Graft puraplyam antimicrob 1.6-q4196-cost per sq cm at Aurora Medical Center Sheboygan County
3400 Union Ave, Sheboygan, WI · Aurorahealthcare · · NPI 1922053107
$180.95
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.
$361.90
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.
$95.56 with Everpointe Elite vs $302.02 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 |
|---|---|---|---|
| Everpointe Elite | Commercial | $95.56 | ↓ -47% |
| Aurora Caregiver | Commercial | $105.35 | ↓ -42% |
| Aetna | HMO | $108.86 | ↓ -40% |
| HealthPartners | Employee Trust Fund | $123.33 | ↓ -32% |
| HealthPartners | Robin | $128.99 | ↓ -29% |
| Centivo | Commercial | $138.56 | ↓ -23% |
| Common Ground | Envision | $138.56 | ↓ -23% |
| Health Payment Systems | Commercial | $142.68 | ↓ -21% |
| Quartz One | Commercial | $142.68 | ↓ -21% |
| Common Ground | Exchange | $144.33 | ↓ -20% |
| Common Ground | Employee Trust Fund | $144.33 | ↓ -20% |
| Cigna | PPO-GPPO | $158.54 | ↓ -12% |
| Quartz Group | Commercial | $163.82 | ↓ -9% |
| HS Technology | Commercial | $177.66 | ↓ -2% |
| United Healthcare | Nexus | $211.06 | ↑ +17% |
| United Healthcare | Charter | $211.06 | ↑ +17% |
| United Healthcare | Exchange | $211.06 | ↑ +17% |
| United Healthcare | HMO | $211.06 | ↑ +17% |
| Anthem | Blue Priority | $213.19 | ↑ +18% |
| Health EOS Plus | Commercial | $213.19 | ↑ +18% |
| Wisconsin Physician Service | Aurora Featured | $220.30 | ↑ +22% |
| Wisconsin Physician Service | Statewide | $230.96 | ↑ +28% |
| Anthem | Blue Preferred | $230.96 | ↑ +28% |
| Wisconsin Physician Service | Arise | $230.96 | ↑ +28% |
| Trilogy | Commercial | $248.72 | ↑ +37% |
| Molina Exchange | Commercial | $257.88 | ↑ +43% |
| HealthPartners | Broad | $266.49 | ↑ +47% |
| Health EOS | PPO | $284.26 | ↑ +57% |
| Aetna | PPO | $293.49 | ↑ +62% |
| United Healthcare | PPO | $299.18 | ↑ +65% |
| Cigna | PPO | $300.60 | ↑ +66% |
| Anthem | PPO | $302.02 | ↑ +67% |
Visitor-reported prices
Comments
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HSHS St. Nicholas Hospital | SHEBOYGAN | $193.38 | $103.75 – $273.83 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $176.49 | $126.23 – $316.50 |
| UnityPoint Health - Meriter Hospital | Madison | $272.00 | $78.20 – $289.00 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh | $141.36 | $144.86 – $248.00 |
| Aurora Medical Center Burlington | Burlington | $215.91 | $95.56 – $257.88 |
| Aurora Medical Center Fond du Lac | Fond Du Lac | $314.50 | $95.56 – $257.88 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $91.16 | $72.24 – $157.48 |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton | $141.36 | $144.86 – $248.00 |