Carotene at Aurora Medical Center Sheboygan County
3400 Union Ave, Sheboygan, WI · Aurorahealthcare · · NPI 1922053107
$70.00
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.
?
What you pay up front if you don't use insurance.
$140.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$7.38 with United Healthcare vs $119.00 with Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $7.38 | ↓ -89% |
| United Healthcare | Nexus | $7.38 | ↓ -89% |
| United Healthcare | Exchange | $7.38 | ↓ -89% |
| United Healthcare | Charter | $7.38 | ↓ -89% |
| Anthem | Blue Priority | $9.22 | ↓ -87% |
| Aurora Caregiver | Commercial | $9.22 | ↓ -87% |
| Anthem | Blue Preferred | $11.06 | ↓ -84% |
| Common Ground | Employee Trust Fund | $19.36 | ↓ -72% |
| Common Ground | Exchange | $19.36 | ↓ -72% |
| Centivo | Commercial | $20.15 | ↓ -71% |
| Common Ground | Envision | $20.15 | ↓ -71% |
| Aetna | HMO | $20.56 | ↓ -71% |
| Quartz One | Commercial | $23.05 | ↓ -67% |
| Health Payment Systems | Commercial | $23.05 | ↓ -67% |
| HealthPartners | Employee Trust Fund | $24.45 | ↓ -65% |
| Molina Exchange | Commercial | $25.45 | ↓ -64% |
| HS Technology | Commercial | $25.95 | ↓ -63% |
| Quartz Group | Commercial | $26.74 | ↓ -62% |
| Cigna | PPO-GPPO | $26.76 | ↓ -62% |
| Everpointe Elite | Commercial | $27.21 | ↓ -61% |
| Wisconsin Physician Service | Aurora Featured | $29.87 | ↓ -57% |
| HealthPartners | Robin | $31.30 | ↓ -55% |
| Wisconsin Physician Service | Statewide | $31.44 | ↓ -55% |
| Wisconsin Physician Service | Arise | $31.44 | ↓ -55% |
| Trilogy | Commercial | $32.36 | ↓ -54% |
| Health EOS Plus | Commercial | $84.00 | ↑ +20% |
| HealthPartners | Broad | $105.00 | ↑ +50% |
| Health EOS | PPO | $112.00 | ↑ +60% |
| Aetna | PPO | $115.64 | ↑ +65% |
| United Healthcare | PPO | $117.88 | ↑ +68% |
| Cigna | PPO | $118.44 | ↑ +69% |
| Anthem | PPO | $119.00 | ↑ +70% |
Visitor-reported prices
Comments
Carotene at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HSHS St. Nicholas Hospital | SHEBOYGAN | $46.20 | $9.22 – $20.75 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $68.90 | $9.22 – $40.13 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $68.90 | $9.22 – $40.13 |
| UnityPoint Health - Meriter Hospital | Madison | $64.80 | $5.53 – $11.90 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $20.35 | $6.92 – $91.74 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $23.65 | $6.92 – $73.37 |
| SSM Health St. Mary's Hospital - Madison | Madison | $16.50 | $6.92 – $75.05 |
| SSM Health Ripon Community Hospital | Ripon | $17.05 | $9.22 – $18.67 |