Artery x-rays lung at Aurora Medical Center Sheboygan County
3400 Union Ave, Sheboygan, WI · Aurorahealthcare · · NPI 1922053107
$1,225.00
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.
$2,450.00
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.
$200.00 with Aetna vs $2,082.50 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 |
|---|---|---|---|
| Aetna | HMO | $200.00 | ↓ -84% |
| Aurora Caregiver | Commercial | $240.00 | ↓ -80% |
| Quartz One | Commercial | $245.00 | ↓ -80% |
| Common Ground | Exchange | $249.00 | ↓ -80% |
| Common Ground | Envision | $249.00 | ↓ -80% |
| Common Ground | Employee Trust Fund | $249.00 | ↓ -80% |
| Everpointe Elite | Commercial | $259.00 | ↓ -79% |
| HealthPartners | Employee Trust Fund | $266.00 | ↓ -78% |
| Anthem | Blue Priority | $275.00 | ↓ -78% |
| Quartz Group | Commercial | $290.00 | ↓ -76% |
| HS Technology | Commercial | $293.00 | ↓ -76% |
| Wisconsin Physician Service | Aurora Featured | $299.00 | ↓ -76% |
| Molina Exchange | Commercial | $308.00 | ↓ -75% |
| Wisconsin Physician Service | Statewide | $315.00 | ↓ -74% |
| Wisconsin Physician Service | Arise | $315.00 | ↓ -74% |
| Centivo | Commercial | $328.00 | ↓ -73% |
| HealthPartners | Robin | $330.00 | ↓ -73% |
| United Healthcare | Exchange | $336.00 | ↓ -73% |
| United Healthcare | Charter | $339.00 | ↓ -72% |
| United Healthcare | Nexus | $339.00 | ↓ -72% |
| Anthem | Blue Preferred | $357.00 | ↓ -71% |
| United Healthcare | HMO | $369.00 | ↓ -70% |
| Health Payment Systems | Commercial | $400.00 | ↓ -67% |
| Trilogy | Commercial | $410.00 | ↓ -67% |
| Cigna | PPO-GPPO | $460.00 | ↓ -62% |
| Health EOS Plus | Commercial | $1,470.00 | ↑ +20% |
| HealthPartners | Broad | $1,837.50 | ↑ +50% |
| Health EOS | PPO | $1,960.00 | ↑ +60% |
| Aetna | PPO | $2,023.70 | ↑ +65% |
| United Healthcare | PPO | $2,062.90 | ↑ +68% |
| Cigna | PPO | $2,072.70 | ↑ +69% |
| Anthem | PPO | $2,082.50 | ↑ +70% |
Visitor-reported prices
Comments
Artery x-rays lung 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 | $1,685.40 | $86.28 – $6,438.74 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $1,685.40 | $86.28 – $6,438.74 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $2,372.15 | $742.61 – $3,180.39 |
| SSM Health St. Mary's Hospital - Madison | Madison | $1,804.00 | $779.13 – $3,066.96 |
| SSM Health Monroe Hospital | Monroe | $2,200.00 | $259.41 – $3,066.96 |
| SSM Health Ripon Community Hospital | Ripon | $1,094.50 | $318.65 – $318.65 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $1,094.50 | $318.65 – $6,027.57 |
| SSM Health Waupun Memorial Hospital | Waupun | $1,094.50 | $318.65 – $318.65 |