Kyleena, 19.5 mg at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$4,188.16
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.
$8,376.31
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.
$1,125.00 with Centivo vs $1,912.50 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 |
|---|---|---|---|
| Centivo | Commercial | $1,125.00 | ↓ -73% |
| Everpointe Elite | Commercial | $1,125.00 | ↓ -73% |
| HS Technology | Commercial | $1,125.00 | ↓ -73% |
| Wisconsin Physician Service | Aurora Featured | $1,170.00 | ↓ -72% |
| Aetna | HMO | $1,214.63 | ↓ -71% |
| Anthem | Blue Priority | $1,214.63 | ↓ -71% |
| Trilogy | Commercial | $1,237.50 | ↓ -70% |
| Wisconsin Physician Service | Arise | $1,237.50 | ↓ -70% |
| Quartz One | Commercial | $1,237.50 | ↓ -70% |
| Wisconsin Physician Service | Statewide | $1,237.50 | ↓ -70% |
| United Healthcare | Nexus | $1,336.50 | ↓ -68% |
| United Healthcare | HMO | $1,336.50 | ↓ -68% |
| United Healthcare | Charter | $1,336.50 | ↓ -68% |
| United Healthcare | Exchange | $1,336.50 | ↓ -68% |
| Molina Exchange | Commercial | $1,350.00 | ↓ -68% |
| Quartz Group | Commercial | $1,350.00 | ↓ -68% |
| Aurora Caregiver | Commercial | $1,350.00 | ↓ -68% |
| Common Ground | Exchange | $1,350.00 | ↓ -68% |
| Common Ground | Employee Trust Fund | $1,350.00 | ↓ -68% |
| Common Ground | Envision | $1,350.00 | ↓ -68% |
| Health EOS Plus | Commercial | $1,350.00 | ↓ -68% |
| HealthPartners | Employee Trust Fund | $1,350.00 | ↓ -68% |
| Anthem | Blue Preferred | $1,457.56 | ↓ -65% |
| Health Payment Systems | Commercial | $1,462.50 | ↓ -65% |
| HealthPartners | Broad | $1,687.50 | ↓ -60% |
| HealthPartners | Robin | $1,687.50 | ↓ -60% |
| Health EOS | PPO | $1,800.00 | ↓ -57% |
| Cigna | PPO-GPPO | $1,858.40 | ↓ -56% |
| Aetna | PPO | $1,858.50 | ↓ -56% |
| United Healthcare | PPO | $1,894.50 | ↓ -55% |
| Cigna | PPO | $1,903.50 | ↓ -55% |
| Anthem | PPO | $1,912.50 | ↓ -54% |
Visitor-reported prices
Comments
Kyleena, 19.5 mg 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 | $840.58 | $1,548.94 – $1,548.94 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $1,786.62 | $1,548.94 – $2,290.45 |
| UnityPoint Health - Meriter Hospital | Madison | $1,717.60 | $295.09 – $1,090.55 |
| Aurora West Allis Medical Center | West Allis | $1,125.00 | $1,214.63 – $1,858.40 |
| Ascension Calumet Hospital, Inc. | Chilton | $926.25 | $1,475.18 – $1,475.18 |
| SSM Health Monroe Hospital | Monroe | not published | $3,968.20 – $3,968.20 |
| SSM Health Ripon Community Hospital | Ripon | not published | $3,779.24 – $3,779.24 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $3,779.24 – $3,779.24 |