Sleep Study (Polysomnography) at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$3,385.00
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.
?
What you pay up front if you don't use insurance.
$6,770.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$509.00 with United Healthcare vs $5,754.50 with Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | Exchange | $509.00 | ↓ -85% |
| United Healthcare | Nexus | $513.00 | ↓ -85% |
| United Healthcare | Charter | $513.00 | ↓ -85% |
| United Healthcare | HMO | $559.00 | ↓ -83% |
| Aetna | HMO | $2,117.00 | ↓ -37% |
| Common Ground | Exchange | $2,315.00 | ↓ -32% |
| Common Ground | Envision | $2,315.00 | ↓ -32% |
| Common Ground | Employee Trust Fund | $2,315.00 | ↓ -32% |
| HealthPartners | Employee Trust Fund | $2,398.00 | ↓ -29% |
| Molina Exchange | Commercial | $2,440.00 | ↓ -28% |
| Aurora Caregiver | Commercial | $2,470.00 | ↓ -27% |
| Centivo | Commercial | $2,513.00 | ↓ -26% |
| Quartz One | Commercial | $2,570.00 | ↓ -24% |
| Everpointe Elite | Commercial | $2,581.00 | ↓ -24% |
| Anthem | Blue Priority | $2,662.00 | ↓ -21% |
| Wisconsin Physician Service | Aurora Featured | $2,883.00 | ↓ -15% |
| Trilogy | Commercial | $2,924.00 | ↓ -14% |
| HealthPartners | Robin | $2,966.00 | ↓ -12% |
| Quartz Group | Commercial | $3,010.00 | ↓ -11% |
| Wisconsin Physician Service | Statewide | $3,035.00 | ↓ -10% |
| Wisconsin Physician Service | Arise | $3,035.00 | ↓ -10% |
| HS Technology | Commercial | $3,039.00 | ↓ -10% |
| Health Payment Systems | Commercial | $3,040.00 | ↓ -10% |
| Anthem | Blue Preferred | $3,437.00 | ↑ +2% |
| Cigna | PPO-GPPO | $3,850.00 | ↑ +14% |
| Health EOS Plus | Commercial | $4,062.00 | ↑ +20% |
| HealthPartners | Broad | $5,077.50 | ↑ +50% |
| Health EOS | PPO | $5,416.00 | ↑ +60% |
| Aetna | PPO | $5,592.02 | ↑ +65% |
| United Healthcare | PPO | $5,700.34 | ↑ +68% |
| Cigna | PPO | $5,727.42 | ↑ +69% |
| Anthem | PPO | $5,754.50 | ↑ +70% |
Visitor-reported prices
Comments
Sleep Study (Polysomnography) 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 | $4,357.66 | $193.44 – $2,178.90 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $4,539.98 | $410.99 – $1,383.07 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $4,539.98 | $410.99 – $1,383.07 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $4,357.66 | $193.44 – $2,178.90 |
| UnityPoint Health - Meriter Hospital | Madison | $2,001.60 | $109.27 – $468.77 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $2,532.75 | $625.59 – $834.12 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $3,067.90 | $648.73 – $864.97 |
| SSM Health St. Mary's Hospital - Madison | Madison | $4,385.70 | $625.59 – $834.12 |