Dcm pq ndl dsk sgl/mlt lv lmbr w/guide at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$3,500.00
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.
$7,000.00
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.
$3,010.00 with HealthPartners vs $23,500.00 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 |
|---|---|---|---|
| HealthPartners | Employee Trust Fund | $3,010.00 | ↓ -14% |
| HealthPartners | Robin | $4,060.00 | ↑ +16% |
| Health EOS Plus | Commercial | $4,200.00 | ↑ +20% |
| HealthPartners | Broad | $5,250.00 | ↑ +50% |
| Health EOS | PPO | $5,600.00 | ↑ +60% |
| Aetna | PPO | $5,782.00 | ↑ +65% |
| United Healthcare | PPO | $5,894.00 | ↑ +68% |
| Cigna | PPO | $5,922.00 | ↑ +69% |
| Anthem | PPO | $5,950.00 | ↑ +70% |
| Anthem | Blue Priority | $8,456.00 | ↑ +142% |
| Aetna | HMO | $9,245.00 | ↑ +164% |
| Common Ground | Employee Trust Fund | $9,631.00 | ↑ +175% |
| Common Ground | Exchange | $9,631.00 | ↑ +175% |
| Common Ground | Envision | $9,631.00 | ↑ +175% |
| Quartz One | Commercial | $10,700.00 | ↑ +206% |
| Aurora Caregiver | Commercial | $10,760.00 | ↑ +207% |
| Everpointe Elite | Commercial | $10,891.00 | ↑ +211% |
| Anthem | Blue Preferred | $10,914.00 | ↑ +212% |
| United Healthcare | Exchange | $11,511.00 | ↑ +229% |
| United Healthcare | Nexus | $11,594.00 | ↑ +231% |
| United Healthcare | Charter | $11,594.00 | ↑ +231% |
| Molina Exchange | Commercial | $11,648.00 | ↑ +233% |
| HS Technology | Commercial | $12,381.00 | ↑ +254% |
| Quartz Group | Commercial | $12,520.00 | ↑ +258% |
| United Healthcare | HMO | $12,631.00 | ↑ +261% |
| Health Payment Systems | Commercial | $13,150.00 | ↑ +276% |
| Wisconsin Physician Service | Aurora Featured | $13,417.00 | ↑ +283% |
| Centivo | Commercial | $13,659.00 | ↑ +290% |
| Wisconsin Physician Service | Statewide | $14,123.00 | ↑ +304% |
| Wisconsin Physician Service | Arise | $14,123.00 | ↑ +304% |
| Trilogy | Commercial | $16,378.00 | ↑ +368% |
| Cigna | PPO-GPPO | $23,500.00 | ↑ +571% |
Visitor-reported prices
Comments
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide 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 | $12,344.23 | $911.91 – $2,314.90 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $3,863.17 | $2,099.95 – $2,099.95 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $3,863.17 | $2,099.95 – $2,099.95 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $12,344.23 | $911.91 – $2,314.90 |
| UnityPoint Health - Meriter Hospital | Madison | $9,521.08 | $555.06 – $3,713.22 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $7,630.70 | $1,475.17 – $9,811.00 |
| Aurora Medical Center Summit | Summit | $3,500.00 | not published |
| Aurora Baycare Medical Center | Green Bay | $3,500.00 | not published |