Kit lead specify 5-6-5 at Aurora Medical Center Sheboygan County
3400 Union Ave, Sheboygan, WI · Aurorahealthcare · · NPI 1922053107
$6,861.06
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.
$13,722.11
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.
$3,117.93 with Aetna vs $5,453.18 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 | $3,117.93 | ↓ -55% |
| HS Technology | Commercial | $3,207.75 | ↓ -53% |
| Everpointe Elite | Commercial | $3,207.75 | ↓ -53% |
| Quartz One | Commercial | $3,528.53 | ↓ -49% |
| United Healthcare | Exchange | $3,810.81 | ↓ -44% |
| United Healthcare | HMO | $3,810.81 | ↓ -44% |
| United Healthcare | Charter | $3,810.81 | ↓ -44% |
| United Healthcare | Nexus | $3,810.81 | ↓ -44% |
| Aurora Caregiver | Commercial | $3,849.30 | ↓ -44% |
| Anthem | Blue Priority | $3,849.30 | ↓ -44% |
| Common Ground | Exchange | $3,849.30 | ↓ -44% |
| Common Ground | Employee Trust Fund | $3,849.30 | ↓ -44% |
| Common Ground | Envision | $3,849.30 | ↓ -44% |
| Health EOS Plus | Commercial | $3,849.30 | ↓ -44% |
| HealthPartners | Employee Trust Fund | $3,849.30 | ↓ -44% |
| Molina Exchange | Commercial | $3,849.30 | ↓ -44% |
| Quartz Group | Commercial | $3,849.30 | ↓ -44% |
| Wisconsin Physician Service | Aurora Featured | $3,977.61 | ↓ -42% |
| Wisconsin Physician Service | Arise | $4,170.08 | ↓ -39% |
| Wisconsin Physician Service | Statewide | $4,170.08 | ↓ -39% |
| Anthem | Blue Preferred | $4,170.08 | ↓ -39% |
| Health Payment Systems | Commercial | $4,170.08 | ↓ -39% |
| Trilogy | Commercial | $4,490.85 | ↓ -35% |
| HealthPartners | Robin | $4,811.63 | ↓ -30% |
| Cigna | PPO-GPPO | $4,811.63 | ↓ -30% |
| Centivo | Commercial | $4,811.63 | ↓ -30% |
| HealthPartners | Broad | $4,811.63 | ↓ -30% |
| Health EOS | PPO | $5,132.40 | ↓ -25% |
| Aetna | PPO | $5,299.20 | ↓ -23% |
| United Healthcare | PPO | $5,401.85 | ↓ -21% |
| Cigna | PPO | $5,427.51 | ↓ -21% |
| Anthem | PPO | $5,453.18 | ↓ -21% |
Visitor-reported prices
Comments
Kit lead specify 5-6-5 at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Meriter Hospital | Madison | $14,616.21 | $4,202.16 – $17,356.75 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $5,073.07 | not published |
| SSM Health St. Mary's Hospital - Madison | Madison | $15,889.84 | not published |
| SSM Health Monroe Hospital | Monroe | $1,412.98 | not published |
| SSM Health Ripon Community Hospital | Ripon | $3,957.94 | not published |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $3,957.94 | not published |
| SSM Health Waupun Memorial Hospital | Waupun | $3,957.94 | not published |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $22,776.88 | not published |