Shoe post-op mens m at Aurora Medical Center Sheboygan County
3400 Union Ave, Sheboygan, WI · Aurorahealthcare · · NPI 1922053107
$55.53
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.
$111.06
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.
$30.78 with Aetna vs $53.83 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 | $30.78 | ↓ -45% |
| HS Technology | Commercial | $31.67 | ↓ -43% |
| Everpointe Elite | Commercial | $31.67 | ↓ -43% |
| Quartz One | Commercial | $34.83 | ↓ -37% |
| United Healthcare | Nexus | $37.62 | ↓ -32% |
| United Healthcare | HMO | $37.62 | ↓ -32% |
| United Healthcare | Charter | $37.62 | ↓ -32% |
| United Healthcare | Exchange | $37.62 | ↓ -32% |
| Common Ground | Employee Trust Fund | $38.00 | ↓ -32% |
| Common Ground | Envision | $38.00 | ↓ -32% |
| Health EOS Plus | Commercial | $38.00 | ↓ -32% |
| Quartz Group | Commercial | $38.00 | ↓ -32% |
| Anthem | Blue Priority | $38.00 | ↓ -32% |
| Molina Exchange | Commercial | $38.00 | ↓ -32% |
| HealthPartners | Employee Trust Fund | $38.00 | ↓ -32% |
| Aurora Caregiver | Commercial | $38.00 | ↓ -32% |
| Common Ground | Exchange | $38.00 | ↓ -32% |
| Wisconsin Physician Service | Aurora Featured | $39.26 | ↓ -29% |
| Wisconsin Physician Service | Statewide | $41.16 | ↓ -26% |
| Anthem | Blue Preferred | $41.16 | ↓ -26% |
| Health Payment Systems | Commercial | $41.16 | ↓ -26% |
| Wisconsin Physician Service | Arise | $41.16 | ↓ -26% |
| Trilogy | Commercial | $44.33 | ↓ -20% |
| HealthPartners | Robin | $47.50 | ↓ -14% |
| HealthPartners | Broad | $47.50 | ↓ -14% |
| Centivo | Commercial | $47.50 | ↓ -14% |
| Cigna | PPO-GPPO | $47.50 | ↓ -14% |
| Health EOS | PPO | $50.66 | ↓ -9% |
| Aetna | PPO | $52.31 | ↓ -6% |
| United Healthcare | PPO | $53.32 | ↓ -4% |
| Cigna | PPO | $53.58 | ↓ -4% |
| Anthem | PPO | $53.83 | ↓ -3% |
Visitor-reported prices
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Shoe post-op mens m at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $12.19 | $12.67 – $20.50 |
| UnityPoint Health - Meriter Hospital | Madison | $52.20 | $7.13 – $26.35 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $74.35 | not published |
| Aurora Medical Center Summit | Summit | $45.34 | not published |
| Aurora Baycare Medical Center | Green Bay | $40.00 | not published |
| Aurora Medical Center Manitowoc | Two Rivers | $40.00 | not published |
| Aurora West Allis Medical Center | West Allis | $74.40 | not published |
| Aurora Medical Center Bay Area | Marinette | $40.00 | not published |