Ghs phenylketonurid at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$25.00
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.
$50.00
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.
$4.40 with United Healthcare vs $21.25 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 |
|---|---|---|---|
| United Healthcare | HMO | $4.40 | ↓ -82% |
| United Healthcare | Nexus | $4.40 | ↓ -82% |
| United Healthcare | Exchange | $4.40 | ↓ -82% |
| United Healthcare | Charter | $4.40 | ↓ -82% |
| Anthem | Blue Priority | $5.50 | ↓ -78% |
| Aurora Caregiver | Commercial | $5.50 | ↓ -78% |
| Anthem | Blue Preferred | $6.60 | ↓ -74% |
| Common Ground | Exchange | $11.55 | ↓ -54% |
| Common Ground | Employee Trust Fund | $11.55 | ↓ -54% |
| Common Ground | Envision | $12.02 | ↓ -52% |
| Centivo | Commercial | $12.02 | ↓ -52% |
| Aetna | HMO | $12.27 | ↓ -51% |
| Quartz One | Commercial | $13.75 | ↓ -45% |
| Health Payment Systems | Commercial | $13.75 | ↓ -45% |
| HealthPartners | Employee Trust Fund | $14.58 | ↓ -42% |
| Health EOS Plus | Commercial | $15.00 | ↓ -40% |
| Molina Exchange | Commercial | $15.18 | ↓ -39% |
| HS Technology | Commercial | $15.48 | ↓ -38% |
| Quartz Group | Commercial | $15.95 | ↓ -36% |
| Everpointe Elite | Commercial | $16.23 | ↓ -35% |
| Cigna | PPO-GPPO | $16.26 | ↓ -35% |
| Wisconsin Physician Service | Aurora Featured | $17.82 | ↓ -29% |
| HealthPartners | Robin | $18.67 | ↓ -25% |
| HealthPartners | Broad | $18.75 | ↓ -25% |
| Wisconsin Physician Service | Statewide | $18.76 | ↓ -25% |
| Wisconsin Physician Service | Arise | $18.76 | ↓ -25% |
| Trilogy | Commercial | $19.30 | ↓ -23% |
| Health EOS | PPO | $20.00 | ↓ -20% |
| Aetna | PPO | $20.65 | ↓ -17% |
| United Healthcare | PPO | $21.05 | ↓ -16% |
| Cigna | PPO | $21.15 | ↓ -15% |
| Anthem | PPO | $21.25 | ↓ -15% |
Visitor-reported prices
Comments
Ghs phenylketonurid 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 | $36.04 | $5.50 – $24.09 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $10.07 | $5.50 – $24.81 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $10.07 | $5.50 – $24.81 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $36.04 | $5.50 – $24.09 |
| UnityPoint Health - Meriter Hospital | Madison | $64.80 | $3.30 – $28.30 |
| SSM Health Monroe Hospital | Monroe | $42.35 | $5.50 – $9.63 |
| Aurora Medical Center Summit | Summit | $12.50 | $4.40 – $19.30 |
| Aurora Baycare Medical Center | Green Bay | $25.00 | $4.40 – $19.30 |