Breast Biopsy (ultrasound-guided, percutaneous) at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$2,485.00
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.
$4,970.00
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.
$1,979.00 with Anthem vs $9,600.00 with Cigna — 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 |
|---|---|---|---|
| Anthem | Blue Priority | $1,979.00 | ↓ -20% |
| HealthPartners | Employee Trust Fund | $2,137.10 | ↓ -14% |
| Everpointe Elite | Commercial | $2,153.00 | ↓ -13% |
| Aurora Caregiver | Commercial | $2,450.00 | ↓ -1% |
| Anthem | Blue Preferred | $2,550.00 | ↑ +3% |
| Molina Exchange | Commercial | $2,568.00 | ↑ +3% |
| Common Ground | Exchange | $2,727.00 | ↑ +10% |
| Common Ground | Envision | $2,727.00 | ↑ +10% |
| Common Ground | Employee Trust Fund | $2,727.00 | ↑ +10% |
| Quartz One | Commercial | $2,790.00 | ↑ +12% |
| HealthPartners | Robin | $2,882.60 | ↑ +16% |
| Wisconsin Physician Service | Aurora Featured | $2,883.00 | ↑ +16% |
| United Healthcare | Exchange | $2,955.00 | ↑ +19% |
| United Healthcare | Nexus | $2,976.00 | ↑ +20% |
| United Healthcare | Charter | $2,976.00 | ↑ +20% |
| Health EOS Plus | Commercial | $2,982.00 | ↑ +20% |
| Wisconsin Physician Service | Statewide | $3,035.00 | ↑ +22% |
| Wisconsin Physician Service | Arise | $3,035.00 | ↑ +22% |
| Aetna | HMO | $3,119.00 | ↑ +26% |
| HS Technology | Commercial | $3,152.00 | ↑ +27% |
| Centivo | Commercial | $3,169.00 | ↑ +28% |
| United Healthcare | HMO | $3,242.00 | ↑ +30% |
| Quartz Group | Commercial | $3,260.00 | ↑ +31% |
| Health Payment Systems | Commercial | $3,350.00 | ↑ +35% |
| HealthPartners | Broad | $3,727.50 | ↑ +50% |
| Health EOS | PPO | $3,976.00 | ↑ +60% |
| Aetna | PPO | $4,105.22 | ↑ +65% |
| United Healthcare | PPO | $4,184.74 | ↑ +68% |
| Cigna | PPO | $4,204.62 | ↑ +69% |
| Anthem | PPO | $4,224.50 | ↑ +70% |
| Trilogy | Commercial | $4,387.00 | ↑ +77% |
| Cigna | PPO-GPPO | $9,600.00 | ↑ +286% |
Visitor-reported prices
Comments
Breast Biopsy (ultrasound-guided, percutaneous) 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 | $3,184.24 | $245.48 – $2,403.34 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $1,824.26 | $469.03 – $2,429.13 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $1,824.26 | $469.03 – $2,429.13 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $3,184.24 | $245.48 – $2,403.34 |
| UnityPoint Health - Meriter Hospital | Madison | $2,050.40 | $42.55 – $459.72 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $1,464.65 | $1,203.19 – $4,867.00 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $2,301.20 | $1,247.68 – $4,321.00 |
| SSM Health St. Mary's Hospital - Madison | Madison | $2,653.75 | $1,203.19 – $4,982.00 |