Tprnl plmt biodegrdabl matrl at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$1,695.00
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.
$3,390.00
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.
$1,457.70 with HealthPartners vs $23,500.00 with Cigna — 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 |
|---|---|---|---|
| HealthPartners | Employee Trust Fund | $1,457.70 | ↓ -14% |
| Aetna | HMO | $1,894.00 | ↑ +12% |
| HealthPartners | Robin | $1,966.20 | ↑ +16% |
| Health EOS Plus | Commercial | $2,034.00 | ↑ +20% |
| HealthPartners | Broad | $2,542.50 | ↑ +50% |
| Health EOS | PPO | $2,712.00 | ↑ +60% |
| Aetna | PPO | $2,800.14 | ↑ +65% |
| United Healthcare | PPO | $2,854.38 | ↑ +68% |
| Cigna | PPO | $2,867.94 | ↑ +69% |
| Anthem | PPO | $2,881.50 | ↑ +70% |
| Anthem | Blue Priority | $8,456.00 | ↑ +399% |
| Common Ground | Employee Trust Fund | $9,631.00 | ↑ +468% |
| Common Ground | Exchange | $9,631.00 | ↑ +468% |
| Common Ground | Envision | $9,631.00 | ↑ +468% |
| Quartz One | Commercial | $10,700.00 | ↑ +531% |
| Aurora Caregiver | Commercial | $10,760.00 | ↑ +535% |
| Everpointe Elite | Commercial | $10,891.00 | ↑ +543% |
| Anthem | Blue Preferred | $10,914.00 | ↑ +544% |
| Molina Exchange | Commercial | $11,648.00 | ↑ +587% |
| HS Technology | Commercial | $12,381.00 | ↑ +630% |
| Quartz Group | Commercial | $12,520.00 | ↑ +639% |
| Health Payment Systems | Commercial | $13,150.00 | ↑ +676% |
| Wisconsin Physician Service | Aurora Featured | $13,417.00 | ↑ +692% |
| Centivo | Commercial | $13,659.00 | ↑ +706% |
| Wisconsin Physician Service | Statewide | $14,123.00 | ↑ +733% |
| Wisconsin Physician Service | Arise | $14,123.00 | ↑ +733% |
| United Healthcare | Exchange | $15,790.00 | ↑ +832% |
| United Healthcare | Nexus | $15,903.00 | ↑ +838% |
| United Healthcare | Charter | $15,903.00 | ↑ +838% |
| Trilogy | Commercial | $16,378.00 | ↑ +866% |
| United Healthcare | HMO | $17,327.00 | ↑ +922% |
| Cigna | PPO-GPPO | $23,500.00 | ↑ +1286% |
Visitor-reported prices
Comments
Tprnl plmt biodegrdabl matrl at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $8,208.11 | $13,459.76 – $13,459.76 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | not published | $262.07 – $13,062.83 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $13,459.76 – $13,459.76 |
| Aurora Baycare Medical Center | Green Bay | $1,695.00 | not published |
| Aurora West Allis Medical Center | West Allis | $1,695.00 | not published |
| Aurora Medical Center Kenosha | Kenosha | $1,695.00 | not published |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | not published | $262.07 – $13,062.83 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $150.13 – $501.43 |