Bln 1.2 mono emrg 15x1.2 at Aurora Medical Center Sheboygan County
3400 Union Ave, Sheboygan, WI · Aurorahealthcare · · NPI 1922053107
$7,614.00
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.
$15,228.00
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.
$13.31 with HS Technology vs $22.62 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 |
|---|---|---|---|
| HS Technology | Commercial | $13.31 | ↓ -100% |
| Everpointe Elite | Commercial | $13.31 | ↓ -100% |
| Aetna | HMO | $14.21 | ↓ -100% |
| Quartz One | Commercial | $14.64 | ↓ -100% |
| United Healthcare | Nexus | $15.81 | ↓ -100% |
| United Healthcare | HMO | $15.81 | ↓ -100% |
| United Healthcare | Charter | $15.81 | ↓ -100% |
| United Healthcare | Exchange | $15.81 | ↓ -100% |
| Common Ground | Employee Trust Fund | $15.97 | ↓ -100% |
| Common Ground | Envision | $15.97 | ↓ -100% |
| Health EOS Plus | Commercial | $15.97 | ↓ -100% |
| Quartz Group | Commercial | $15.97 | ↓ -100% |
| Anthem | Blue Priority | $15.97 | ↓ -100% |
| Molina Exchange | Commercial | $15.97 | ↓ -100% |
| HealthPartners | Employee Trust Fund | $15.97 | ↓ -100% |
| Aurora Caregiver | Commercial | $15.97 | ↓ -100% |
| Common Ground | Exchange | $15.97 | ↓ -100% |
| Wisconsin Physician Service | Aurora Featured | $16.50 | ↓ -100% |
| Wisconsin Physician Service | Statewide | $17.30 | ↓ -100% |
| Anthem | Blue Preferred | $17.30 | ↓ -100% |
| Health Payment Systems | Commercial | $17.30 | ↓ -100% |
| Wisconsin Physician Service | Arise | $17.30 | ↓ -100% |
| Trilogy | Commercial | $18.63 | ↓ -100% |
| HealthPartners | Robin | $19.96 | ↓ -100% |
| HealthPartners | Broad | $19.96 | ↓ -100% |
| Centivo | Commercial | $19.96 | ↓ -100% |
| Cigna | PPO-GPPO | $19.96 | ↓ -100% |
| Health EOS | PPO | $21.29 | ↓ -100% |
| Aetna | PPO | $21.98 | ↓ -100% |
| United Healthcare | PPO | $22.41 | ↓ -100% |
| Cigna | PPO | $22.51 | ↓ -100% |
| Anthem | PPO | $22.62 | ↓ -100% |
Visitor-reported prices
Comments
Bln 1.2 mono emrg 15x1.2 at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HSHS St. Nicholas Hospital | SHEBOYGAN | $2,538.36 | $400.95 – $400.95 |
| UnityPoint Health - Meriter Hospital | Madison | $11,200.00 | $92.86 – $343.19 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $1,404.81 | not published |
| SSM Health St. Mary's Hospital - Madison | Madison | $6,947.19 | not published |
| SSM Health Ripon Community Hospital | Ripon | $476.66 | not published |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $476.66 | not published |
| SSM Health Waupun Memorial Hospital | Waupun | $476.66 | not published |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $15,040.00 | not published |