Ablation cryo adrenal tumor at Aurora Medical Center Sheboygan County
3400 Union Ave, Sheboygan, WI · Aurorahealthcare · · NPI 1922053107
$3,680.00
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.
$7,360.00
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.
$1,894.00 with Aetna vs $19,000.00 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 |
|---|---|---|---|
| Aetna | HMO | $1,894.00 | ↓ -49% |
| HealthPartners | Employee Trust Fund | $3,164.80 | ↓ -14% |
| HealthPartners | Robin | $4,268.80 | ↑ +16% |
| Health EOS Plus | Commercial | $4,416.00 | ↑ +20% |
| HealthPartners | Broad | $5,520.00 | ↑ +50% |
| Health EOS | PPO | $5,888.00 | ↑ +60% |
| Aetna | PPO | $6,079.36 | ↑ +65% |
| United Healthcare | PPO | $6,197.12 | ↑ +68% |
| Cigna | PPO | $6,226.56 | ↑ +69% |
| Anthem | PPO | $6,256.00 | ↑ +70% |
| Common Ground | Employee Trust Fund | $11,037.00 | ↑ +200% |
| Common Ground | Exchange | $11,037.00 | ↑ +200% |
| Common Ground | Envision | $11,037.00 | ↑ +200% |
| Everpointe Elite | Commercial | $11,136.00 | ↑ +203% |
| Quartz One | Commercial | $11,150.00 | ↑ +203% |
| Anthem | Blue Priority | $11,302.00 | ↑ +207% |
| Aurora Caregiver | Commercial | $11,750.00 | ↑ +219% |
| Molina Exchange | Commercial | $12,508.00 | ↑ +240% |
| HS Technology | Commercial | $12,943.00 | ↑ +252% |
| Quartz Group | Commercial | $13,050.00 | ↑ +255% |
| United Healthcare | Exchange | $13,752.00 | ↑ +274% |
| United Healthcare | Charter | $13,851.00 | ↑ +276% |
| United Healthcare | Nexus | $13,851.00 | ↑ +276% |
| Centivo | Commercial | $13,933.00 | ↑ +279% |
| Health Payment Systems | Commercial | $14,150.00 | ↑ +285% |
| Anthem | Blue Preferred | $14,586.00 | ↑ +296% |
| Wisconsin Physician Service | Aurora Featured | $14,623.00 | ↑ +297% |
| United Healthcare | HMO | $15,090.00 | ↑ +310% |
| Wisconsin Physician Service | Arise | $15,393.00 | ↑ +318% |
| Wisconsin Physician Service | Statewide | $15,393.00 | ↑ +318% |
| Trilogy | Commercial | $16,378.00 | ↑ +345% |
| Cigna | PPO-GPPO | $19,000.00 | ↑ +416% |
Visitor-reported prices
Comments
Ablation cryo adrenal tumor at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $16,258.62 | $4,674.35 – $11,732.62 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $3,680.00 | not published |
| Aurora Medical Center Summit | Summit | $3,680.00 | not published |
| Aurora Baycare Medical Center | Green Bay | $3,680.00 | not published |
| Aurora Medical Center Fond du Lac | Fond Du Lac | $3,680.00 | not published |
| Aurora Medical Center Grafton | Grafton | $3,680.00 | not published |
| Aurora Medical Center Kenosha | Kenosha | $3,680.00 | not published |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | not published | $2,302.00 – $16,897.00 |