Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution at Aurora Medical Center Sheboygan County
3400 Union Ave, Sheboygan, WI · Aurorahealthcare · · NPI 1922053107
not published by hospital
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.
not published by hospital
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.
$0.07 with Everpointe Elite vs $1.40 with Molina Exchange — 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 | $0.07 | — |
| Aurora Caregiver | Commercial | $0.39 | — |
| Anthem | Blue Priority | $0.48 | — |
| Common Ground | Employee Trust Fund | $0.53 | — |
| Common Ground | Exchange | $0.53 | — |
| Anthem | Blue Preferred | $0.58 | — |
| Aetna | HMO | $0.59 | — |
| HealthPartners | Employee Trust Fund | $0.67 | — |
| HealthPartners | Robin | $0.70 | — |
| Centivo | Commercial | $0.75 | — |
| Common Ground | Envision | $0.75 | — |
| Health Payment Systems | Commercial | $0.77 | — |
| Quartz One | Commercial | $0.77 | — |
| Cigna | PPO-GPPO | $0.86 | — |
| Quartz Group | Commercial | $0.89 | — |
| Molina Exchange | Commercial | $1.40 | — |
Visitor-reported prices
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Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HSHS St. Nicholas Hospital | SHEBOYGAN | $1.76 | $0.41 – $1.65 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $1.43 | $0.26 – $1.28 |
| UnityPoint Health - Meriter Hospital | Madison | $13.60 | $0.07 – $0.32 |
| Ascension SE Wisconsin Hospital - St. Joseph Campus | Milwaukee | $3.13 | $0.26 – $2.12 |
| Adventhealth Durand | Durand | $77.32 | not published |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | $1.17 | $0.41 – $1.65 |
| HSHS St. Clare Memorial Hospital | OCONTO FALLS | $1.06 | $1.52 – $1.60 |
| HSHS St. Vincent Hospital | Green Bay | $1.32 | $0.41 – $1.65 |