Perq p-art revsc 1 abnor bi at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$25,825.00
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.
$51,650.00
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.
$16,091.00 with Common Ground vs $43,902.50 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 |
|---|---|---|---|
| Common Ground | Exchange | $16,091.00 | ↓ -38% |
| Common Ground | Envision | $16,091.00 | ↓ -38% |
| Common Ground | Employee Trust Fund | $16,091.00 | ↓ -38% |
| Everpointe Elite | Commercial | $16,594.00 | ↓ -36% |
| Aetna | HMO | $17,823.00 | ↓ -31% |
| Quartz One | Commercial | $17,830.00 | ↓ -31% |
| Molina Exchange | Commercial | $18,396.00 | ↓ -29% |
| Cigna | PPO-GPPO | $19,000.00 | ↓ -26% |
| HS Technology | Commercial | $20,541.00 | ↓ -20% |
| United Healthcare | Exchange | $20,679.00 | ↓ -20% |
| United Healthcare | Charter | $20,827.00 | ↓ -19% |
| United Healthcare | Nexus | $20,827.00 | ↓ -19% |
| Health Payment Systems | Commercial | $20,850.00 | ↓ -19% |
| Quartz Group | Commercial | $20,860.00 | ↓ -19% |
| Centivo | Commercial | $21,036.00 | ↓ -19% |
| Aurora Caregiver | Commercial | $21,480.00 | ↓ -17% |
| Anthem | Blue Priority | $21,736.00 | ↓ -16% |
| Wisconsin Physician Service | Aurora Featured | $22,065.00 | ↓ -15% |
| HealthPartners | Employee Trust Fund | $22,209.50 | ↓ -14% |
| United Healthcare | HMO | $22,691.00 | ↓ -12% |
| Wisconsin Physician Service | Statewide | $23,226.00 | ↓ -10% |
| Wisconsin Physician Service | Arise | $23,226.00 | ↓ -10% |
| Trilogy | Commercial | $23,397.00 | ↓ -9% |
| Anthem | Blue Preferred | $28,050.00 | ↑ +9% |
| HealthPartners | Robin | $29,957.00 | ↑ +16% |
| Health EOS Plus | Commercial | $30,990.00 | ↑ +20% |
| HealthPartners | Broad | $38,737.50 | ↑ +50% |
| Health EOS | PPO | $41,320.00 | ↑ +60% |
| Aetna | PPO | $42,662.90 | ↑ +65% |
| United Healthcare | PPO | $43,489.30 | ↑ +68% |
| Cigna | PPO | $43,695.90 | ↑ +69% |
| Anthem | PPO | $43,902.50 | ↑ +70% |
Visitor-reported prices
Comments
Perq p-art revsc 1 abnor bi 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 | $25,993.32 | $2,761.95 – $3,417.80 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $30,435.78 | $2,845.88 – $2,845.88 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $30,435.78 | $2,845.88 – $2,845.88 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $25,993.32 | $2,761.95 – $3,417.80 |
| Aurora Medical Center Summit | Summit | $25,825.00 | not published |
| Aurora Baycare Medical Center | Green Bay | $25,825.00 | not published |
| Aurora West Allis Medical Center | West Allis | $25,825.00 | not published |
| Midwest Orthopedic Specialty Hospital | Franklin | $30,435.78 | $2,845.88 – $2,845.88 |