Tib/per revasc stnt & ather at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$21,455.00
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.
$42,910.00
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.
$1,894.00 with Aetna vs $36,473.50 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 |
|---|---|---|---|
| Aetna | HMO | $1,894.00 | ↓ -91% |
| Common Ground | Envision | $11,578.00 | ↓ -46% |
| Common Ground | Exchange | $11,578.00 | ↓ -46% |
| Common Ground | Employee Trust Fund | $11,578.00 | ↓ -46% |
| Anthem | Blue Priority | $12,250.00 | ↓ -43% |
| Quartz One | Commercial | $12,250.00 | ↓ -43% |
| Aurora Caregiver | Commercial | $12,530.00 | ↓ -42% |
| Everpointe Elite | Commercial | $12,784.00 | ↓ -40% |
| HS Technology | Commercial | $14,069.00 | ↓ -34% |
| Quartz Group | Commercial | $14,330.00 | ↓ -33% |
| Molina Exchange | Commercial | $14,344.00 | ↓ -33% |
| United Healthcare | Exchange | $15,790.00 | ↓ -26% |
| Anthem | Blue Preferred | $15,810.00 | ↓ -26% |
| Centivo | Commercial | $15,844.00 | ↓ -26% |
| United Healthcare | Nexus | $15,903.00 | ↓ -26% |
| United Healthcare | Charter | $15,903.00 | ↓ -26% |
| Wisconsin Physician Service | Aurora Featured | $16,000.00 | ↓ -25% |
| Health Payment Systems | Commercial | $16,150.00 | ↓ -25% |
| Wisconsin Physician Service | Statewide | $16,842.00 | ↓ -22% |
| Wisconsin Physician Service | Arise | $16,842.00 | ↓ -22% |
| United Healthcare | HMO | $17,327.00 | ↓ -19% |
| HealthPartners | Employee Trust Fund | $18,451.30 | ↓ -14% |
| Trilogy | Commercial | $18,718.00 | ↓ -13% |
| Cigna | PPO-GPPO | $19,000.00 | ↓ -11% |
| HealthPartners | Robin | $24,887.80 | ↑ +16% |
| Health EOS Plus | Commercial | $25,746.00 | ↑ +20% |
| HealthPartners | Broad | $32,182.50 | ↑ +50% |
| Health EOS | PPO | $34,328.00 | ↑ +60% |
| Aetna | PPO | $35,443.66 | ↑ +65% |
| United Healthcare | PPO | $36,130.22 | ↑ +68% |
| Cigna | PPO | $36,301.86 | ↑ +69% |
| Anthem | PPO | $36,473.50 | ↑ +70% |
Visitor-reported prices
Comments
Tib/per revasc stnt & ather 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 | $28,181.16 | $573.60 – $16,247.48 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $8,112.71 | $14,777.55 – $14,777.55 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $8,112.71 | $14,777.55 – $14,777.55 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $28,181.16 | $573.60 – $16,247.48 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $6,777.65 | $16,582.00 – $16,582.00 |
| SSM Health St. Mary's Hospital - Madison | Madison | $7,174.75 | $18,955.00 – $18,955.00 |
| SSM Health Monroe Hospital | Monroe | $7,767.10 | $9,837.00 – $17,116.00 |
| Aurora Medical Center Summit | Summit | $4,535.00 | not published |