Ghs alpha thalasemia, 7 deletions at Aurora Psychiatric Hospital
1220 Dewey Ave, Wauwatosa, WI · Aurorahealthcare · · NPI 1881627438
not published by hospital
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.
not published by hospital
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.
$81.81 with United Healthcare vs $358.88 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 | Charter | $81.81 | — |
| United Healthcare | Exchange | $81.81 | — |
| United Healthcare | HMO | $81.81 | — |
| United Healthcare | Nexus | $81.81 | — |
| Anthem | Blue Priority | $102.26 | — |
| Aurora Caregiver | Commercial | $102.26 | — |
| Anthem | Blue Preferred | $122.71 | — |
| Common Ground | Employee Trust Fund | $214.75 | — |
| Common Ground | Exchange | $214.75 | — |
| Everpointe Elite | Commercial | $219.98 | — |
| Centivo | Commercial | $223.54 | — |
| Common Ground | Envision | $223.54 | — |
| Aetna | HMO | $228.04 | — |
| Quartz One | Commercial | $255.65 | — |
| Health Payment Systems | Commercial | $255.65 | — |
| HealthPartners | Employee Trust Fund | $271.22 | — |
| Molina Exchange | Commercial | $282.24 | — |
| HS Technology | Commercial | $287.76 | — |
| Quartz Group | Commercial | $296.55 | — |
| Cigna | PPO-GPPO | $298.17 | — |
| Wisconsin Physician Service | Aurora Featured | $331.32 | — |
| HealthPartners | Robin | $347.16 | — |
| Wisconsin Physician Service | Arise | $348.71 | — |
| Wisconsin Physician Service | Statewide | $348.71 | — |
| Trilogy | Commercial | $358.88 | — |
Visitor-reported prices
Comments
Ghs alpha thalasemia, 7 deletions 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 | $1,437.89 | $102.26 – $325.53 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $1,437.89 | $102.26 – $325.53 |
| UnityPoint Health - Meriter Hospital | Madison | $305.13 | $61.36 – $139.21 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $880.00 | $76.70 – $717.48 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $880.00 | $76.70 – $573.98 |
| SSM Health St. Mary's Hospital - Madison | Madison | $880.00 | $76.70 – $587.02 |
| SSM Health Monroe Hospital | Monroe | $880.00 | $102.26 – $178.96 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $337.50 | $81.81 – $358.88 |