Pegloticase 8 mg/ml intravenous solution at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$9,430.42
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.
$18,860.83
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.
$3,482.15 with Aurora Caregiver vs $16,031.71 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 |
|---|---|---|---|
| Aurora Caregiver | Commercial | $3,482.15 | ↓ -63% |
| United Healthcare | Nexus | $3,550.05 | ↓ -62% |
| United Healthcare | Charter | $3,550.05 | ↓ -62% |
| United Healthcare | HMO | $3,550.05 | ↓ -62% |
| United Healthcare | Exchange | $3,550.05 | ↓ -62% |
| Anthem | Blue Priority | $3,565.32 | ↓ -62% |
| Aetna | HMO | $3,656.55 | ↓ -61% |
| Everpointe Elite | Commercial | $3,772.77 | ↓ -60% |
| HealthPartners | Employee Trust Fund | $4,142.55 | ↓ -56% |
| Anthem | Blue Preferred | $4,278.38 | ↓ -55% |
| HealthPartners | Robin | $4,332.83 | ↓ -54% |
| Common Ground | Envision | $4,654.11 | ↓ -51% |
| Centivo | Commercial | $4,654.11 | ↓ -51% |
| Common Ground | Employee Trust Fund | $4,770.55 | ↓ -49% |
| Common Ground | Exchange | $4,770.55 | ↓ -49% |
| Health Payment Systems | Commercial | $4,792.56 | ↓ -49% |
| Quartz One | Commercial | $4,792.56 | ↓ -49% |
| Cigna | PPO-GPPO | $5,325.08 | ↓ -44% |
| Quartz Group | Commercial | $5,502.57 | ↓ -42% |
| Molina Exchange | Commercial | $8,662.12 | ↓ -8% |
| HS Technology | Commercial | $9,430.42 | ↑ +0% |
| Wisconsin Physician Service | Aurora Featured | $9,807.63 | ↑ +4% |
| Wisconsin Physician Service | Statewide | $10,373.46 | ↑ +10% |
| Trilogy | Commercial | $10,373.46 | ↑ +10% |
| Wisconsin Physician Service | Arise | $10,373.46 | ↑ +10% |
| Health EOS Plus | Commercial | $11,316.50 | ↑ +20% |
| HealthPartners | Broad | $14,145.62 | ↑ +50% |
| Health EOS | PPO | $15,088.66 | ↑ +60% |
| Aetna | PPO | $15,579.05 | ↑ +65% |
| United Healthcare | PPO | $15,880.82 | ↑ +68% |
| Cigna | PPO | $15,956.26 | ↑ +69% |
| Anthem | PPO | $16,031.71 | ↑ +70% |
Visitor-reported prices
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Pegloticase 8 mg/ml intravenous solution at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $3,865.77 | $1,839.83 – $6,530.93 |
| Aurora Baycare Medical Center | Green Bay | $5,954.44 | $3,482.15 – $8,662.12 |
| Aurora West Allis Medical Center | West Allis | $9,065.50 | $3,482.15 – $8,662.12 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $3,012.52 – $3,638.86 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $2,947.00 – $6,913.84 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $2,947.00 – $6,913.84 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $2,947.00 – $6,913.84 |
| SSM Health Monroe Hospital | Monroe | not published | $3,565.32 – $9,706.59 |