Bra surgical elizabeth pink sm at Aurora Medical Center Sheboygan County
3400 Union Ave, Sheboygan, WI · Aurorahealthcare · · NPI 1922053107
$76.07
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.
$152.14
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.
$73.94 with Aetna vs $129.32 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 | $73.94 | ↓ -3% |
| Everpointe Elite | Commercial | $76.07 | ↑ +0% |
| HS Technology | Commercial | $76.07 | ↑ +0% |
| Quartz One | Commercial | $83.68 | ↑ +10% |
| United Healthcare | Exchange | $90.37 | ↑ +19% |
| United Healthcare | Charter | $90.37 | ↑ +19% |
| United Healthcare | HMO | $90.37 | ↑ +19% |
| United Healthcare | Nexus | $90.37 | ↑ +19% |
| Common Ground | Employee Trust Fund | $91.28 | ↑ +20% |
| Common Ground | Envision | $91.28 | ↑ +20% |
| Health EOS Plus | Commercial | $91.28 | ↑ +20% |
| Anthem | Blue Priority | $91.28 | ↑ +20% |
| Quartz Group | Commercial | $91.28 | ↑ +20% |
| Molina Exchange | Commercial | $91.28 | ↑ +20% |
| HealthPartners | Employee Trust Fund | $91.28 | ↑ +20% |
| Aurora Caregiver | Commercial | $91.28 | ↑ +20% |
| Common Ground | Exchange | $91.28 | ↑ +20% |
| Wisconsin Physician Service | Aurora Featured | $94.33 | ↑ +24% |
| Wisconsin Physician Service | Statewide | $98.89 | ↑ +30% |
| Anthem | Blue Preferred | $98.89 | ↑ +30% |
| Health Payment Systems | Commercial | $98.89 | ↑ +30% |
| Wisconsin Physician Service | Arise | $98.89 | ↑ +30% |
| Trilogy | Commercial | $106.50 | ↑ +40% |
| Cigna | PPO-GPPO | $114.11 | ↑ +50% |
| HealthPartners | Robin | $114.11 | ↑ +50% |
| HealthPartners | Broad | $114.11 | ↑ +50% |
| Centivo | Commercial | $114.11 | ↑ +50% |
| Health EOS | PPO | $121.71 | ↑ +60% |
| Aetna | PPO | $125.67 | ↑ +65% |
| United Healthcare | PPO | $128.10 | ↑ +68% |
| Cigna | PPO | $128.71 | ↑ +69% |
| Anthem | PPO | $129.32 | ↑ +70% |
Visitor-reported prices
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Bra surgical elizabeth pink sm at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $293.04 | not published |
| Aurora Medical Center Summit | Summit | $81.24 | not published |
| Aurora Baycare Medical Center | Green Bay | $60.61 | not published |
| Aurora West Allis Medical Center | West Allis | $133.30 | not published |
| Aurora Medical Center Burlington | Burlington | $76.07 | not published |
| Aurora Medical Center Washington County | Hartford | $137.08 | not published |
| Aurora Medical Center Fond du Lac | Fond Du Lac | $65.98 | not published |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $74.89 | $63.49 – $63.49 |