Graft xenmtrx sft rect 19x28cm 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

$113.90

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.

$227.79

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.

$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 →

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
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

All Wisconsin hospitals for this procedure →