Tc-99m pentetate dtpa aerosol at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$115.00
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.
$230.00
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.
$25.98 with Cigna vs $194.67 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 |
|---|---|---|---|
| Cigna | PPO-GPPO | $25.98 | ↓ -77% |
| HS Technology | Commercial | $114.51 | ↓ -0% |
| Everpointe Elite | Commercial | $114.51 | ↓ -0% |
| Aetna | HMO | $122.30 | ↑ +6% |
| Quartz One | Commercial | $125.96 | ↑ +10% |
| United Healthcare | Nexus | $136.04 | ↑ +18% |
| United Healthcare | Exchange | $136.04 | ↑ +18% |
| United Healthcare | Charter | $136.04 | ↑ +18% |
| United Healthcare | HMO | $136.04 | ↑ +18% |
| Common Ground | Exchange | $137.41 | ↑ +19% |
| Common Ground | Employee Trust Fund | $137.41 | ↑ +19% |
| Common Ground | Envision | $137.41 | ↑ +19% |
| Health EOS Plus | Commercial | $137.41 | ↑ +19% |
| Anthem | Blue Priority | $137.41 | ↑ +19% |
| Quartz Group | Commercial | $137.41 | ↑ +19% |
| Molina Exchange | Commercial | $137.41 | ↑ +19% |
| HealthPartners | Employee Trust Fund | $137.41 | ↑ +19% |
| Aurora Caregiver | Commercial | $137.41 | ↑ +19% |
| Wisconsin Physician Service | Aurora Featured | $141.99 | ↑ +23% |
| Wisconsin Physician Service | Statewide | $148.86 | ↑ +29% |
| Anthem | Blue Preferred | $148.86 | ↑ +29% |
| Health Payment Systems | Commercial | $148.86 | ↑ +29% |
| Wisconsin Physician Service | Arise | $148.86 | ↑ +29% |
| Trilogy | Commercial | $160.31 | ↑ +39% |
| HealthPartners | Robin | $171.77 | ↑ +49% |
| HealthPartners | Broad | $171.77 | ↑ +49% |
| Centivo | Commercial | $171.77 | ↑ +49% |
| Health EOS | PPO | $183.22 | ↑ +59% |
| Aetna | PPO | $189.17 | ↑ +64% |
| United Healthcare | PPO | $192.83 | ↑ +68% |
| Cigna | PPO | $193.75 | ↑ +68% |
| Anthem | PPO | $194.67 | ↑ +69% |
Visitor-reported prices
Comments
Tc-99m pentetate dtpa aerosol 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 | $180.20 | $27.26 – $53.99 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $160.59 | $31.07 – $52.83 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $160.59 | $31.07 – $52.83 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $180.20 | $27.26 – $53.99 |
| UnityPoint Health - Meriter Hospital | Madison | $389.11 | $20.97 – $413.42 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $224.40 | not published |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $175.45 | not published |
| SSM Health St. Mary's Hospital - Madison | Madison | $175.45 | not published |