Tgsap so/hl 51/< rna alys at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$3,505.00
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.
$7,010.00
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.
$2,335.68 with United Healthcare vs $9,955.84 with Wisconsin Physician Service — 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 |
|---|---|---|---|
| United Healthcare | Exchange | $2,335.68 | ↓ -33% |
| United Healthcare | HMO | $2,335.68 | ↓ -33% |
| United Healthcare | Charter | $2,335.68 | ↓ -33% |
| United Healthcare | Nexus | $2,335.68 | ↓ -33% |
| Anthem | Blue Priority | $2,919.60 | ↓ -17% |
| Aurora Caregiver | Commercial | $2,919.60 | ↓ -17% |
| Anthem | Blue Preferred | $3,503.52 | ↓ -0% |
| Everpointe Elite | Commercial | $3,505.00 | ↑ +0% |
| Health EOS Plus | Commercial | $4,206.00 | ↑ +20% |
| Trilogy | Commercial | $4,907.00 | ↑ +40% |
| HealthPartners | Broad | $5,257.50 | ↑ +50% |
| Health EOS | PPO | $5,608.00 | ↑ +60% |
| Aetna | PPO | $5,790.26 | ↑ +65% |
| United Healthcare | PPO | $5,902.42 | ↑ +68% |
| Cigna | PPO | $5,930.46 | ↑ +69% |
| Anthem | PPO | $5,958.50 | ↑ +70% |
| Common Ground | Exchange | $6,131.16 | ↑ +75% |
| Common Ground | Employee Trust Fund | $6,131.16 | ↑ +75% |
| Centivo | Commercial | $6,382.25 | ↑ +82% |
| Common Ground | Envision | $6,382.25 | ↑ +82% |
| Aetna | HMO | $6,510.71 | ↑ +86% |
| Quartz One | Commercial | $7,299.00 | ↑ +108% |
| Health Payment Systems | Commercial | $7,299.00 | ↑ +108% |
| HealthPartners | Employee Trust Fund | $7,743.51 | ↑ +121% |
| Molina Exchange | Commercial | $8,058.10 | ↑ +130% |
| HS Technology | Commercial | $8,215.75 | ↑ +134% |
| Quartz Group | Commercial | $8,466.84 | ↑ +142% |
| Cigna | PPO-GPPO | $8,520.87 | ↑ +143% |
| Wisconsin Physician Service | Aurora Featured | $9,459.50 | ↑ +170% |
| HealthPartners | Robin | $9,911.69 | ↑ +183% |
| Wisconsin Physician Service | Arise | $9,955.84 | ↑ +184% |
| Wisconsin Physician Service | Statewide | $9,955.84 | ↑ +184% |
Visitor-reported prices
Comments
Tgsap so/hl 51/< rna alys 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 | not published | $3,065.58 – $9,780.66 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $3,065.58 – $9,639.09 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $3,065.58 – $9,639.09 |
| UnityPoint Health - Meriter Hospital | Madison | $8,339.20 | $1,751.76 – $3,752.64 |
| Aurora Medical Center Summit | Summit | $3,505.00 | $2,335.68 – $9,459.50 |
| Aurora Baycare Medical Center | Green Bay | $3,505.00 | $2,335.68 – $9,459.50 |
| Aurora Medical Center Manitowoc | Two Rivers | $3,505.00 | $2,335.68 – $9,459.50 |
| Aurora West Allis Medical Center | West Allis | $3,505.00 | $2,335.68 – $9,459.50 |