2019-ncov diagnostic p at Aurora Medical Center Sheboygan County
3400 Union Ave, Sheboygan, WI · Aurorahealthcare · · NPI 1922053107
not published by hospital
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.
not published by hospital
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.
$28.73 with United Healthcare vs $122.49 with Wisconsin Physician Service — 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 | Charter | $28.73 | — |
| United Healthcare | Nexus | $28.73 | — |
| United Healthcare | Exchange | $28.73 | — |
| United Healthcare | HMO | $28.73 | — |
| Anthem | Blue Priority | $35.92 | — |
| Aurora Caregiver | Commercial | $35.92 | — |
| Anthem | Blue Preferred | $43.10 | — |
| Common Ground | Exchange | $75.43 | — |
| Common Ground | Employee Trust Fund | $75.43 | — |
| Centivo | Commercial | $78.52 | — |
| Common Ground | Envision | $78.52 | — |
| Aetna | HMO | $80.10 | — |
| Health Payment Systems | Commercial | $89.80 | — |
| Quartz One | Commercial | $89.80 | — |
| HealthPartners | Employee Trust Fund | $95.26 | — |
| Molina Exchange | Commercial | $99.14 | — |
| HS Technology | Commercial | $101.08 | — |
| Quartz Group | Commercial | $104.17 | — |
| Cigna | PPO-GPPO | $105.12 | — |
| Wisconsin Physician Service | Aurora Featured | $116.38 | — |
| HealthPartners | Robin | $121.94 | — |
| Wisconsin Physician Service | Arise | $122.49 | — |
| Wisconsin Physician Service | Statewide | $122.49 | — |
Visitor-reported prices
Comments
2019-ncov diagnostic p 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 | $75.79 | $37.72 – $61.06 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $75.79 | $37.72 – $61.06 |
| Midwest Orthopedic Specialty Hospital | Franklin | $76.32 | $37.72 – $53.16 |
| Ascension St. Francis Hospital, Inc. | Milwaukee | $76.32 | $37.72 – $53.16 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $76.32 | $37.72 – $53.16 |
| UnityPoint Health - Meriter Hospital | Madison | not published | $21.55 – $82.82 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | not published | $26.94 – $262.09 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | not published | $26.94 – $209.92 |