Vaccine dtap < 7 years im at Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
$104.67
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.
$209.34
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.
$29.59 with Anthem vs $177.94 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 |
|---|---|---|---|
| Anthem | Blue Priority | $29.59 | ↓ -72% |
| Aetna | HMO | $30.35 | ↓ -71% |
| Anthem | Blue Preferred | $35.51 | ↓ -66% |
| Cigna | PPO-GPPO | $48.39 | ↓ -54% |
| Everpointe Elite | Commercial | $104.67 | ↑ +0% |
| HS Technology | Commercial | $104.67 | ↑ +0% |
| Centivo | Commercial | $104.67 | ↑ +0% |
| Wisconsin Physician Service | Aurora Featured | $108.86 | ↑ +4% |
| Quartz One | Commercial | $115.14 | ↑ +10% |
| Wisconsin Physician Service | Statewide | $115.14 | ↑ +10% |
| Wisconsin Physician Service | Arise | $115.14 | ↑ +10% |
| Trilogy | Commercial | $115.14 | ↑ +10% |
| United Healthcare | HMO | $124.35 | ↑ +19% |
| United Healthcare | Exchange | $124.35 | ↑ +19% |
| United Healthcare | Charter | $124.35 | ↑ +19% |
| United Healthcare | Nexus | $124.35 | ↑ +19% |
| Common Ground | Employee Trust Fund | $125.60 | ↑ +20% |
| Aurora Caregiver | Commercial | $125.60 | ↑ +20% |
| Common Ground | Exchange | $125.60 | ↑ +20% |
| Common Ground | Envision | $125.60 | ↑ +20% |
| Health EOS Plus | Commercial | $125.60 | ↑ +20% |
| HealthPartners | Employee Trust Fund | $125.60 | ↑ +20% |
| Molina Exchange | Commercial | $125.60 | ↑ +20% |
| Quartz Group | Commercial | $125.60 | ↑ +20% |
| Health Payment Systems | Commercial | $136.07 | ↑ +30% |
| HealthPartners | Robin | $157.01 | ↑ +50% |
| HealthPartners | Broad | $157.01 | ↑ +50% |
| Health EOS | PPO | $167.47 | ↑ +60% |
| Aetna | PPO | $172.91 | ↑ +65% |
| United Healthcare | PPO | $176.26 | ↑ +68% |
| Cigna | PPO | $177.10 | ↑ +69% |
| Anthem | PPO | $177.94 | ↑ +70% |
Visitor-reported prices
Comments
Vaccine dtap < 7 years im 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 | $37.63 | $34.87 – $95.71 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | not published | $58.91 – $98.39 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | not published | $58.91 – $98.39 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $39.22 | $34.87 – $95.71 |
| UnityPoint Health - Meriter Hospital | Madison | $180.80 | $29.38 – $192.10 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $31.08 | $38.27 – $38.27 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | $42.39 | $64.94 – $64.94 |
| Ascension Calumet Hospital, Inc. | Chilton | $28.50 | $38.27 – $38.27 |