Felbamate (felbatol(r)) - sendout at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$110.00
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.
$220.00
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.
$14.91 with United Healthcare vs $187.00 with Anthem — 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 |
|---|---|---|---|
| United Healthcare | Nexus | $14.91 | ↓ -86% |
| United Healthcare | Exchange | $14.91 | ↓ -86% |
| United Healthcare | HMO | $14.91 | ↓ -86% |
| United Healthcare | Charter | $14.91 | ↓ -86% |
| Aurora Caregiver | Commercial | $18.64 | ↓ -83% |
| Anthem | Blue Priority | $18.64 | ↓ -83% |
| Anthem | Blue Preferred | $22.37 | ↓ -80% |
| Common Ground | Employee Trust Fund | $39.14 | ↓ -64% |
| Common Ground | Exchange | $39.14 | ↓ -64% |
| Centivo | Commercial | $40.75 | ↓ -63% |
| Common Ground | Envision | $40.75 | ↓ -63% |
| Aetna | HMO | $41.57 | ↓ -62% |
| Quartz One | Commercial | $46.60 | ↓ -58% |
| Health Payment Systems | Commercial | $46.60 | ↓ -58% |
| HealthPartners | Employee Trust Fund | $49.44 | ↓ -55% |
| Molina Exchange | Commercial | $51.45 | ↓ -53% |
| HS Technology | Commercial | $52.45 | ↓ -52% |
| Quartz Group | Commercial | $54.06 | ↓ -51% |
| Cigna | PPO-GPPO | $54.48 | ↓ -50% |
| Wisconsin Physician Service | Aurora Featured | $60.39 | ↓ -45% |
| HealthPartners | Robin | $63.28 | ↓ -42% |
| Wisconsin Physician Service | Statewide | $63.56 | ↓ -42% |
| Wisconsin Physician Service | Arise | $63.56 | ↓ -42% |
| Trilogy | Commercial | $65.43 | ↓ -41% |
| Everpointe Elite | Commercial | $110.00 | ↑ +0% |
| Health EOS Plus | Commercial | $132.00 | ↑ +20% |
| HealthPartners | Broad | $165.00 | ↑ +50% |
| Health EOS | PPO | $176.00 | ↑ +60% |
| Aetna | PPO | $181.72 | ↑ +65% |
| United Healthcare | PPO | $185.24 | ↑ +68% |
| Cigna | PPO | $186.12 | ↑ +69% |
| Anthem | PPO | $187.00 | ↑ +70% |
Visitor-reported prices
Comments
Felbamate (felbatol(r)) - sendout 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 | $34.98 | $18.64 – $62.44 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $34.98 | $18.64 – $64.31 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $34.98 | $18.64 – $64.31 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $34.98 | $18.64 – $62.44 |
| UnityPoint Health - Meriter Hospital | Madison | $47.94 | $11.18 – $21.87 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $26.95 | $13.98 – $136.01 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $35.75 | $13.98 – $108.82 |
| SSM Health St. Mary's Hospital - Madison | Madison | $25.30 | $13.98 – $111.30 |