ER Visit (level 1, minor) at Aurora West Allis Medical Center
8901 W Lincoln Ave, West Allis, WI · Aurorahealthcare · · NPI 1407801640
$482.50
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.
$965.00
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.
$75.00 with Health EOS Plus vs $2,200.00 with Cigna — 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 |
|---|---|---|---|
| Health EOS Plus | Commercial | $75.00 | ↓ -84% |
| HealthPartners | Broad | $93.75 | ↓ -81% |
| Health EOS | PPO | $100.00 | ↓ -79% |
| Aetna | PPO | $103.25 | ↓ -79% |
| United Healthcare | PPO | $105.25 | ↓ -78% |
| Cigna | PPO | $105.75 | ↓ -78% |
| Anthem | PPO | $106.25 | ↓ -78% |
| HealthPartners | Employee Trust Fund | $346.00 | ↓ -28% |
| Aurora Caregiver | Commercial | $350.00 | ↓ -27% |
| Quartz One | Commercial | $350.00 | ↓ -27% |
| Common Ground | Employee Trust Fund | $368.00 | ↓ -24% |
| Aetna | HMO | $368.00 | ↓ -24% |
| Common Ground | Exchange | $368.00 | ↓ -24% |
| Common Ground | Envision | $368.00 | ↓ -24% |
| Everpointe Elite | Commercial | $382.00 | ↓ -21% |
| Centivo | Commercial | $383.00 | ↓ -21% |
| Molina Exchange | Commercial | $403.00 | ↓ -16% |
| Quartz Group | Commercial | $410.00 | ↓ -15% |
| Wisconsin Physician Service | Aurora Featured | $429.00 | ↓ -11% |
| HealthPartners | Robin | $434.00 | ↓ -10% |
| HS Technology | Commercial | $450.00 | ↓ -7% |
| Health Payment Systems | Commercial | $450.00 | ↓ -7% |
| Wisconsin Physician Service | Arise | $452.00 | ↓ -6% |
| Wisconsin Physician Service | Statewide | $452.00 | ↓ -6% |
| Anthem | Blue Priority | $459.00 | ↓ -5% |
| Trilogy | Commercial | $526.00 | ↑ +9% |
| Anthem | Blue Preferred | $561.00 | ↑ +16% |
| United Healthcare | Exchange | $1,985.00 | ↑ +311% |
| United Healthcare | Nexus | $2,000.00 | ↑ +315% |
| United Healthcare | Charter | $2,000.00 | ↑ +315% |
| United Healthcare | HMO | $2,180.00 | ↑ +352% |
| Cigna | PPO-GPPO | $2,200.00 | ↑ +356% |
Visitor-reported prices
Comments
ER Visit (level 1, minor) 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 | $261.29 | $18.41 – $188.56 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $261.29 | $18.41 – $188.56 |
| UnityPoint Health - Meriter Hospital | Madison | $375.42 | $10.27 – $26.91 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $217.80 | $61.43 – $81.91 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $249.70 | $63.70 – $84.94 |
| SSM Health St. Mary's Hospital - Madison | Madison | $436.15 | $61.43 – $81.91 |
| SSM Health Monroe Hospital | Monroe | $257.95 | $81.91 – $81.91 |
| SSM Health Ripon Community Hospital | Ripon | $179.85 | not published |