ER Visit (level 5, high severity) at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$1,755.00
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.
$3,510.00
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.
$690.00 with Health EOS Plus vs $3,627.00 with Trilogy — 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 |
|---|---|---|---|
| Health EOS Plus | Commercial | $690.00 | ↓ -61% |
| HealthPartners | Broad | $862.50 | ↓ -51% |
| Health EOS | PPO | $920.00 | ↓ -48% |
| Aetna | PPO | $949.90 | ↓ -46% |
| United Healthcare | PPO | $968.30 | ↓ -45% |
| Cigna | PPO | $972.90 | ↓ -45% |
| Anthem | PPO | $977.50 | ↓ -44% |
| Aetna | HMO | $1,950.00 | ↑ +11% |
| United Healthcare | Exchange | $1,985.00 | ↑ +13% |
| United Healthcare | Charter | $2,000.00 | ↑ +14% |
| United Healthcare | Nexus | $2,000.00 | ↑ +14% |
| HealthPartners | Employee Trust Fund | $2,070.00 | ↑ +18% |
| United Healthcare | HMO | $2,180.00 | ↑ +24% |
| Cigna | PPO-GPPO | $2,200.00 | ↑ +25% |
| Molina Exchange | Commercial | $2,344.00 | ↑ +34% |
| Aurora Caregiver | Commercial | $2,400.00 | ↑ +37% |
| Everpointe Elite | Commercial | $2,409.00 | ↑ +37% |
| Centivo | Commercial | $2,513.00 | ↑ +43% |
| Common Ground | Employee Trust Fund | $2,543.00 | ↑ +45% |
| Common Ground | Exchange | $2,543.00 | ↑ +45% |
| Common Ground | Envision | $2,543.00 | ↑ +45% |
| HealthPartners | Robin | $2,642.00 | ↑ +51% |
| Anthem | Blue Priority | $2,693.00 | ↑ +53% |
| HS Technology | Commercial | $2,701.00 | ↑ +54% |
| Wisconsin Physician Service | Aurora Featured | $2,883.00 | ↑ +64% |
| Quartz One | Commercial | $2,920.00 | ↑ +66% |
| Wisconsin Physician Service | Statewide | $3,035.00 | ↑ +73% |
| Wisconsin Physician Service | Arise | $3,035.00 | ↑ +73% |
| Anthem | Blue Preferred | $3,274.00 | ↑ +87% |
| Health Payment Systems | Commercial | $3,400.00 | ↑ +94% |
| Quartz Group | Commercial | $3,420.00 | ↑ +95% |
| Trilogy | Commercial | $3,627.00 | ↑ +107% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) 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 | $1,820.02 | $281.26 – $1,313.05 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $1,820.02 | $462.81 – $2,106.00 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $1,820.02 | $462.81 – $2,106.00 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $1,820.02 | $281.26 – $1,313.05 |
| UnityPoint Health - Meriter Hospital | Madison | $3,001.09 | $12.65 – $166.36 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $1,650.55 | $433.84 – $578.46 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $1,598.85 | $449.89 – $599.85 |
| SSM Health St. Mary's Hospital - Madison | Madison | $2,294.05 | $433.84 – $578.46 |