Endo abl/incom vein/ext/rad fre/#1 36475 at Aurora West Allis Medical Center
8901 W Lincoln Ave, West Allis, WI · Aurorahealthcare · · NPI 1407801640
$5,150.00
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.
?
What you pay up front if you don't use insurance.
$10,300.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$4,429.00 with HealthPartners vs $23,500.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| HealthPartners | Employee Trust Fund | $4,429.00 | ↓ -14% |
| HealthPartners | Robin | $5,974.00 | ↑ +16% |
| Health EOS Plus | Commercial | $6,180.00 | ↑ +20% |
| Aetna | HMO | $6,461.00 | ↑ +25% |
| HealthPartners | Broad | $7,725.00 | ↑ +50% |
| Everpointe Elite | Commercial | $7,978.00 | ↑ +55% |
| Common Ground | Exchange | $8,181.00 | ↑ +59% |
| Common Ground | Envision | $8,181.00 | ↑ +59% |
| Common Ground | Employee Trust Fund | $8,181.00 | ↑ +59% |
| Health EOS | PPO | $8,240.00 | ↑ +60% |
| Aurora Caregiver | Commercial | $8,450.00 | ↑ +64% |
| Aetna | PPO | $8,507.80 | ↑ +65% |
| United Healthcare | PPO | $8,672.60 | ↑ +68% |
| Quartz One | Commercial | $8,690.00 | ↑ +69% |
| Cigna | PPO | $8,713.80 | ↑ +69% |
| Anthem | PPO | $8,755.00 | ↑ +70% |
| Molina Exchange | Commercial | $9,071.00 | ↑ +76% |
| Anthem | Blue Priority | $9,649.00 | ↑ +87% |
| Centivo | Commercial | $9,834.00 | ↑ +91% |
| United Healthcare | Exchange | $9,882.00 | ↑ +92% |
| United Healthcare | Nexus | $9,953.00 | ↑ +93% |
| United Healthcare | Charter | $9,953.00 | ↑ +93% |
| HS Technology | Commercial | $10,017.00 | ↑ +95% |
| Quartz Group | Commercial | $10,170.00 | ↑ +97% |
| Wisconsin Physician Service | Aurora Featured | $10,544.00 | ↑ +105% |
| Health Payment Systems | Commercial | $10,600.00 | ↑ +106% |
| United Healthcare | HMO | $10,843.00 | ↑ +111% |
| Wisconsin Physician Service | Arise | $11,099.00 | ↑ +116% |
| Wisconsin Physician Service | Statewide | $11,099.00 | ↑ +116% |
| Trilogy | Commercial | $11,699.00 | ↑ +127% |
| Anthem | Blue Preferred | $12,444.00 | ↑ +142% |
| Cigna | PPO-GPPO | $23,500.00 | ↑ +356% |
Visitor-reported prices
Comments
Endo abl/incom vein/ext/rad fre/#1 36475 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 | $5,236.93 | $419.53 – $5,407.33 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $5,236.93 | $419.53 – $5,407.33 |
| UnityPoint Health - Meriter Hospital | Madison | $11,679.20 | $236.68 – $3,906.96 |
| SSM Health Monroe Hospital | Monroe | $4,559.50 | $3,066.96 – $10,137.00 |
| SSM Health Ripon Community Hospital | Ripon | $3,525.50 | $3,735.00 – $8,770.00 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $3,525.50 | $2,342.32 – $8,770.00 |
| SSM Health Waupun Memorial Hospital | Waupun | $3,525.50 | $3,735.00 – $8,770.00 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $5,150.00 | not published |