Ghs i and d pilonidal cyst simple at Aurora West Allis Medical Center
8901 W Lincoln Ave, West Allis, WI · Aurorahealthcare · · NPI 1407801640
$145.00
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.
$290.00
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.
$125.00 with Quartz One vs $255.00 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 |
|---|---|---|---|
| Quartz One | Commercial | $125.00 | ↓ -14% |
| Aurora Caregiver | Commercial | $125.00 | ↓ -14% |
| Quartz Group | Commercial | $125.00 | ↓ -14% |
| HealthPartners | Employee Trust Fund | $132.00 | ↓ -9% |
| United Healthcare | Exchange | $142.00 | ↓ -2% |
| United Healthcare | Nexus | $144.00 | ↓ -1% |
| United Healthcare | Charter | $144.00 | ↓ -1% |
| Aetna | HMO | $145.00 | ↑ +0% |
| Cigna | PPO-GPPO | $150.00 | ↑ +3% |
| Health Payment Systems | Commercial | $150.00 | ↑ +3% |
| Everpointe Elite | Commercial | $154.00 | ↑ +6% |
| United Healthcare | HMO | $156.00 | ↑ +8% |
| Molina Exchange | Commercial | $160.00 | ↑ +10% |
| Common Ground | Exchange | $163.00 | ↑ +12% |
| Common Ground | Employee Trust Fund | $163.00 | ↑ +12% |
| Common Ground | Envision | $163.00 | ↑ +12% |
| Centivo | Commercial | $165.00 | ↑ +14% |
| HS Technology | Commercial | $170.00 | ↑ +17% |
| HealthPartners | Robin | $170.00 | ↑ +17% |
| Health EOS Plus | Commercial | $174.00 | ↑ +20% |
| Trilogy | Commercial | $175.00 | ↑ +21% |
| Anthem | Blue Priority | $179.00 | ↑ +23% |
| Wisconsin Physician Service | Aurora Featured | $210.00 | ↑ +45% |
| HealthPartners | Broad | $217.50 | ↑ +50% |
| Wisconsin Physician Service | Statewide | $221.00 | ↑ +52% |
| Wisconsin Physician Service | Arise | $221.00 | ↑ +52% |
| Health EOS | PPO | $232.00 | ↑ +60% |
| Aetna | PPO | $239.54 | ↑ +65% |
| United Healthcare | PPO | $244.18 | ↑ +68% |
| Cigna | PPO | $245.34 | ↑ +69% |
| Anthem | PPO | $246.50 | ↑ +70% |
| Anthem | Blue Preferred | $255.00 | ↑ +76% |
Visitor-reported prices
Comments
Ghs i and d pilonidal cyst simple 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 | $159.00 | $167.30 – $1,506.85 |
| UnityPoint Health - Meriter Hospital | Madison | $885.37 | $31.51 – $345.29 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $644.05 | $515.87 – $4,401.00 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $627.55 | $534.95 – $4,074.00 |
| SSM Health St. Mary's Hospital - Madison | Madison | $695.20 | $515.87 – $4,198.00 |
| SSM Health Monroe Hospital | Monroe | $172.70 | $687.83 – $4,217.00 |
| SSM Health Ripon Community Hospital | Ripon | $1,354.10 | $2,654.00 – $3,030.00 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $1,354.10 | $525.32 – $3,030.00 |