Alt/sgpt at Aurora Medical Center Sheboygan County
3400 Union Ave, Sheboygan, WI · Aurorahealthcare · · NPI 1922053107
$62.50
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.
$125.00
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.
$4.24 with United Healthcare vs $76.50 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 |
|---|---|---|---|
| United Healthcare | HMO | $4.24 | ↓ -93% |
| United Healthcare | Nexus | $4.24 | ↓ -93% |
| United Healthcare | Exchange | $4.24 | ↓ -93% |
| United Healthcare | Charter | $4.24 | ↓ -93% |
| Anthem | Blue Priority | $5.30 | ↓ -92% |
| Aurora Caregiver | Commercial | $5.30 | ↓ -92% |
| Anthem | Blue Preferred | $6.36 | ↓ -90% |
| Common Ground | Exchange | $11.13 | ↓ -82% |
| Common Ground | Employee Trust Fund | $11.13 | ↓ -82% |
| Centivo | Commercial | $11.59 | ↓ -81% |
| Common Ground | Envision | $11.59 | ↓ -81% |
| Aetna | HMO | $11.82 | ↓ -81% |
| Quartz One | Commercial | $13.25 | ↓ -79% |
| Health Payment Systems | Commercial | $13.25 | ↓ -79% |
| HealthPartners | Employee Trust Fund | $14.06 | ↓ -78% |
| Molina Exchange | Commercial | $14.63 | ↓ -77% |
| HS Technology | Commercial | $14.91 | ↓ -76% |
| Cigna | PPO-GPPO | $15.30 | ↓ -76% |
| Quartz Group | Commercial | $15.37 | ↓ -75% |
| Everpointe Elite | Commercial | $15.63 | ↓ -75% |
| Wisconsin Physician Service | Aurora Featured | $17.17 | ↓ -73% |
| HealthPartners | Robin | $17.99 | ↓ -71% |
| Wisconsin Physician Service | Statewide | $18.07 | ↓ -71% |
| Wisconsin Physician Service | Arise | $18.07 | ↓ -71% |
| Trilogy | Commercial | $18.61 | ↓ -70% |
| Health EOS Plus | Commercial | $54.00 | ↓ -14% |
| HealthPartners | Broad | $67.50 | ↑ +8% |
| Health EOS | PPO | $72.00 | ↑ +15% |
| Aetna | PPO | $74.34 | ↑ +19% |
| United Healthcare | PPO | $75.78 | ↑ +21% |
| Cigna | PPO | $76.14 | ↑ +22% |
| Anthem | PPO | $76.50 | ↑ +22% |
Visitor-reported prices
Comments
Alt/sgpt 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 | $53.00 | $5.30 – $22.91 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $53.00 | $5.30 – $22.91 |
| UnityPoint Health - Meriter Hospital | Madison | $70.60 | $3.18 – $27.53 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | $27.03 | $5.14 – $9.47 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $79.75 | $3.98 – $52.68 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $90.75 | $3.98 – $42.16 |
| SSM Health St. Mary's Hospital - Madison | Madison | $78.10 | $3.98 – $43.11 |
| SSM Health Monroe Hospital | Monroe | $99.00 | $5.30 – $9.28 |