Chrom analysis at Aurora West Allis Medical Center
8901 W Lincoln Ave, West Allis, WI · Aurorahealthcare · · NPI 1407801640
$245.00
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.
$490.00
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.
$27.85 with United Healthcare vs $416.50 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 |
|---|---|---|---|
| United Healthcare | HMO | $27.85 | ↓ -89% |
| United Healthcare | Nexus | $27.85 | ↓ -89% |
| United Healthcare | Exchange | $27.85 | ↓ -89% |
| United Healthcare | Charter | $27.85 | ↓ -89% |
| Anthem | Blue Priority | $34.81 | ↓ -86% |
| Aurora Caregiver | Commercial | $34.81 | ↓ -86% |
| Anthem | Blue Preferred | $41.77 | ↓ -83% |
| Common Ground | Exchange | $73.10 | ↓ -70% |
| Common Ground | Employee Trust Fund | $73.10 | ↓ -70% |
| Centivo | Commercial | $76.09 | ↓ -69% |
| Common Ground | Envision | $76.09 | ↓ -69% |
| Aetna | HMO | $77.63 | ↓ -68% |
| Quartz One | Commercial | $87.03 | ↓ -64% |
| Health Payment Systems | Commercial | $87.03 | ↓ -64% |
| HealthPartners | Employee Trust Fund | $92.33 | ↓ -62% |
| Everpointe Elite | Commercial | $94.79 | ↓ -61% |
| Molina Exchange | Commercial | $96.08 | ↓ -61% |
| HS Technology | Commercial | $97.96 | ↓ -60% |
| Quartz Group | Commercial | $100.95 | ↓ -59% |
| Cigna | PPO-GPPO | $101.31 | ↓ -59% |
| Wisconsin Physician Service | Aurora Featured | $112.78 | ↓ -54% |
| HealthPartners | Robin | $118.17 | ↓ -52% |
| Wisconsin Physician Service | Statewide | $118.70 | ↓ -52% |
| Wisconsin Physician Service | Arise | $118.70 | ↓ -52% |
| Trilogy | Commercial | $122.17 | ↓ -50% |
| Health EOS Plus | Commercial | $294.00 | ↑ +20% |
| HealthPartners | Broad | $367.50 | ↑ +50% |
| Health EOS | PPO | $392.00 | ↑ +60% |
| Aetna | PPO | $404.74 | ↑ +65% |
| United Healthcare | PPO | $412.58 | ↑ +68% |
| Cigna | PPO | $414.54 | ↑ +69% |
| Anthem | PPO | $416.50 | ↑ +70% |
Visitor-reported prices
Comments
Chrom analysis at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $91.16 | $34.81 – $139.83 |
| UnityPoint Health - Meriter Hospital | Madison | $87.29 | $25.10 – $39.83 |
| SSM Health St. Mary's Hospital - Madison | Madison | $324.50 | $26.11 – $261.32 |
| SSM Health Monroe Hospital | Monroe | $339.90 | $34.81 – $60.92 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $245.00 | $27.85 – $122.17 |
| Aurora Medical Center Summit | Summit | $245.00 | $27.85 – $122.17 |
| Aurora Baycare Medical Center | Green Bay | $245.00 | $27.85 – $122.17 |
| Aurora Medical Center Manitowoc | Two Rivers | $245.00 | $27.85 – $122.17 |