Critical care 30-74 minutes at Aurora Medical Center Sheboygan County
3400 Union Ave, Sheboygan, WI · Aurorahealthcare · · NPI 1922053107
$1,600.00
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.
$3,200.00
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.
$1,920.00 with Health EOS Plus vs $3,899.00 with Aetna — 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 |
|---|---|---|---|
| Health EOS Plus | Commercial | $1,920.00 | ↑ +20% |
| United Healthcare | Exchange | $1,985.00 | ↑ +24% |
| United Healthcare | Nexus | $2,000.00 | ↑ +25% |
| United Healthcare | Charter | $2,000.00 | ↑ +25% |
| United Healthcare | HMO | $2,180.00 | ↑ +36% |
| Cigna | PPO-GPPO | $2,200.00 | ↑ +38% |
| HealthPartners | Broad | $2,400.00 | ↑ +50% |
| Health EOS | PPO | $2,560.00 | ↑ +60% |
| Aetna | PPO | $2,643.20 | ↑ +65% |
| United Healthcare | PPO | $2,694.40 | ↑ +68% |
| Cigna | PPO | $2,707.20 | ↑ +69% |
| Anthem | PPO | $2,720.00 | ↑ +70% |
| Aetna | HMO | $3,899.00 | ↑ +144% |
| Molina Exchange | Commercial | not published by hospital | — |
| Quartz Group | Commercial | not published by hospital | — |
| Quartz One | Commercial | not published by hospital | — |
| Trilogy | Commercial | not published by hospital | — |
| Wisconsin Physician Service | Arise | not published by hospital | — |
| Wisconsin Physician Service | Aurora Featured | not published by hospital | — |
| Wisconsin Physician Service | Statewide | not published by hospital | — |
| Centivo | Commercial | not published by hospital | — |
| Anthem | Blue Preferred | not published by hospital | — |
| Anthem | Blue Priority | not published by hospital | — |
| Health Payment Systems | Commercial | not published by hospital | — |
| Aurora Caregiver | Commercial | not published by hospital | — |
| Common Ground | Exchange | not published by hospital | — |
| Common Ground | Employee Trust Fund | not published by hospital | — |
| Common Ground | Envision | not published by hospital | — |
| Everpointe Elite | Commercial | not published by hospital | — |
| HS Technology | Commercial | not published by hospital | — |
| HealthPartners | Employee Trust Fund | not published by hospital | — |
| HealthPartners | Robin | not published by hospital | — |
Visitor-reported prices
Comments
Critical care 30-74 minutes at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HSHS St. Nicholas Hospital | SHEBOYGAN | $2,028.84 | $807.82 – $1,817.59 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $4,488.57 | $342.91 – $6,109.00 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $4,488.57 | $342.91 – $6,109.00 |
| UnityPoint Health - Meriter Hospital | Madison | $4,344.86 | $95.45 – $1,694.49 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $2,114.20 | $601.76 – $802.35 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $2,291.30 | $624.02 – $832.02 |
| SSM Health St. Mary's Hospital - Madison | Madison | $2,955.70 | $601.76 – $802.35 |
| SSM Health Monroe Hospital | Monroe | $1,837.00 | $802.35 – $802.35 |