Gamunex-c/gammaked at Aurora West Allis Medical Center
8901 W Lincoln Ave, West Allis, WI · Aurorahealthcare · · NPI 1407801640
$84.67
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.
$169.33
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.
$48.35 with Anthem vs $142.13 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 |
|---|---|---|---|
| Anthem | Blue Priority | $48.35 | ↓ -43% |
| Aurora Caregiver | Commercial | $48.81 | ↓ -42% |
| United Healthcare | Exchange | $49.01 | ↓ -42% |
| United Healthcare | Charter | $49.01 | ↓ -42% |
| United Healthcare | HMO | $49.01 | ↓ -42% |
| United Healthcare | Nexus | $49.01 | ↓ -42% |
| Aetna | HMO | $50.48 | ↓ -40% |
| HealthPartners | Employee Trust Fund | $57.19 | ↓ -32% |
| Anthem | Blue Preferred | $58.02 | ↓ -31% |
| HealthPartners | Robin | $59.82 | ↓ -29% |
| Everpointe Elite | Commercial | $64.10 | ↓ -24% |
| Centivo | Commercial | $64.25 | ↓ -24% |
| Common Ground | Envision | $64.25 | ↓ -24% |
| Quartz One | Commercial | $66.16 | ↓ -22% |
| Health Payment Systems | Commercial | $66.16 | ↓ -22% |
| Common Ground | Exchange | $66.86 | ↓ -21% |
| Common Ground | Employee Trust Fund | $66.86 | ↓ -21% |
| Cigna | PPO-GPPO | $73.52 | ↓ -13% |
| Quartz Group | Commercial | $75.96 | ↓ -10% |
| HS Technology | Commercial | $83.61 | ↓ -1% |
| Wisconsin Physician Service | Aurora Featured | $86.95 | ↑ +3% |
| Wisconsin Physician Service | Statewide | $91.97 | ↑ +9% |
| Trilogy | Commercial | $91.97 | ↑ +9% |
| Wisconsin Physician Service | Arise | $91.97 | ↑ +9% |
| Health EOS Plus | Commercial | $100.33 | ↑ +18% |
| Molina Exchange | Commercial | $119.58 | ↑ +41% |
| HealthPartners | Broad | $125.41 | ↑ +48% |
| Health EOS | PPO | $133.77 | ↑ +58% |
| Aetna | PPO | $138.12 | ↑ +63% |
| United Healthcare | PPO | $140.79 | ↑ +66% |
| Cigna | PPO | $141.46 | ↑ +67% |
| Anthem | PPO | $142.13 | ↑ +68% |
Visitor-reported prices
Comments
Gamunex-c/gammaked at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Durand | Durand | $5,629.28 | not published |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $36.76 – $91.26 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $36.76 – $91.26 |
| SSM Health St. Mary's Hospital - Madison | Madison | not published | $36.76 – $91.26 |
| SSM Health Monroe Hospital | Monroe | not published | $48.35 – $131.64 |
| SSM Health Ripon Community Hospital | Ripon | not published | $53.06 – $133.44 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | not published | $36.76 – $133.44 |
| SSM Health Waupun Memorial Hospital | Waupun | not published | $53.06 – $133.44 |