Hexa gene at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$477.50
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.
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What you pay up front if you don't use insurance.
$955.00
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.
$41.16 with United Healthcare vs $811.75 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 | Exchange | $41.16 | ↓ -91% |
| United Healthcare | HMO | $41.16 | ↓ -91% |
| United Healthcare | Charter | $41.16 | ↓ -91% |
| United Healthcare | Nexus | $41.16 | ↓ -91% |
| Aurora Caregiver | Commercial | $51.45 | ↓ -89% |
| Anthem | Blue Priority | $51.45 | ↓ -89% |
| Anthem | Blue Preferred | $61.74 | ↓ -87% |
| Common Ground | Exchange | $108.05 | ↓ -77% |
| Common Ground | Employee Trust Fund | $108.05 | ↓ -77% |
| Everpointe Elite | Commercial | $110.68 | ↓ -77% |
| Common Ground | Envision | $112.47 | ↓ -76% |
| Centivo | Commercial | $112.47 | ↓ -76% |
| Aetna | HMO | $114.73 | ↓ -76% |
| Quartz One | Commercial | $128.63 | ↓ -73% |
| Health Payment Systems | Commercial | $128.63 | ↓ -73% |
| HealthPartners | Employee Trust Fund | $136.45 | ↓ -71% |
| Molina Exchange | Commercial | $142.00 | ↓ -70% |
| HS Technology | Commercial | $144.78 | ↓ -70% |
| Quartz Group | Commercial | $149.21 | ↓ -69% |
| Cigna | PPO-GPPO | $150.03 | ↓ -69% |
| Wisconsin Physician Service | Aurora Featured | $166.70 | ↓ -65% |
| HealthPartners | Robin | $174.67 | ↓ -63% |
| Wisconsin Physician Service | Statewide | $175.44 | ↓ -63% |
| Wisconsin Physician Service | Arise | $175.44 | ↓ -63% |
| Trilogy | Commercial | $180.56 | ↓ -62% |
| Health EOS Plus | Commercial | $573.00 | ↑ +20% |
| HealthPartners | Broad | $716.25 | ↑ +50% |
| Health EOS | PPO | $764.00 | ↑ +60% |
| Aetna | PPO | $788.83 | ↑ +65% |
| United Healthcare | PPO | $804.11 | ↑ +68% |
| Cigna | PPO | $807.93 | ↑ +69% |
| Anthem | PPO | $811.75 | ↑ +70% |
Visitor-reported prices
Comments
Hexa gene 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 | not published | $51.45 – $6,990.00 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $51.45 – $168.80 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $51.45 – $168.80 |
| UnityPoint Health - Meriter Hospital | Madison | $216.00 | $28.96 – $51.45 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $228.80 | $38.59 – $360.97 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $818.95 | $38.59 – $288.79 |
| SSM Health St. Mary's Hospital - Madison | Madison | $604.45 | $38.59 – $295.35 |
| Aurora Medical Center Summit | Summit | $477.50 | $41.16 – $180.56 |