Dornhoffer fixed part w/window at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$50,536.80
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.
$101,073.60
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.
$30,451.41 with Aetna vs $53,258.64 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 | $30,451.41 | ↓ -40% |
| Everpointe Elite | Commercial | $31,328.61 | ↓ -38% |
| HS Technology | Commercial | $31,328.61 | ↓ -38% |
| Quartz One | Commercial | $34,461.47 | ↓ -32% |
| United Healthcare | Exchange | $37,218.39 | ↓ -26% |
| United Healthcare | Charter | $37,218.39 | ↓ -26% |
| United Healthcare | HMO | $37,218.39 | ↓ -26% |
| United Healthcare | Nexus | $37,218.39 | ↓ -26% |
| Common Ground | Employee Trust Fund | $37,594.33 | ↓ -26% |
| Common Ground | Envision | $37,594.33 | ↓ -26% |
| Health EOS Plus | Commercial | $37,594.33 | ↓ -26% |
| Anthem | Blue Priority | $37,594.33 | ↓ -26% |
| Quartz Group | Commercial | $37,594.33 | ↓ -26% |
| Molina Exchange | Commercial | $37,594.33 | ↓ -26% |
| HealthPartners | Employee Trust Fund | $37,594.33 | ↓ -26% |
| Aurora Caregiver | Commercial | $37,594.33 | ↓ -26% |
| Common Ground | Exchange | $37,594.33 | ↓ -26% |
| Wisconsin Physician Service | Aurora Featured | $38,847.48 | ↓ -23% |
| Wisconsin Physician Service | Statewide | $40,727.19 | ↓ -19% |
| Anthem | Blue Preferred | $40,727.19 | ↓ -19% |
| Health Payment Systems | Commercial | $40,727.19 | ↓ -19% |
| Wisconsin Physician Service | Arise | $40,727.19 | ↓ -19% |
| Trilogy | Commercial | $43,860.05 | ↓ -13% |
| Cigna | PPO-GPPO | $46,992.92 | ↓ -7% |
| HealthPartners | Robin | $46,992.92 | ↓ -7% |
| HealthPartners | Broad | $46,992.92 | ↓ -7% |
| Centivo | Commercial | $46,992.92 | ↓ -7% |
| Health EOS | PPO | $50,125.78 | ↓ -1% |
| Aetna | PPO | $51,754.86 | ↑ +2% |
| United Healthcare | PPO | $52,757.38 | ↑ +4% |
| Cigna | PPO | $53,008.01 | ↑ +5% |
| Anthem | PPO | $53,258.64 | ↑ +5% |
Visitor-reported prices
Comments
Dornhoffer fixed part w/window at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Medical Center Sheboygan County | Sheboygan | $24,768.76 | not published |
| UnityPoint Health - Meriter Hospital | Madison | not published | $11,792.27 – $23,637.07 |