Allograft epieffect 2x3cm-q4186-cost per sq cm at Aurora Medical Center Sheboygan County
3400 Union Ave, Sheboygan, WI · Aurorahealthcare · · NPI 1922053107
$405.29
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.
$810.58
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.
$158.49 with Aurora Caregiver vs $612.59 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 |
|---|---|---|---|
| Aurora Caregiver | Commercial | $158.49 | ↓ -61% |
| Aetna | HMO | $163.08 | ↓ -60% |
| HealthPartners | Employee Trust Fund | $184.76 | ↓ -54% |
| HealthPartners | Robin | $193.25 | ↓ -52% |
| Common Ground | Envision | $207.58 | ↓ -49% |
| Centivo | Commercial | $207.58 | ↓ -49% |
| Health Payment Systems | Commercial | $213.75 | ↓ -47% |
| Quartz One | Commercial | $213.75 | ↓ -47% |
| Common Ground | Employee Trust Fund | $217.13 | ↓ -46% |
| Common Ground | Exchange | $217.13 | ↓ -46% |
| Cigna | PPO-GPPO | $237.50 | ↓ -41% |
| Quartz Group | Commercial | $245.42 | ↓ -39% |
| Everpointe Elite | Commercial | $255.43 | ↓ -37% |
| HS Technology | Commercial | $360.35 | ↓ -11% |
| Molina Exchange | Commercial | $386.33 | ↓ -5% |
| United Healthcare | Exchange | $428.09 | ↑ +6% |
| United Healthcare | Charter | $428.09 | ↑ +6% |
| United Healthcare | Nexus | $428.09 | ↑ +6% |
| United Healthcare | HMO | $428.09 | ↑ +6% |
| Health EOS Plus | Commercial | $432.41 | ↑ +7% |
| Anthem | Blue Priority | $432.41 | ↑ +7% |
| Wisconsin Physician Service | Aurora Featured | $446.83 | ↑ +10% |
| Wisconsin Physician Service | Statewide | $468.45 | ↑ +16% |
| Anthem | Blue Preferred | $468.45 | ↑ +16% |
| Wisconsin Physician Service | Arise | $468.45 | ↑ +16% |
| Trilogy | Commercial | $504.48 | ↑ +24% |
| HealthPartners | Broad | $540.52 | ↑ +33% |
| Health EOS | PPO | $576.55 | ↑ +42% |
| Aetna | PPO | $595.29 | ↑ +47% |
| United Healthcare | PPO | $606.82 | ↑ +50% |
| Cigna | PPO | $609.70 | ↑ +50% |
| Anthem | PPO | $612.59 | ↑ +51% |
Visitor-reported prices
Comments
Allograft epieffect 2x3cm-q4186-cost per sq cm 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 | $318.00 | $176.48 – $462.38 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $318.00 | $176.48 – $462.38 |
| UnityPoint Health - Meriter Hospital | Madison | $684.80 | $150.33 – $727.60 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $600.67 | $158.49 – $386.33 |
| Aurora Medical Center Summit | Summit | $395.00 | $158.49 – $386.33 |
| Aurora Baycare Medical Center | Green Bay | $395.00 | $158.49 – $386.33 |
| Aurora Medical Center Manitowoc | Two Rivers | $236.60 | $158.49 – $386.33 |
| Aurora West Allis Medical Center | West Allis | $584.49 | $158.49 – $386.33 |