Aco annual medicare visit (awv), subsq g0439aco at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$50.00
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.
$100.00
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.
$60.00 with Health EOS Plus vs $116.00 with Trilogy — 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 |
|---|---|---|---|
| Health EOS Plus | Commercial | $60.00 | ↑ +20% |
| Common Ground | Exchange | $65.00 | ↑ +30% |
| Common Ground | Envision | $65.00 | ↑ +30% |
| Common Ground | Employee Trust Fund | $65.00 | ↑ +30% |
| Anthem | Blue Priority | $66.00 | ↑ +32% |
| Quartz One | Commercial | $70.00 | ↑ +40% |
| Molina Exchange | Commercial | $74.00 | ↑ +48% |
| HealthPartners | Employee Trust Fund | $74.00 | ↑ +48% |
| HealthPartners | Broad | $75.00 | ↑ +50% |
| Everpointe Elite | Commercial | $75.00 | ↑ +50% |
| Centivo | Commercial | $76.00 | ↑ +52% |
| Aetna | HMO | $78.00 | ↑ +56% |
| Health EOS | PPO | $80.00 | ↑ +60% |
| Quartz Group | Commercial | $80.00 | ↑ +60% |
| Aurora Caregiver | Commercial | $80.00 | ↑ +60% |
| United Healthcare | Exchange | $82.00 | ↑ +64% |
| Aetna | PPO | $82.60 | ↑ +65% |
| United Healthcare | Charter | $83.00 | ↑ +66% |
| United Healthcare | Nexus | $83.00 | ↑ +66% |
| United Healthcare | PPO | $84.20 | ↑ +68% |
| Cigna | PPO | $84.60 | ↑ +69% |
| Anthem | PPO | $85.00 | ↑ +70% |
| Anthem | Blue Preferred | $87.00 | ↑ +74% |
| Wisconsin Physician Service | Aurora Featured | $90.00 | ↑ +80% |
| HS Technology | Commercial | $90.00 | ↑ +80% |
| United Healthcare | HMO | $90.00 | ↑ +80% |
| HealthPartners | Robin | $93.00 | ↑ +86% |
| Wisconsin Physician Service | Statewide | $95.00 | ↑ +90% |
| Wisconsin Physician Service | Arise | $95.00 | ↑ +90% |
| Cigna | PPO-GPPO | $100.00 | ↑ +100% |
| Health Payment Systems | Commercial | $115.00 | ↑ +130% |
| Trilogy | Commercial | $116.00 | ↑ +132% |
Visitor-reported prices
Comments
Aco annual medicare visit (awv), subsq g0439aco at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $224.80 | $25.76 – $196.50 |
| Ascension Calumet Hospital, Inc. | Chilton | $220.02 | $143.29 – $253.19 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $98.78 – $131.70 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $98.78 – $131.70 |
| SSM Health Monroe Hospital | Monroe | not published | $131.70 – $131.70 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $98.78 – $254.18 |