.74 | ↑ +10% |
| Wisconsin Physician Service | Arise | $237.74 | ↑ +10% |
| Health EOS Plus | Commercial | $259.36 | ↑ +20% |
| HealthPartners | Broad | $324.20 | ↑ +50% |
| Health EOS | PPO | $345.81 | ↑ +60% |
| Aetna | PPO | $357.05 | ↑ +65% |
| United Healthcare | PPO | $363.96 | ↑ +68% |
| Cigna | PPO | $365.69 | ↑ +69% |
| Anthem | PPO | $367.42 | ↑ +70% |
Visitor-reported prices
Comments
Alteplase 100 mg infusion from pyxis vial at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | $304.31 | $42.87 – $211.12 |
| HSHS St. Nicholas Hospital | SHEBOYGAN | $304.31 | $42.87 – $211.12 |
| HSHS St. Clare Memorial Hospital | OCONTO FALLS | $304.31 | $93.83 – $167.96 |
| HSHS St. Vincent Hospital | Green Bay | $304.31 | $44.45 – $211.12 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $73.94 – $178.89 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $73.94 – $178.89 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $73.94 – $178.89 |
| SSM Health Monroe Hospital | Monroe | not published | $91.46 – $249.00 |