Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body at Aurora Medical Center Sheboygan County
3400 Union Ave, Sheboygan, WI · Aurorahealthcare · · NPI 1922053107
$3,915.00
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.
$7,830.00
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.
$1,291.00 with Everpointe Elite vs $23,460.00 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 |
|---|---|---|---|
| Everpointe Elite | Commercial | $1,291.00 | ↓ -67% |
| Aurora Caregiver | Commercial | $1,300.00 | ↓ -67% |
| Common Ground | Employee Trust Fund | $1,492.00 | ↓ -62% |
| Common Ground | Envision | $1,492.00 | ↓ -62% |
| Common Ground | Exchange | $1,492.00 | ↓ -62% |
| United Healthcare | Exchange | $1,630.00 | ↓ -58% |
| United Healthcare | Charter | $1,641.00 | ↓ -58% |
| United Healthcare | Nexus | $1,641.00 | ↓ -58% |
| Quartz One | Commercial | $1,670.00 | ↓ -57% |
| United Healthcare | HMO | $1,789.00 | ↓ -54% |
| Molina Exchange | Commercial | $1,825.00 | ↓ -53% |
| Aetna | HMO | $1,894.00 | ↓ -52% |
| Quartz Group | Commercial | $1,950.00 | ↓ -50% |
| Centivo | Commercial | $1,967.00 | ↓ -50% |
| Wisconsin Physician Service | Aurora Featured | $2,115.00 | ↓ -46% |
| HS Technology | Commercial | $2,138.00 | ↓ -45% |
| Wisconsin Physician Service | Statewide | $2,226.00 | ↓ -43% |
| Wisconsin Physician Service | Arise | $2,226.00 | ↓ -43% |
| Health Payment Systems | Commercial | $2,300.00 | ↓ -41% |
| Trilogy | Commercial | $2,340.00 | ↓ -40% |
| HealthPartners | Employee Trust Fund | $3,366.90 | ↓ -14% |
| HealthPartners | Robin | $4,541.40 | ↑ +16% |
| Health EOS Plus | Commercial | $4,698.00 | ↑ +20% |
| HealthPartners | Broad | $5,872.50 | ↑ +50% |
| Health EOS | PPO | $6,264.00 | ↑ +60% |
| Aetna | PPO | $6,467.58 | ↑ +65% |
| United Healthcare | PPO | $6,592.86 | ↑ +68% |
| Cigna | PPO | $6,624.18 | ↑ +69% |
| Anthem | PPO | $6,655.50 | ↑ +70% |
| Anthem | Blue Priority | $18,187.00 | ↑ +365% |
| Cigna | PPO-GPPO | $19,000.00 | ↑ +385% |
| Anthem | Blue Preferred | $23,460.00 | ↑ +499% |
Visitor-reported prices
Comments
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HSHS St. Nicholas Hospital | SHEBOYGAN | $4,810.74 | $1,123.00 – $2,312.55 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $5,265.55 | $336.12 – $15,682.27 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $5,265.55 | $336.12 – $15,682.27 |
| UnityPoint Health - Meriter Hospital | Madison | $9,468.23 | $189.96 – $3,929.31 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $3,194.40 | $1,704.00 – $1,704.00 |
| SSM Health St. Mary's Hospital - Madison | Madison | $3,683.90 | $2,036.00 – $2,036.00 |
| SSM Health Monroe Hospital | Monroe | $2,381.50 | $2,181.00 – $9,837.00 |
| SSM Health Ripon Community Hospital | Ripon | $6,790.30 | $1,887.00 – $5,512.00 |