Antibody bacterium, not elsewhere specified at Aurora Psychiatric Hospital
1220 Dewey Ave, Wauwatosa, WI · Aurorahealthcare · · NPI 1881627438
$25.00
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.
$50.00
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.
$10.30 with United Healthcare vs $45.21 with Trilogy — 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 | HMO | $10.30 | ↓ -59% |
| United Healthcare | Nexus | $10.30 | ↓ -59% |
| United Healthcare | Exchange | $10.30 | ↓ -59% |
| United Healthcare | Charter | $10.30 | ↓ -59% |
| Aurora Caregiver | Commercial | $12.88 | ↓ -48% |
| Anthem | Blue Priority | $12.88 | ↓ -48% |
| Anthem | Blue Preferred | $15.46 | ↓ -38% |
| Everpointe Elite | Commercial | $17.16 | ↓ -31% |
| Common Ground | Employee Trust Fund | $27.05 | ↑ +8% |
| Common Ground | Exchange | $27.05 | ↑ +8% |
| Centivo | Commercial | $28.16 | ↑ +13% |
| Common Ground | Envision | $28.16 | ↑ +13% |
| Aetna | HMO | $28.72 | ↑ +15% |
| Health EOS Plus | Commercial | $30.00 | ↑ +20% |
| Health Payment Systems | Commercial | $32.20 | ↑ +29% |
| Quartz One | Commercial | $32.20 | ↑ +29% |
| HealthPartners | Employee Trust Fund | $34.17 | ↑ +37% |
| Molina Exchange | Commercial | $35.55 | ↑ +42% |
| HS Technology | Commercial | $36.24 | ↑ +45% |
| Cigna | PPO-GPPO | $37.26 | ↑ +49% |
| Quartz Group | Commercial | $37.35 | ↑ +49% |
| HealthPartners | Broad | $37.50 | ↑ +50% |
| Health EOS | PPO | $40.00 | ↑ +60% |
| Aetna | PPO | $41.30 | ↑ +65% |
| Wisconsin Physician Service | Aurora Featured | $41.73 | ↑ +67% |
| United Healthcare | PPO | $42.10 | ↑ +68% |
| Cigna | PPO | $42.30 | ↑ +69% |
| Anthem | PPO | $42.50 | ↑ +70% |
| HealthPartners | Robin | $43.72 | ↑ +75% |
| Wisconsin Physician Service | Arise | $43.92 | ↑ +76% |
| Wisconsin Physician Service | Statewide | $43.92 | ↑ +76% |
| Trilogy | Commercial | $45.21 | ↑ +81% |
Visitor-reported prices
Comments
Antibody bacterium, not elsewhere specified 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 | $53.53 | $12.88 – $49.76 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $165.36 | $12.88 – $49.76 |
| UnityPoint Health - Meriter Hospital | Madison | $44.80 | $4.45 – $12.88 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $206.25 | $9.66 – $57.79 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $277.20 | $9.66 – $46.24 |
| SSM Health St. Mary's Hospital - Madison | Madison | $154.55 | $9.66 – $47.30 |
| SSM Health Ripon Community Hospital | Ripon | $21.45 | $11.77 – $22.54 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $21.45 | $9.66 – $24.86 |