Bx breast 1st lesion mr imag at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$3,720.00
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.
$7,440.00
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 | ↓ -47% |
| Everpointe Elite | Commercial | $2,153.00 | ↓ -42% |
| Aurora Caregiver | Commercial | $2,450.00 | ↓ -34% |
| Anthem | Blue Preferred | $2,550.00 | ↓ -31% |
| Molina Exchange | Commercial | $2,568.00 | ↓ -31% |
| Common Ground | Envision | $2,727.00 | ↓ -27% |
| Common Ground | Exchange | $2,727.00 | ↓ -27% |
| Common Ground | Employee Trust Fund | $2,727.00 | ↓ -27% |
| Quartz One | Commercial | $2,790.00 | ↓ -25% |
| Wisconsin Physician Service | Aurora Featured | $2,883.00 | ↓ -23% |
| United Healthcare | Exchange | $2,955.00 | ↓ -21% |
| United Healthcare | Nexus | $2,976.00 | ↓ -20% |
| United Healthcare | Charter | $2,976.00 | ↓ -20% |
| Wisconsin Physician Service | Statewide | $3,035.00 | ↓ -18% |
| Wisconsin Physician Service | Arise | $3,035.00 | ↓ -18% |
| HS Technology | Commercial | $3,152.00 | ↓ -15% |
| Centivo | Commercial | $3,169.00 | ↓ -15% |
| HealthPartners | Employee Trust Fund | $3,199.20 | ↓ -14% |
| United Healthcare | HMO | $3,242.00 | ↓ -13% |
| Quartz Group | Commercial | $3,260.00 | ↓ -12% |
| Health Payment Systems | Commercial | $3,350.00 | ↓ -10% |
| HealthPartners | Robin | $4,315.20 | ↑ +16% |
| Trilogy | Commercial | $4,387.00 | ↑ +18% |
| Health EOS Plus | Commercial | $4,464.00 | ↑ +20% |
| HealthPartners | Broad | $5,580.00 | ↑ +50% |
| Health EOS | PPO | $5,952.00 | ↑ +60% |
| Aetna | PPO | $6,145.44 | ↑ +65% |
| United Healthcare | PPO | $6,264.48 | ↑ +68% |
| Cigna | PPO | $6,294.24 | ↑ +69% |
| Anthem | PPO | $6,324.00 | ↑ +70% |
| Aetna | HMO | $6,461.00 | ↑ +74% |
| Cigna | PPO-GPPO | $9,600.00 | ↑ +158% |
Visitor-reported prices
Comments
Bx breast 1st lesion mr imag 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 | $3,437.05 | $287.54 – $3,675.86 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $1,110.35 | $720.51 – $3,728.99 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $1,110.35 | $720.51 – $3,728.99 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $3,437.05 | $287.54 – $3,675.86 |
| SSM Health St. Mary's Hospital - Madison | Madison | $3,092.65 | $1,203.19 – $4,982.00 |
| SSM Health Monroe Hospital | Monroe | $1,681.90 | $1,604.25 – $4,743.00 |
| SSM Health Ripon Community Hospital | Ripon | $2,412.85 | $3,388.00 – $4,761.00 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $2,412.85 | $1,225.21 – $4,761.00 |