Foam drg > 48 sq in w/border at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$42.50
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.
$85.00
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.
$24.81 with Everpointe Elite vs $42.18 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 |
|---|---|---|---|
| Everpointe Elite | Commercial | $24.81 | ↓ -42% |
| HS Technology | Commercial | $24.81 | ↓ -42% |
| Aetna | HMO | $26.50 | ↓ -38% |
| Quartz One | Commercial | $27.29 | ↓ -36% |
| United Healthcare | Exchange | $29.47 | ↓ -31% |
| United Healthcare | Charter | $29.47 | ↓ -31% |
| United Healthcare | HMO | $29.47 | ↓ -31% |
| United Healthcare | Nexus | $29.47 | ↓ -31% |
| Common Ground | Employee Trust Fund | $29.77 | ↓ -30% |
| Common Ground | Envision | $29.77 | ↓ -30% |
| Health EOS Plus | Commercial | $29.77 | ↓ -30% |
| Anthem | Blue Priority | $29.77 | ↓ -30% |
| Quartz Group | Commercial | $29.77 | ↓ -30% |
| Molina Exchange | Commercial | $29.77 | ↓ -30% |
| HealthPartners | Employee Trust Fund | $29.77 | ↓ -30% |
| Aurora Caregiver | Commercial | $29.77 | ↓ -30% |
| Common Ground | Exchange | $29.77 | ↓ -30% |
| Wisconsin Physician Service | Aurora Featured | $30.76 | ↓ -28% |
| Wisconsin Physician Service | Statewide | $32.25 | ↓ -24% |
| Anthem | Blue Preferred | $32.25 | ↓ -24% |
| Health Payment Systems | Commercial | $32.25 | ↓ -24% |
| Wisconsin Physician Service | Arise | $32.25 | ↓ -24% |
| Trilogy | Commercial | $34.73 | ↓ -18% |
| Cigna | PPO-GPPO | $37.22 | ↓ -12% |
| HealthPartners | Robin | $37.22 | ↓ -12% |
| HealthPartners | Broad | $37.22 | ↓ -12% |
| Centivo | Commercial | $37.22 | ↓ -12% |
| Health EOS | PPO | $39.70 | ↓ -7% |
| Aetna | PPO | $40.99 | ↓ -4% |
| United Healthcare | PPO | $41.78 | ↓ -2% |
| Cigna | PPO | $41.98 | ↓ -1% |
| Anthem | PPO | $42.18 | ↓ -1% |
Visitor-reported prices
Comments
Foam drg > 48 sq in w/border at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Medical Center Summit | Summit | $42.50 | not published |
| Aurora Baycare Medical Center | Green Bay | $42.50 | not published |
| Aurora Medical Center Manitowoc | Two Rivers | $42.50 | not published |
| Aurora West Allis Medical Center | West Allis | $42.50 | not published |
| Aurora Medical Center Burlington | Burlington | $74.58 | not published |
| Aurora Medical Center Washington County | Hartford | $42.50 | not published |
| Aurora Medical Center Fond du Lac | Fond Du Lac | $42.50 | not published |
| Aurora Medical Center Sheboygan County | Sheboygan | $42.50 | not published |