Gauze >16<=48 no w/sal without b at Aurora Medical Center Manitowoc

5000 Memorial Dr, Two Rivers, WI · Aurorahealthcare · · NPI 1477508687

Source: hospital's published price file ↗ · Published Nov 21, 2025 · Ingested Sep 16, 2026

$5.00

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$10.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.77 with Everpointe Elite vs $1.31 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 →

Payer
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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
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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
Everpointe Elite Commercial $0.77 ↓ -85%
HS Technology Commercial $0.77 ↓ -85%
Aetna HMO $0.82 ↓ -84%
Quartz One Commercial $0.85 ↓ -83%
United Healthcare Exchange $0.91 ↓ -82%
United Healthcare Charter $0.91 ↓ -82%
United Healthcare HMO $0.91 ↓ -82%
United Healthcare Nexus $0.91 ↓ -82%
Common Ground Employee Trust Fund $0.92 ↓ -82%
Common Ground Envision $0.92 ↓ -82%
Health EOS Plus Commercial $0.92 ↓ -82%
Anthem Blue Priority $0.92 ↓ -82%
Quartz Group Commercial $0.92 ↓ -82%
Molina Exchange Commercial $0.92 ↓ -82%
HealthPartners Employee Trust Fund $0.92 ↓ -82%
Aurora Caregiver Commercial $0.92 ↓ -82%
Common Ground Exchange $0.92 ↓ -82%
Wisconsin Physician Service Aurora Featured $0.95 ↓ -81%
Wisconsin Physician Service Statewide $1.00 ↓ -80%
Anthem Blue Preferred $1.00 ↓ -80%
Health Payment Systems Commercial $1.00 ↓ -80%
Wisconsin Physician Service Arise $1.00 ↓ -80%
Trilogy Commercial $1.08 ↓ -78%
Cigna PPO-GPPO $1.16 ↓ -77%
HealthPartners Robin $1.16 ↓ -77%
HealthPartners Broad $1.16 ↓ -77%
Centivo Commercial $1.16 ↓ -77%
Health EOS PPO $1.23 ↓ -75%
Aetna PPO $1.27 ↓ -75%
United Healthcare PPO $1.30 ↓ -74%
Cigna PPO $1.30 ↓ -74%
Anthem PPO $1.31 ↓ -74%

Visitor-reported prices

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Gauze >16<=48 no w/sal without b at other Wisconsin hospitals

Hospital City Cash price Negotiated range
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee $5.00 not published
Aurora Medical Center Summit Summit $5.00 not published
Aurora Baycare Medical Center Green Bay $5.00 not published
Aurora West Allis Medical Center West Allis $5.00 not published
Aurora Medical Center Bay Area Marinette $1.45 not published
Aurora Medical Center Burlington Burlington $5.00 not published
Aurora Medical Center Washington County Hartford $5.00 not published
Aurora Medical Center Fond du Lac Fond Du Lac $5.00 not published

All Wisconsin hospitals for this procedure →