Aspa gene at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$160.00
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.
$320.00
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.
$37.80 with United Healthcare vs $272.00 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 |
|---|---|---|---|
| United Healthcare | HMO | $37.80 | ↓ -76% |
| United Healthcare | Exchange | $37.80 | ↓ -76% |
| United Healthcare | Charter | $37.80 | ↓ -76% |
| United Healthcare | Nexus | $37.80 | ↓ -76% |
| Aurora Caregiver | Commercial | $47.25 | ↓ -70% |
| Anthem | Blue Priority | $47.25 | ↓ -70% |
| Anthem | Blue Preferred | $56.70 | ↓ -65% |
| Common Ground | Employee Trust Fund | $99.23 | ↓ -38% |
| Common Ground | Exchange | $99.23 | ↓ -38% |
| Everpointe Elite | Commercial | $101.64 | ↓ -36% |
| Common Ground | Envision | $103.29 | ↓ -35% |
| Centivo | Commercial | $103.29 | ↓ -35% |
| Aetna | HMO | $105.37 | ↓ -34% |
| Health Payment Systems | Commercial | $118.13 | ↓ -26% |
| Quartz One | Commercial | $118.13 | ↓ -26% |
| HealthPartners | Employee Trust Fund | $125.32 | ↓ -22% |
| Molina Exchange | Commercial | $130.41 | ↓ -18% |
| HS Technology | Commercial | $132.96 | ↓ -17% |
| Quartz Group | Commercial | $137.03 | ↓ -14% |
| Cigna | PPO-GPPO | $137.61 | ↓ -14% |
| Wisconsin Physician Service | Aurora Featured | $153.09 | ↓ -4% |
| HealthPartners | Robin | $160.41 | ↑ +0% |
| Wisconsin Physician Service | Statewide | $161.12 | ↑ +1% |
| Wisconsin Physician Service | Arise | $161.12 | ↑ +1% |
| Trilogy | Commercial | $165.83 | ↑ +4% |
| Health EOS Plus | Commercial | $192.00 | ↑ +20% |
| HealthPartners | Broad | $240.00 | ↑ +50% |
| Health EOS | PPO | $256.00 | ↑ +60% |
| Aetna | PPO | $264.32 | ↑ +65% |
| United Healthcare | PPO | $269.44 | ↑ +68% |
| Cigna | PPO | $270.72 | ↑ +69% |
| Anthem | PPO | $272.00 | ↑ +70% |
Visitor-reported prices
Comments
Aspa gene at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $47.25 – $6,990.00 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $47.25 – $154.64 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $47.25 – $154.64 |
| UnityPoint Health - Meriter Hospital | Madison | $92.51 | $26.59 – $47.25 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $228.80 | $35.44 – $331.53 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $221.65 | $35.44 – $265.21 |
| SSM Health St. Mary's Hospital - Madison | Madison | $163.90 | $35.44 – $271.25 |
| Aurora Medical Center Summit | Summit | $160.00 | $37.80 – $165.83 |