Graft xenmtrx sft rect 19x28cm at Aurora Medical Center Manitowoc
5000 Memorial Dr, Two Rivers, WI · Aurorahealthcare · · NPI 1477508687
$113.90
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.
$227.79
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.
$103.19 with Aetna vs $180.48 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 |
|---|---|---|---|
| Aetna | HMO | $103.19 | ↓ -9% |
| Everpointe Elite | Commercial | $106.17 | ↓ -7% |
| HS Technology | Commercial | $106.17 | ↓ -7% |
| Quartz One | Commercial | $116.78 | ↑ +3% |
| United Healthcare | Exchange | $126.12 | ↑ +11% |
| United Healthcare | Charter | $126.12 | ↑ +11% |
| United Healthcare | HMO | $126.12 | ↑ +11% |
| United Healthcare | Nexus | $126.12 | ↑ +11% |
| Common Ground | Employee Trust Fund | $127.40 | ↑ +12% |
| Common Ground | Envision | $127.40 | ↑ +12% |
| Health EOS Plus | Commercial | $127.40 | ↑ +12% |
| Anthem | Blue Priority | $127.40 | ↑ +12% |
| Quartz Group | Commercial | $127.40 | ↑ +12% |
| Molina Exchange | Commercial | $127.40 | ↑ +12% |
| HealthPartners | Employee Trust Fund | $127.40 | ↑ +12% |
| Aurora Caregiver | Commercial | $127.40 | ↑ +12% |
| Common Ground | Exchange | $127.40 | ↑ +12% |
| Wisconsin Physician Service | Aurora Featured | $131.64 | ↑ +16% |
| Wisconsin Physician Service | Statewide | $138.01 | ↑ +21% |
| Anthem | Blue Preferred | $138.01 | ↑ +21% |
| Health Payment Systems | Commercial | $138.01 | ↑ +21% |
| Wisconsin Physician Service | Arise | $138.01 | ↑ +21% |
| Trilogy | Commercial | $148.63 | ↑ +30% |
| Cigna | PPO-GPPO | $159.25 | ↑ +40% |
| HealthPartners | Robin | $159.25 | ↑ +40% |
| HealthPartners | Broad | $159.25 | ↑ +40% |
| Centivo | Commercial | $159.25 | ↑ +40% |
| Health EOS | PPO | $169.86 | ↑ +49% |
| Aetna | PPO | $175.38 | ↑ +54% |
| United Healthcare | PPO | $178.78 | ↑ +57% |
| Cigna | PPO | $179.63 | ↑ +58% |
| Anthem | PPO | $180.48 | ↑ +58% |
Visitor-reported prices
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Graft xenmtrx sft rect 19x28cm at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $1,149.12 | $330.37 – $1,364.58 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $352.38 | not published |
| SSM Health St. Mary's Hospital - Madison | Madison | $7,412.17 | not published |
| SSM Health Monroe Hospital | Monroe | $668.29 | not published |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $2,810.88 | not published |
| Aurora Medical Center Summit | Summit | $1,751.20 | not published |
| Aurora Baycare Medical Center | Green Bay | $1,537.28 | not published |
| Aurora West Allis Medical Center | West Allis | $2,905.40 | not published |