Hla class i high defin qual at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$327.50
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.
$655.00
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.
$259.00 with United Healthcare vs $1,136.22 with Trilogy — 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 | HMO | $259.00 | ↓ -21% |
| United Healthcare | Charter | $259.00 | ↓ -21% |
| United Healthcare | Nexus | $259.00 | ↓ -21% |
| United Healthcare | Exchange | $259.00 | ↓ -21% |
| Anthem | Blue Priority | $323.75 | ↓ -1% |
| Aurora Caregiver | Commercial | $323.75 | ↓ -1% |
| Everpointe Elite | Commercial | $374.36 | ↑ +14% |
| Anthem | Blue Preferred | $388.50 | ↑ +19% |
| Health EOS Plus | Commercial | $393.00 | ↑ +20% |
| HealthPartners | Broad | $491.25 | ↑ +50% |
| Health EOS | PPO | $524.00 | ↑ +60% |
| Aetna | PPO | $541.03 | ↑ +65% |
| United Healthcare | PPO | $551.51 | ↑ +68% |
| Cigna | PPO | $554.13 | ↑ +69% |
| Anthem | PPO | $556.75 | ↑ +70% |
| Common Ground | Exchange | $679.88 | ↑ +108% |
| Common Ground | Employee Trust Fund | $679.88 | ↑ +108% |
| Common Ground | Envision | $707.72 | ↑ +116% |
| Centivo | Commercial | $707.72 | ↑ +116% |
| Aetna | HMO | $721.96 | ↑ +120% |
| Health Payment Systems | Commercial | $809.38 | ↑ +147% |
| Quartz One | Commercial | $809.38 | ↑ +147% |
| HealthPartners | Employee Trust Fund | $858.67 | ↑ +162% |
| Molina Exchange | Commercial | $893.55 | ↑ +173% |
| HS Technology | Commercial | $911.03 | ↑ +178% |
| Quartz Group | Commercial | $938.88 | ↑ +187% |
| Cigna | PPO-GPPO | $945.18 | ↑ +189% |
| Wisconsin Physician Service | Aurora Featured | $1,048.95 | ↑ +220% |
| HealthPartners | Robin | $1,099.09 | ↑ +236% |
| Wisconsin Physician Service | Statewide | $1,103.99 | ↑ +237% |
| Wisconsin Physician Service | Arise | $1,103.99 | ↑ +237% |
| Trilogy | Commercial | $1,136.22 | ↑ +247% |
Visitor-reported prices
Comments
Hla class i high defin qual 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 | $254.94 – $1,013.23 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $209.96 – $760.81 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $209.96 – $760.81 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $164.30 | $254.94 – $1,013.23 |
| UnityPoint Health - Meriter Hospital | Madison | $971.33 | $194.25 – $443.17 |
| Aurora Medical Center Summit | Summit | $327.50 | $259.00 – $1,136.22 |
| Aurora Baycare Medical Center | Green Bay | $327.50 | $259.00 – $1,136.22 |
| Aurora Medical Center Manitowoc | Two Rivers | $327.50 | $259.00 – $1,136.22 |