Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$685.00
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.
$1,370.00
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.
$589.10 with HealthPartners vs $23,460.00 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 |
|---|---|---|---|
| HealthPartners | Employee Trust Fund | $589.10 | ↓ -14% |
| HealthPartners | Robin | $794.60 | ↑ +16% |
| Health EOS Plus | Commercial | $822.00 | ↑ +20% |
| HealthPartners | Broad | $1,027.50 | ↑ +50% |
| Health EOS | PPO | $1,096.00 | ↑ +60% |
| Aetna | PPO | $1,131.62 | ↑ +65% |
| United Healthcare | PPO | $1,153.54 | ↑ +68% |
| Cigna | PPO | $1,159.02 | ↑ +69% |
| Anthem | PPO | $1,164.50 | ↑ +70% |
| Everpointe Elite | Commercial | $1,291.00 | ↑ +88% |
| Aurora Caregiver | Commercial | $1,300.00 | ↑ +90% |
| Common Ground | Employee Trust Fund | $1,492.00 | ↑ +118% |
| Common Ground | Exchange | $1,492.00 | ↑ +118% |
| Common Ground | Envision | $1,492.00 | ↑ +118% |
| United Healthcare | Exchange | $1,630.00 | ↑ +138% |
| United Healthcare | Charter | $1,641.00 | ↑ +140% |
| United Healthcare | Nexus | $1,641.00 | ↑ +140% |
| Quartz One | Commercial | $1,670.00 | ↑ +144% |
| United Healthcare | HMO | $1,789.00 | ↑ +161% |
| Molina Exchange | Commercial | $1,825.00 | ↑ +166% |
| Aetna | HMO | $1,894.00 | ↑ +176% |
| Quartz Group | Commercial | $1,950.00 | ↑ +185% |
| Centivo | Commercial | $1,967.00 | ↑ +187% |
| Wisconsin Physician Service | Aurora Featured | $2,115.00 | ↑ +209% |
| HS Technology | Commercial | $2,138.00 | ↑ +212% |
| Wisconsin Physician Service | Statewide | $2,226.00 | ↑ +225% |
| Wisconsin Physician Service | Arise | $2,226.00 | ↑ +225% |
| Health Payment Systems | Commercial | $2,300.00 | ↑ +236% |
| Trilogy | Commercial | $2,340.00 | ↑ +242% |
| Anthem | Blue Priority | $18,187.00 | ↑ +2555% |
| Cigna | PPO-GPPO | $19,000.00 | ↑ +2674% |
| Anthem | Blue Preferred | $23,460.00 | ↑ +3325% |
Visitor-reported prices
Comments
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension St. Francis Hospital, Inc. | Milwaukee | $932.80 | $133.31 – $582.81 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $932.80 | $133.31 – $582.81 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $81.99 – $670.39 |
| UnityPoint Health - Meriter Hospital | Madison | $707.09 | $31.05 – $275.76 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $705.10 | $1,676.00 – $1,676.00 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $686.95 | $1,704.00 – $1,704.00 |
| SSM Health St. Mary's Hospital - Madison | Madison | $762.85 | $2,036.00 – $2,036.00 |
| SSM Health Ripon Community Hospital | Ripon | $974.60 | $1,887.00 – $5,512.00 |