Ultrasound dx ophth b-scan at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$242.50
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.
$485.00
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.
$291.00 with Health EOS Plus vs $700.00 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 |
|---|---|---|---|
| Health EOS Plus | Commercial | $291.00 | ↑ +20% |
| Aurora Caregiver | Commercial | $300.00 | ↑ +24% |
| Aetna | HMO | $301.00 | ↑ +24% |
| Quartz One | Commercial | $315.00 | ↑ +30% |
| Anthem | Blue Priority | $316.00 | ↑ +30% |
| HealthPartners | Broad | $363.75 | ↑ +50% |
| HS Technology | Commercial | $366.00 | ↑ +51% |
| Common Ground | Exchange | $368.00 | ↑ +52% |
| Common Ground | Employee Trust Fund | $368.00 | ↑ +52% |
| Common Ground | Envision | $368.00 | ↑ +52% |
| Quartz Group | Commercial | $370.00 | ↑ +53% |
| HealthPartners | Employee Trust Fund | $372.00 | ↑ +53% |
| Centivo | Commercial | $383.00 | ↑ +58% |
| Health EOS | PPO | $388.00 | ↑ +60% |
| Molina Exchange | Commercial | $392.00 | ↑ +62% |
| Aetna | PPO | $400.61 | ↑ +65% |
| Everpointe Elite | Commercial | $406.00 | ↑ +67% |
| Anthem | Blue Preferred | $408.00 | ↑ +68% |
| United Healthcare | PPO | $408.37 | ↑ +68% |
| Cigna | PPO | $410.31 | ↑ +69% |
| Anthem | PPO | $412.25 | ↑ +70% |
| HealthPartners | Robin | $464.00 | ↑ +91% |
| Wisconsin Physician Service | Aurora Featured | $499.00 | ↑ +106% |
| Health Payment Systems | Commercial | $525.00 | ↑ +116% |
| Wisconsin Physician Service | Arise | $525.00 | ↑ +116% |
| Wisconsin Physician Service | Statewide | $525.00 | ↑ +116% |
| Trilogy | Commercial | $526.00 | ↑ +117% |
| United Healthcare | Exchange | $581.00 | ↑ +140% |
| United Healthcare | Charter | $586.00 | ↑ +142% |
| United Healthcare | Nexus | $586.00 | ↑ +142% |
| United Healthcare | HMO | $638.00 | ↑ +163% |
| Cigna | PPO-GPPO | $700.00 | ↑ +189% |
Visitor-reported prices
Comments
Ultrasound dx ophth b-scan 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 | $28.63 – $245.18 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $103.26 – $519.00 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $103.26 – $519.00 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $288.75 | $78.98 – $309.03 |
| SSM Health Ripon Community Hospital | Ripon | $424.05 | $132.59 – $132.59 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $424.05 | $77.56 – $199.58 |
| SSM Health Waupun Memorial Hospital | Waupun | $424.05 | $132.59 – $132.59 |
| Adventhealth Durand | Durand | $870.69 | not published |