Brace fx hum ovr shldr sm at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$295.00
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.
?
What you pay up front if you don't use insurance.
$590.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$286.74 with Aetna vs $501.50 with Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $286.74 | ↓ -3% |
| Everpointe Elite | Commercial | $295.00 | ↑ +0% |
| HS Technology | Commercial | $295.00 | ↑ +0% |
| Quartz One | Commercial | $324.50 | ↑ +10% |
| United Healthcare | Exchange | $350.46 | ↑ +19% |
| United Healthcare | Charter | $350.46 | ↑ +19% |
| United Healthcare | HMO | $350.46 | ↑ +19% |
| United Healthcare | Nexus | $350.46 | ↑ +19% |
| Common Ground | Employee Trust Fund | $354.00 | ↑ +20% |
| Common Ground | Envision | $354.00 | ↑ +20% |
| Health EOS Plus | Commercial | $354.00 | ↑ +20% |
| Anthem | Blue Priority | $354.00 | ↑ +20% |
| Quartz Group | Commercial | $354.00 | ↑ +20% |
| Molina Exchange | Commercial | $354.00 | ↑ +20% |
| HealthPartners | Employee Trust Fund | $354.00 | ↑ +20% |
| Aurora Caregiver | Commercial | $354.00 | ↑ +20% |
| Common Ground | Exchange | $354.00 | ↑ +20% |
| Wisconsin Physician Service | Aurora Featured | $365.80 | ↑ +24% |
| Wisconsin Physician Service | Statewide | $383.50 | ↑ +30% |
| Anthem | Blue Preferred | $383.50 | ↑ +30% |
| Health Payment Systems | Commercial | $383.50 | ↑ +30% |
| Wisconsin Physician Service | Arise | $383.50 | ↑ +30% |
| Trilogy | Commercial | $413.00 | ↑ +40% |
| Cigna | PPO-GPPO | $442.50 | ↑ +50% |
| HealthPartners | Robin | $442.50 | ↑ +50% |
| HealthPartners | Broad | $442.50 | ↑ +50% |
| Centivo | Commercial | $442.50 | ↑ +50% |
| Health EOS | PPO | $472.00 | ↑ +60% |
| Aetna | PPO | $487.34 | ↑ +65% |
| United Healthcare | PPO | $496.78 | ↑ +68% |
| Cigna | PPO | $499.14 | ↑ +69% |
| Anthem | PPO | $501.50 | ↑ +70% |
Visitor-reported prices
Comments
Brace fx hum ovr shldr sm at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $70.40 | $20.24 – $424.21 |
| Aurora Medical Center Bay Area | Marinette | $295.00 | not published |
| Aurora Medical Center Grafton | Grafton | $295.00 | not published |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $324.52 – $432.69 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $324.52 – $835.09 |