Biopsy of prostate at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$1,210.00
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.
$2,420.00
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.
$1,040.60 with HealthPartners vs $8,773.00 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 |
|---|---|---|---|
| HealthPartners | Employee Trust Fund | $1,040.60 | ↓ -14% |
| HealthPartners | Robin | $1,403.60 | ↑ +16% |
| Health EOS Plus | Commercial | $1,452.00 | ↑ +20% |
| HealthPartners | Broad | $1,815.00 | ↑ +50% |
| Health EOS | PPO | $1,936.00 | ↑ +60% |
| Anthem | Blue Priority | $1,979.00 | ↑ +64% |
| Aetna | PPO | $1,998.92 | ↑ +65% |
| United Healthcare | PPO | $2,037.64 | ↑ +68% |
| Cigna | PPO | $2,047.32 | ↑ +69% |
| Anthem | PPO | $2,057.00 | ↑ +70% |
| Anthem | Blue Preferred | $2,550.00 | ↑ +111% |
| United Healthcare | Exchange | $2,955.00 | ↑ +144% |
| United Healthcare | Charter | $2,976.00 | ↑ +146% |
| United Healthcare | Nexus | $2,976.00 | ↑ +146% |
| Aetna | HMO | $3,119.00 | ↑ +158% |
| United Healthcare | HMO | $3,242.00 | ↑ +168% |
| Everpointe Elite | Commercial | $5,508.00 | ↑ +355% |
| Molina Exchange | Commercial | $5,889.00 | ↑ +387% |
| Common Ground | Employee Trust Fund | $5,951.00 | ↑ +392% |
| Common Ground | Exchange | $5,951.00 | ↑ +392% |
| Common Ground | Envision | $5,951.00 | ↑ +392% |
| Aurora Caregiver | Commercial | $6,490.00 | ↑ +436% |
| Quartz One | Commercial | $6,690.00 | ↑ +453% |
| Cigna | PPO-GPPO | $6,800.00 | ↑ +462% |
| Health Payment Systems | Commercial | $6,850.00 | ↑ +466% |
| Centivo | Commercial | $7,649.00 | ↑ +532% |
| HS Technology | Commercial | $7,653.00 | ↑ +532% |
| Quartz Group | Commercial | $7,830.00 | ↑ +547% |
| Wisconsin Physician Service | Aurora Featured | $7,880.00 | ↑ +551% |
| Wisconsin Physician Service | Arise | $8,295.00 | ↑ +586% |
| Wisconsin Physician Service | Statewide | $8,295.00 | ↑ +586% |
| Trilogy | Commercial | $8,773.00 | ↑ +625% |
Visitor-reported prices
Comments
Biopsy of prostate at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension St. Francis Hospital, Inc. | Milwaukee | $1,371.64 | $789.16 – $789.16 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $1,371.64 | $789.16 – $789.16 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $204.71 – $988.47 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $272.95 | $204.71 – $988.47 |
| UnityPoint Health - Meriter Hospital | Madison | $4,723.50 | $98.21 – $1,842.16 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $2,125.75 | $3,179.00 – $4,867.00 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $1,824.35 | $3,232.00 – $4,321.00 |
| SSM Health St. Mary's Hospital - Madison | Madison | $2,382.60 | $3,863.00 – $4,982.00 |