Blood Count (CBC) Test (without differential) at Aurora Medical Center Sheboygan County
3400 Union Ave, Sheboygan, WI · Aurorahealthcare · · NPI 1922053107
$50.00
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.
$100.00
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.
$5.18 with United Healthcare vs $85.00 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 |
|---|---|---|---|
| United Healthcare | HMO | $5.18 | ↓ -90% |
| United Healthcare | Nexus | $5.18 | ↓ -90% |
| United Healthcare | Exchange | $5.18 | ↓ -90% |
| United Healthcare | Charter | $5.18 | ↓ -90% |
| Anthem | Blue Priority | $6.47 | ↓ -87% |
| Aurora Caregiver | Commercial | $6.47 | ↓ -87% |
| Anthem | Blue Preferred | $7.76 | ↓ -84% |
| Common Ground | Employee Trust Fund | $13.59 | ↓ -73% |
| Common Ground | Exchange | $13.59 | ↓ -73% |
| Centivo | Commercial | $14.14 | ↓ -72% |
| Common Ground | Envision | $14.14 | ↓ -72% |
| Aetna | HMO | $14.43 | ↓ -71% |
| Quartz One | Commercial | $16.18 | ↓ -68% |
| Health Payment Systems | Commercial | $16.18 | ↓ -68% |
| HealthPartners | Employee Trust Fund | $17.16 | ↓ -66% |
| Molina Exchange | Commercial | $17.86 | ↓ -64% |
| HS Technology | Commercial | $18.21 | ↓ -64% |
| Quartz Group | Commercial | $18.76 | ↓ -62% |
| Everpointe Elite | Commercial | $19.08 | ↓ -62% |
| Cigna | PPO-GPPO | $19.11 | ↓ -62% |
| Wisconsin Physician Service | Aurora Featured | $20.96 | ↓ -58% |
| HealthPartners | Robin | $21.97 | ↓ -56% |
| Wisconsin Physician Service | Statewide | $22.06 | ↓ -56% |
| Wisconsin Physician Service | Arise | $22.06 | ↓ -56% |
| Trilogy | Commercial | $22.71 | ↓ -55% |
| Health EOS Plus | Commercial | $60.00 | ↑ +20% |
| HealthPartners | Broad | $75.00 | ↑ +50% |
| Health EOS | PPO | $80.00 | ↑ +60% |
| Aetna | PPO | $82.60 | ↑ +65% |
| United Healthcare | PPO | $84.20 | ↑ +68% |
| Cigna | PPO | $84.60 | ↑ +69% |
| Anthem | PPO | $85.00 | ↑ +70% |
Visitor-reported prices
Comments
Blood Count (CBC) Test (without differential) at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HSHS St. Nicholas Hospital | SHEBOYGAN | $43.56 | $6.47 – $14.56 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $63.60 | $6.47 – $28.64 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $63.60 | $6.47 – $28.64 |
| UnityPoint Health - Meriter Hospital | Madison | $99.26 | $3.88 – $39.59 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | $80.56 | $6.28 – $11.60 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $90.20 | $4.85 – $64.28 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $90.20 | $4.85 – $51.42 |
| SSM Health St. Mary's Hospital - Madison | Madison | $90.20 | $4.85 – $52.61 |