Biopsy skin incisional single lesion at Aurora Medical Center Manitowoc
5000 Memorial Dr, Two Rivers, WI · Aurorahealthcare · · NPI 1477508687
$230.00
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.
$460.00
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.
$197.80 with HealthPartners vs $3,500.00 with Cigna — 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 |
|---|---|---|---|
| HealthPartners | Employee Trust Fund | $197.80 | ↓ -14% |
| HealthPartners | Robin | $266.80 | ↑ +16% |
| Health EOS Plus | Commercial | $276.00 | ↑ +20% |
| HealthPartners | Broad | $345.00 | ↑ +50% |
| Health EOS | PPO | $368.00 | ↑ +60% |
| Aetna | PPO | $379.96 | ↑ +65% |
| United Healthcare | PPO | $387.32 | ↑ +68% |
| Cigna | PPO | $389.16 | ↑ +69% |
| Anthem | PPO | $391.00 | ↑ +70% |
| Anthem | Blue Priority | $1,183.00 | ↑ +414% |
| Everpointe Elite | Commercial | $1,291.00 | ↑ +461% |
| Aurora Caregiver | Commercial | $1,300.00 | ↑ +465% |
| Common Ground | Employee Trust Fund | $1,492.00 | ↑ +549% |
| Common Ground | Exchange | $1,492.00 | ↑ +549% |
| Common Ground | Envision | $1,492.00 | ↑ +549% |
| Anthem | Blue Preferred | $1,530.00 | ↑ +565% |
| Quartz One | Commercial | $1,670.00 | ↑ +626% |
| Molina Exchange | Commercial | $1,825.00 | ↑ +693% |
| Aetna | HMO | $1,894.00 | ↑ +723% |
| Quartz Group | Commercial | $1,950.00 | ↑ +748% |
| Centivo | Commercial | $1,967.00 | ↑ +755% |
| Wisconsin Physician Service | Aurora Featured | $2,115.00 | ↑ +820% |
| HS Technology | Commercial | $2,138.00 | ↑ +830% |
| Wisconsin Physician Service | Arise | $2,226.00 | ↑ +868% |
| Wisconsin Physician Service | Statewide | $2,226.00 | ↑ +868% |
| Health Payment Systems | Commercial | $2,300.00 | ↑ +900% |
| Trilogy | Commercial | $2,340.00 | ↑ +917% |
| United Healthcare | Exchange | $2,445.00 | ↑ +963% |
| United Healthcare | Nexus | $2,462.00 | ↑ +970% |
| United Healthcare | Charter | $2,462.00 | ↑ +970% |
| United Healthcare | HMO | $2,683.00 | ↑ +1067% |
| Cigna | PPO-GPPO | $3,500.00 | ↑ +1422% |
Visitor-reported prices
Comments
Biopsy skin incisional single lesion 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 | $872.38 | $89.91 – $1,310.98 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $872.38 | $89.91 – $1,310.98 |
| UnityPoint Health - Meriter Hospital | Madison | $654.40 | $51.09 – $170.64 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $430.10 | $538.41 – $4,401.00 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $480.70 | $558.33 – $4,074.00 |
| SSM Health St. Mary's Hospital - Madison | Madison | $465.30 | $538.41 – $4,198.00 |
| SSM Health Monroe Hospital | Monroe | $496.65 | $717.88 – $4,217.00 |
| SSM Health Ripon Community Hospital | Ripon | $1,074.15 | $2,654.00 – $3,030.00 |