Ins tun cv cath wo subq prt/pm at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$2,485.00
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.
?
What you pay up front if you don't use insurance.
$4,970.00
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.
$2,137.10 with HealthPartners vs $17,327.00 with United Healthcare — 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 |
|---|---|---|---|
| HealthPartners | Employee Trust Fund | $2,137.10 | ↓ -14% |
| HealthPartners | Robin | $2,882.60 | ↑ +16% |
| Health EOS Plus | Commercial | $2,982.00 | ↑ +20% |
| Aetna | HMO | $3,119.00 | ↑ +26% |
| HealthPartners | Broad | $3,727.50 | ↑ +50% |
| Health EOS | PPO | $3,976.00 | ↑ +60% |
| Aetna | PPO | $4,105.22 | ↑ +65% |
| United Healthcare | PPO | $4,184.74 | ↑ +68% |
| Cigna | PPO | $4,204.62 | ↑ +69% |
| Anthem | PPO | $4,224.50 | ↑ +70% |
| Anthem | Blue Priority | $5,692.00 | ↑ +129% |
| Cigna | PPO-GPPO | $6,800.00 | ↑ +174% |
| Anthem | Blue Preferred | $7,344.00 | ↑ +196% |
| Common Ground | Employee Trust Fund | $8,181.00 | ↑ +229% |
| Common Ground | Exchange | $8,181.00 | ↑ +229% |
| Common Ground | Envision | $8,181.00 | ↑ +229% |
| Aurora Caregiver | Commercial | $8,450.00 | ↑ +240% |
| Quartz One | Commercial | $8,690.00 | ↑ +250% |
| Everpointe Elite | Commercial | $9,244.00 | ↑ +272% |
| HS Technology | Commercial | $10,017.00 | ↑ +303% |
| Quartz Group | Commercial | $10,170.00 | ↑ +309% |
| Molina Exchange | Commercial | $10,418.00 | ↑ +319% |
| Wisconsin Physician Service | Aurora Featured | $11,451.00 | ↑ +361% |
| Centivo | Commercial | $11,473.00 | ↑ +362% |
| Wisconsin Physician Service | Arise | $12,054.00 | ↑ +385% |
| Wisconsin Physician Service | Statewide | $12,054.00 | ↑ +385% |
| Health Payment Systems | Commercial | $12,100.00 | ↑ +387% |
| Trilogy | Commercial | $13,453.00 | ↑ +441% |
| United Healthcare | Exchange | $15,790.00 | ↑ +535% |
| United Healthcare | Nexus | $15,903.00 | ↑ +540% |
| United Healthcare | Charter | $15,903.00 | ↑ +540% |
| United Healthcare | HMO | $17,327.00 | ↑ +597% |
Visitor-reported prices
Comments
Ins tun cv cath wo subq prt/pm 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 | $490.76 – $4,330.09 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $3,636.15 – $3,636.15 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $3,636.15 – $3,636.15 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $1,399.73 | $490.76 – $4,330.09 |
| UnityPoint Health - Meriter Hospital | Madison | $4,859.20 | $280.94 – $1,417.15 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $2,310.00 | $4,053.72 – $16,310.00 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $2,255.55 | $4,203.64 – $16,582.00 |
| SSM Health St. Mary's Hospital - Madison | Madison | $2,495.90 | $4,053.72 – $18,955.00 |