Angio tib/peroneal/init ves/unila 37228 at Aurora Medical Center Sheboygan County
3400 Union Ave, Sheboygan, WI · Aurorahealthcare · · NPI 1922053107
$4,885.00
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.
$9,770.00
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.
$4,201.10 with HealthPartners vs $19,887.00 with Trilogy — 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 |
|---|---|---|---|
| HealthPartners | Employee Trust Fund | $4,201.10 | ↓ -14% |
| HealthPartners | Robin | $5,666.60 | ↑ +16% |
| Health EOS Plus | Commercial | $5,862.00 | ↑ +20% |
| HealthPartners | Broad | $7,327.50 | ↑ +50% |
| Health EOS | PPO | $7,816.00 | ↑ +60% |
| Aetna | PPO | $8,070.02 | ↑ +65% |
| United Healthcare | PPO | $8,226.34 | ↑ +68% |
| Aetna | HMO | $8,243.00 | ↑ +69% |
| Cigna | PPO | $8,265.42 | ↑ +69% |
| Anthem | PPO | $8,304.50 | ↑ +70% |
| Anthem | Blue Priority | $11,302.00 | ↑ +131% |
| United Healthcare | Exchange | $13,752.00 | ↑ +182% |
| United Healthcare | Charter | $13,851.00 | ↑ +184% |
| United Healthcare | Nexus | $13,851.00 | ↑ +184% |
| Anthem | Blue Preferred | $14,586.00 | ↑ +199% |
| Common Ground | Exchange | $14,619.00 | ↑ +199% |
| Common Ground | Envision | $14,619.00 | ↑ +199% |
| Common Ground | Employee Trust Fund | $14,619.00 | ↑ +199% |
| Everpointe Elite | Commercial | $14,688.00 | ↑ +201% |
| United Healthcare | HMO | $15,090.00 | ↑ +209% |
| Quartz One | Commercial | $15,600.00 | ↑ +219% |
| Molina Exchange | Commercial | $15,818.00 | ↑ +224% |
| HS Technology | Commercial | $17,445.00 | ↑ +257% |
| Health Payment Systems | Commercial | $17,900.00 | ↑ +266% |
| Centivo | Commercial | $18,030.00 | ↑ +269% |
| Quartz Group | Commercial | $18,250.00 | ↑ +274% |
| Wisconsin Physician Service | Aurora Featured | $18,424.00 | ↑ +277% |
| Cigna | PPO-GPPO | $19,000.00 | ↑ +289% |
| Aurora Caregiver | Commercial | $19,140.00 | ↑ +292% |
| Wisconsin Physician Service | Arise | $19,394.00 | ↑ +297% |
| Wisconsin Physician Service | Statewide | $19,394.00 | ↑ +297% |
| Trilogy | Commercial | $19,887.00 | ↑ +307% |
Visitor-reported prices
Comments
Angio tib/peroneal/init ves/unila 37228 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 | $16,096.10 | $807.01 – $19,606.69 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $16,096.10 | $807.01 – $19,606.69 |
| UnityPoint Health - Meriter Hospital | Madison | $21,378.71 | $455.04 – $8,337.69 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $6,167.70 | $16,352.00 – $16,582.00 |
| SSM Health St. Mary's Hospital - Madison | Madison | $6,633.00 | $18,955.00 – $20,778.00 |
| SSM Health Monroe Hospital | Monroe | $7,123.60 | $16,164.00 – $17,116.00 |
| SSM Health Ripon Community Hospital | Ripon | $8,132.85 | $7,609.00 – $18,364.00 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $8,132.85 | $7,609.00 – $18,364.00 |