ER Visit (level 3) at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$940.00
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.
$1,880.00
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.
$543.00 with Health EOS Plus vs $2,200.00 with Cigna — 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 |
|---|---|---|---|
| Health EOS Plus | Commercial | $543.00 | ↓ -42% |
| HealthPartners | Broad | $678.75 | ↓ -28% |
| Health EOS | PPO | $724.00 | ↓ -23% |
| Aetna | PPO | $747.53 | ↓ -20% |
| United Healthcare | PPO | $762.01 | ↓ -19% |
| Cigna | PPO | $765.63 | ↓ -19% |
| Anthem | PPO | $769.25 | ↓ -18% |
| Aetna | HMO | $836.00 | ↓ -11% |
| Aurora Caregiver | Commercial | $1,000.00 | ↑ +6% |
| HealthPartners | Employee Trust Fund | $1,008.00 | ↑ +7% |
| Common Ground | Employee Trust Fund | $1,029.00 | ↑ +9% |
| Common Ground | Exchange | $1,029.00 | ↑ +9% |
| Common Ground | Envision | $1,029.00 | ↑ +9% |
| Wisconsin Physician Service | Aurora Featured | $1,048.00 | ↑ +11% |
| Everpointe Elite | Commercial | $1,082.00 | ↑ +15% |
| Centivo | Commercial | $1,093.00 | ↑ +16% |
| Wisconsin Physician Service | Arise | $1,103.00 | ↑ +17% |
| Wisconsin Physician Service | Statewide | $1,103.00 | ↑ +17% |
| Quartz One | Commercial | $1,110.00 | ↑ +18% |
| Anthem | Blue Priority | $1,163.00 | ↑ +24% |
| Molina Exchange | Commercial | $1,167.00 | ↑ +24% |
| HS Technology | Commercial | $1,238.00 | ↑ +32% |
| HealthPartners | Robin | $1,284.00 | ↑ +37% |
| Quartz Group | Commercial | $1,300.00 | ↑ +38% |
| Health Payment Systems | Commercial | $1,300.00 | ↑ +38% |
| Anthem | Blue Preferred | $1,418.00 | ↑ +51% |
| Trilogy | Commercial | $1,579.00 | ↑ +68% |
| United Healthcare | Exchange | $1,985.00 | ↑ +111% |
| United Healthcare | Nexus | $2,000.00 | ↑ +113% |
| United Healthcare | Charter | $2,000.00 | ↑ +113% |
| United Healthcare | HMO | $2,180.00 | ↑ +132% |
| Cigna | PPO-GPPO | $2,200.00 | ↑ +134% |
Visitor-reported prices
Comments
ER Visit (level 3) 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 | $1,034.56 | $114.58 – $593.01 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $1,034.56 | $165.41 – $737.00 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $1,034.56 | $165.41 – $737.00 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $1,034.56 | $114.58 – $593.01 |
| UnityPoint Health - Meriter Hospital | Madison | $1,304.15 | $12.65 – $67.52 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $498.85 | $198.86 – $265.15 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $663.30 | $206.22 – $274.96 |
| SSM Health St. Mary's Hospital - Madison | Madison | $1,062.60 | $198.86 – $265.15 |