Incision of foot fascia at Aurora Medical Center Manitowoc
5000 Memorial Dr, Two Rivers, WI · Aurorahealthcare · · NPI 1477508687
$2,545.00
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.
$5,090.00
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.
$2,188.70 with HealthPartners vs $9,600.00 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 | $2,188.70 | ↓ -14% |
| HealthPartners | Robin | $2,952.20 | ↑ +16% |
| Health EOS Plus | Commercial | $3,054.00 | ↑ +20% |
| HealthPartners | Broad | $3,817.50 | ↑ +50% |
| Health EOS | PPO | $4,072.00 | ↑ +60% |
| Aetna | PPO | $4,204.34 | ↑ +65% |
| United Healthcare | PPO | $4,285.78 | ↑ +68% |
| Cigna | PPO | $4,306.14 | ↑ +69% |
| Anthem | PPO | $4,326.50 | ↑ +70% |
| Everpointe Elite | Commercial | $5,508.00 | ↑ +116% |
| Anthem | Blue Priority | $5,692.00 | ↑ +124% |
| Molina Exchange | Commercial | $5,889.00 | ↑ +131% |
| Common Ground | Employee Trust Fund | $5,951.00 | ↑ +134% |
| Common Ground | Exchange | $5,951.00 | ↑ +134% |
| Common Ground | Envision | $5,951.00 | ↑ +134% |
| Aetna | HMO | $6,461.00 | ↑ +154% |
| Aurora Caregiver | Commercial | $6,490.00 | ↑ +155% |
| Quartz One | Commercial | $6,690.00 | ↑ +163% |
| Health Payment Systems | Commercial | $6,850.00 | ↑ +169% |
| Anthem | Blue Preferred | $7,344.00 | ↑ +189% |
| United Healthcare | Exchange | $7,640.00 | ↑ +200% |
| Centivo | Commercial | $7,649.00 | ↑ +201% |
| HS Technology | Commercial | $7,653.00 | ↑ +201% |
| United Healthcare | Nexus | $7,696.00 | ↑ +202% |
| United Healthcare | Charter | $7,696.00 | ↑ +202% |
| Quartz Group | Commercial | $7,830.00 | ↑ +208% |
| Wisconsin Physician Service | Aurora Featured | $7,880.00 | ↑ +210% |
| Wisconsin Physician Service | Arise | $8,295.00 | ↑ +226% |
| Wisconsin Physician Service | Statewide | $8,295.00 | ↑ +226% |
| United Healthcare | HMO | $8,384.00 | ↑ +229% |
| Trilogy | Commercial | $8,773.00 | ↑ +245% |
| Cigna | PPO-GPPO | $9,600.00 | ↑ +277% |
Visitor-reported prices
Comments
Incision of foot fascia at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $281.43 | $478.70 – $1,750.95 |
| UnityPoint Health - Meriter Hospital | Madison | $4,754.18 | $276.48 – $1,854.13 |
| Aurora Medical Center Summit | Summit | $2,545.00 | not published |
| Aurora Baycare Medical Center | Green Bay | $2,545.00 | not published |
| Aurora Medical Center Sheboygan County | Sheboygan | $2,545.00 | not published |
| Aurora Medical Center Grafton | Grafton | $2,545.00 | not published |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | $5,994.69 | $315.69 – $1,601.48 |
| Ascension Calumet Hospital, Inc. | Chilton | $485.07 | $315.69 – $967.70 |