Boot j walker l at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$195.00
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.
$390.00
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.
$36.94 with Aetna vs $64.61 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 |
|---|---|---|---|
| Aetna | HMO | $36.94 | ↓ -81% |
| Everpointe Elite | Commercial | $38.01 | ↓ -81% |
| HS Technology | Commercial | $38.01 | ↓ -81% |
| Quartz One | Commercial | $41.81 | ↓ -79% |
| United Healthcare | Exchange | $45.15 | ↓ -77% |
| United Healthcare | Charter | $45.15 | ↓ -77% |
| United Healthcare | HMO | $45.15 | ↓ -77% |
| United Healthcare | Nexus | $45.15 | ↓ -77% |
| Common Ground | Employee Trust Fund | $45.61 | ↓ -77% |
| Common Ground | Envision | $45.61 | ↓ -77% |
| Health EOS Plus | Commercial | $45.61 | ↓ -77% |
| Anthem | Blue Priority | $45.61 | ↓ -77% |
| Quartz Group | Commercial | $45.61 | ↓ -77% |
| Molina Exchange | Commercial | $45.61 | ↓ -77% |
| HealthPartners | Employee Trust Fund | $45.61 | ↓ -77% |
| Aurora Caregiver | Commercial | $45.61 | ↓ -77% |
| Common Ground | Exchange | $45.61 | ↓ -77% |
| Wisconsin Physician Service | Aurora Featured | $47.13 | ↓ -76% |
| Wisconsin Physician Service | Statewide | $49.41 | ↓ -75% |
| Anthem | Blue Preferred | $49.41 | ↓ -75% |
| Health Payment Systems | Commercial | $49.41 | ↓ -75% |
| Wisconsin Physician Service | Arise | $49.41 | ↓ -75% |
| Trilogy | Commercial | $53.21 | ↓ -73% |
| Cigna | PPO-GPPO | $57.01 | ↓ -71% |
| HealthPartners | Robin | $57.01 | ↓ -71% |
| HealthPartners | Broad | $57.01 | ↓ -71% |
| Centivo | Commercial | $57.01 | ↓ -71% |
| Health EOS | PPO | $60.81 | ↓ -69% |
| Aetna | PPO | $62.78 | ↓ -68% |
| United Healthcare | PPO | $64.00 | ↓ -67% |
| Cigna | PPO | $64.30 | ↓ -67% |
| Anthem | PPO | $64.61 | ↓ -67% |
Visitor-reported prices
Comments
Boot j walker l at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $93.60 | $26.91 – $196.37 |
| SSM Health St. Mary's Hospital - Madison | Madison | $106.78 | not published |
| SSM Health Ripon Community Hospital | Ripon | $180.46 | not published |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $180.46 | $146.14 – $376.08 |
| SSM Health Waupun Memorial Hospital | Waupun | $180.46 | not published |
| Aurora Medical Center Summit | Summit | $195.00 | not published |
| Aurora Baycare Medical Center | Green Bay | $195.00 | not published |
| Aurora Medical Center Manitowoc | Two Rivers | $195.00 | not published |