Antibody htlv-ii at Aurora Sinai Medical Center of Aurora Health Care Metro

945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179

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

not published by hospital

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.

not published by hospital

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.

$11.20 with United Healthcare vs $49.14 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 →

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
United Healthcare Charter $11.20
United Healthcare Nexus $11.20
United Healthcare Exchange $11.20
United Healthcare HMO $11.20
Anthem Blue Priority $14.00
Aurora Caregiver Commercial $14.00
Anthem Blue Preferred $16.80
Common Ground Employee Trust Fund $29.40
Common Ground Exchange $29.40
Centivo Commercial $30.60
Common Ground Envision $30.60
Aetna HMO $31.22
Health Payment Systems Commercial $35.00
Quartz One Commercial $35.00
HealthPartners Employee Trust Fund $37.13
Molina Exchange Commercial $38.64
HS Technology Commercial $39.40
Quartz Group Commercial $40.60
Cigna PPO-GPPO $41.10
Everpointe Elite Commercial $41.33
Wisconsin Physician Service Aurora Featured $45.36
HealthPartners Robin $47.52
Wisconsin Physician Service Arise $47.74
Wisconsin Physician Service Statewide $47.74
Trilogy Commercial $49.14

Visitor-reported prices

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