Established Patient Office Visit (level 1) at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$150.00
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.
$300.00
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.
$39.00 with Health EOS Plus vs $116.00 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 | $39.00 | ↓ -74% |
| HealthPartners | Broad | $48.75 | ↓ -68% |
| Health EOS | PPO | $52.00 | ↓ -65% |
| Aetna | PPO | $53.69 | ↓ -64% |
| United Healthcare | PPO | $54.73 | ↓ -64% |
| Cigna | PPO | $54.99 | ↓ -63% |
| Anthem | PPO | $55.25 | ↓ -63% |
| Common Ground | Employee Trust Fund | $65.00 | ↓ -57% |
| Common Ground | Exchange | $65.00 | ↓ -57% |
| Common Ground | Envision | $65.00 | ↓ -57% |
| Anthem | Blue Priority | $66.00 | ↓ -56% |
| Quartz One | Commercial | $70.00 | ↓ -53% |
| Molina Exchange | Commercial | $74.00 | ↓ -51% |
| HealthPartners | Employee Trust Fund | $74.00 | ↓ -51% |
| Everpointe Elite | Commercial | $75.00 | ↓ -50% |
| Centivo | Commercial | $76.00 | ↓ -49% |
| Aetna | HMO | $78.00 | ↓ -48% |
| Quartz Group | Commercial | $80.00 | ↓ -47% |
| Aurora Caregiver | Commercial | $80.00 | ↓ -47% |
| United Healthcare | Exchange | $82.00 | ↓ -45% |
| United Healthcare | Charter | $83.00 | ↓ -45% |
| United Healthcare | Nexus | $83.00 | ↓ -45% |
| Anthem | Blue Preferred | $87.00 | ↓ -42% |
| Wisconsin Physician Service | Aurora Featured | $90.00 | ↓ -40% |
| HS Technology | Commercial | $90.00 | ↓ -40% |
| United Healthcare | HMO | $90.00 | ↓ -40% |
| HealthPartners | Robin | $93.00 | ↓ -38% |
| Wisconsin Physician Service | Statewide | $95.00 | ↓ -37% |
| Wisconsin Physician Service | Arise | $95.00 | ↓ -37% |
| Cigna | PPO-GPPO | $100.00 | ↓ -33% |
| Health Payment Systems | Commercial | $115.00 | ↓ -23% |
| Trilogy | Commercial | $116.00 | ↓ -23% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) 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 | $183.38 | $14.38 – $55.25 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $113.42 | $22.35 – $52.91 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $228.96 | $22.35 – $52.91 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $183.38 | $14.38 – $55.25 |
| UnityPoint Health - Meriter Hospital | Madison | $158.00 | $8.10 – $43.75 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $204.05 | not published |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $69.85 | not published |
| SSM Health St. Mary's Hospital - Madison | Madison | $415.80 | not published |