Prcrd drg 6+yr without anomly at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$2,550.00
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.
$5,100.00
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 $29,247.00 with Trilogy — 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 | ↓ -22% |
| HealthPartners | Employee Trust Fund | $2,193.00 | ↓ -14% |
| Anthem | Blue Preferred | $2,550.00 | ↑ +0% |
| HealthPartners | Robin | $2,958.00 | ↑ +16% |
| Health EOS Plus | Commercial | $3,060.00 | ↑ +20% |
| HealthPartners | Broad | $3,825.00 | ↑ +50% |
| Health EOS | PPO | $4,080.00 | ↑ +60% |
| Aetna | PPO | $4,212.60 | ↑ +65% |
| United Healthcare | PPO | $4,294.20 | ↑ +68% |
| Cigna | PPO | $4,314.60 | ↑ +69% |
| Anthem | PPO | $4,335.00 | ↑ +70% |
| Aetna | HMO | $17,823.00 | ↑ +599% |
| Cigna | PPO-GPPO | $19,000.00 | ↑ +645% |
| Common Ground | Employee Trust Fund | $19,078.00 | ↑ +648% |
| Common Ground | Exchange | $19,078.00 | ↑ +648% |
| Common Ground | Envision | $19,078.00 | ↑ +648% |
| Everpointe Elite | Commercial | $19,372.00 | ↑ +660% |
| United Healthcare | Exchange | $20,169.00 | ↑ +691% |
| Molina Exchange | Commercial | $20,231.00 | ↑ +693% |
| United Healthcare | Nexus | $20,314.00 | ↑ +697% |
| United Healthcare | Charter | $20,314.00 | ↑ +697% |
| Quartz One | Commercial | $21,170.00 | ↑ +730% |
| United Healthcare | HMO | $22,132.00 | ↑ +768% |
| Health Payment Systems | Commercial | $23,200.00 | ↑ +810% |
| Centivo | Commercial | $24,314.00 | ↑ +853% |
| Aurora Caregiver | Commercial | $24,750.00 | ↑ +871% |
| HS Technology | Commercial | $24,761.00 | ↑ +871% |
| Quartz Group | Commercial | $24,770.00 | ↑ +871% |
| Wisconsin Physician Service | Aurora Featured | $26,005.00 | ↑ +920% |
| Wisconsin Physician Service | Arise | $27,374.00 | ↑ +973% |
| Wisconsin Physician Service | Statewide | $27,374.00 | ↑ +973% |
| Trilogy | Commercial | $29,247.00 | ↑ +1047% |
Visitor-reported prices
Comments
Prcrd drg 6+yr without anomly 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 | $7,049.00 | $371.45 – $948.37 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $5,364.13 | $887.14 – $887.14 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $5,364.13 | $887.14 – $887.14 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $7,049.00 | $371.45 – $948.37 |
| UnityPoint Health - Meriter Hospital | Madison | $6,028.54 | $210.20 – $2,501.84 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $1,163.80 | $4,321.00 – $4,321.00 |
| SSM Health St. Mary's Hospital - Madison | Madison | $1,323.85 | $4,982.00 – $4,982.00 |
| SSM Health Monroe Hospital | Monroe | $1,422.85 | $4,743.00 – $4,743.00 |