Plmt nephroureteral catheter at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$5,335.00
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.
$10,670.00
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.
$1,979.00 with Anthem vs $19,000.00 with Cigna — 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 |
|---|---|---|---|
| Anthem | Blue Priority | $1,979.00 | ↓ -63% |
| Anthem | Blue Preferred | $2,550.00 | ↓ -52% |
| Aetna | HMO | $3,119.00 | ↓ -42% |
| HealthPartners | Employee Trust Fund | $4,588.10 | ↓ -14% |
| Everpointe Elite | Commercial | $5,508.00 | ↑ +3% |
| Molina Exchange | Commercial | $5,889.00 | ↑ +10% |
| Common Ground | Exchange | $5,951.00 | ↑ +12% |
| Common Ground | Employee Trust Fund | $5,951.00 | ↑ +12% |
| Common Ground | Envision | $5,951.00 | ↑ +12% |
| HealthPartners | Robin | $6,188.60 | ↑ +16% |
| Health EOS Plus | Commercial | $6,402.00 | ↑ +20% |
| Aurora Caregiver | Commercial | $6,490.00 | ↑ +22% |
| Quartz One | Commercial | $6,690.00 | ↑ +25% |
| Health Payment Systems | Commercial | $6,850.00 | ↑ +28% |
| United Healthcare | Exchange | $7,640.00 | ↑ +43% |
| Centivo | Commercial | $7,649.00 | ↑ +43% |
| HS Technology | Commercial | $7,653.00 | ↑ +43% |
| United Healthcare | Charter | $7,696.00 | ↑ +44% |
| United Healthcare | Nexus | $7,696.00 | ↑ +44% |
| Quartz Group | Commercial | $7,830.00 | ↑ +47% |
| Wisconsin Physician Service | Aurora Featured | $7,880.00 | ↑ +48% |
| HealthPartners | Broad | $8,002.50 | ↑ +50% |
| Wisconsin Physician Service | Statewide | $8,295.00 | ↑ +55% |
| Wisconsin Physician Service | Arise | $8,295.00 | ↑ +55% |
| United Healthcare | HMO | $8,384.00 | ↑ +57% |
| Health EOS | PPO | $8,536.00 | ↑ +60% |
| Trilogy | Commercial | $8,773.00 | ↑ +64% |
| Aetna | PPO | $8,813.42 | ↑ +65% |
| United Healthcare | PPO | $8,984.14 | ↑ +68% |
| Cigna | PPO | $9,026.82 | ↑ +69% |
| Anthem | PPO | $9,069.50 | ↑ +70% |
| Cigna | PPO-GPPO | $19,000.00 | ↑ +256% |
Visitor-reported prices
Comments
Plmt nephroureteral catheter 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 | $4,349.71 | $401.95 – $4,593.27 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $2,273.70 | $4,122.06 – $4,122.06 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $2,273.70 | $4,122.06 – $4,122.06 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $4,349.71 | $401.95 – $4,593.27 |
| UnityPoint Health - Meriter Hospital | Madison | $3,651.58 | $227.94 – $1,515.40 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $5,925.15 | $2,662.91 – $6,798.00 |
| SSM Health St. Mary's Hospital - Madison | Madison | $6,328.85 | $2,567.95 – $8,124.00 |
| SSM Health Monroe Hospital | Monroe | $3,359.40 | $3,423.93 – $8,701.00 |