Mopath procedure level 3 at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$755.00
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.
$1,510.00
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.
$120.26 with United Healthcare vs $943.50 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 |
|---|---|---|---|
| United Healthcare | HMO | $120.26 | ↓ -84% |
| United Healthcare | Exchange | $120.26 | ↓ -84% |
| United Healthcare | Charter | $120.26 | ↓ -84% |
| United Healthcare | Nexus | $120.26 | ↓ -84% |
| Aurora Caregiver | Commercial | $150.33 | ↓ -80% |
| Anthem | Blue Priority | $150.33 | ↓ -80% |
| Anthem | Blue Preferred | $180.40 | ↓ -76% |
| Common Ground | Employee Trust Fund | $315.69 | ↓ -58% |
| Common Ground | Exchange | $315.69 | ↓ -58% |
| Everpointe Elite | Commercial | $323.37 | ↓ -57% |
| Common Ground | Envision | $328.62 | ↓ -56% |
| Centivo | Commercial | $328.62 | ↓ -56% |
| Aetna | HMO | $335.24 | ↓ -56% |
| Health Payment Systems | Commercial | $375.83 | ↓ -50% |
| Quartz One | Commercial | $375.83 | ↓ -50% |
| HealthPartners | Employee Trust Fund | $398.71 | ↓ -47% |
| Molina Exchange | Commercial | $414.91 | ↓ -45% |
| HS Technology | Commercial | $423.03 | ↓ -44% |
| Quartz Group | Commercial | $435.96 | ↓ -42% |
| Cigna | PPO-GPPO | $438.66 | ↓ -42% |
| Wisconsin Physician Service | Aurora Featured | $487.07 | ↓ -35% |
| HealthPartners | Robin | $510.35 | ↓ -32% |
| Wisconsin Physician Service | Statewide | $512.63 | ↓ -32% |
| Wisconsin Physician Service | Arise | $512.63 | ↓ -32% |
| Trilogy | Commercial | $527.59 | ↓ -30% |
| Health EOS Plus | Commercial | $666.00 | ↓ -12% |
| HealthPartners | Broad | $832.50 | ↑ +10% |
| Health EOS | PPO | $888.00 | ↑ +18% |
| Aetna | PPO | $916.86 | ↑ +21% |
| United Healthcare | PPO | $934.62 | ↑ +24% |
| Cigna | PPO | $939.06 | ↑ +24% |
| Anthem | PPO | $943.50 | ↑ +25% |
Visitor-reported prices
Comments
Mopath procedure level 3 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 | $150.33 – $6,990.00 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $150.33 – $493.42 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $150.33 – $493.42 |
| UnityPoint Health - Meriter Hospital | Madison | $451.04 | $90.20 – $205.78 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $955.90 | $112.75 – $1,054.75 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $924.55 | $112.75 – $843.80 |
| SSM Health St. Mary's Hospital - Madison | Madison | $782.65 | $112.75 – $862.98 |
| SSM Health Ripon Community Hospital | Ripon | $412.50 | $150.33 – $263.08 |