Shoulder MRI (with contrast) at Aurora Medical Center Sheboygan County
3400 Union Ave, Sheboygan, WI · Aurorahealthcare · · NPI 1922053107
$4,420.00
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.
$8,840.00
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.
$650.00 with Aurora Caregiver vs $3,757.00 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 |
|---|---|---|---|
| Aurora Caregiver | Commercial | $650.00 | ↓ -85% |
| Anthem | Blue Priority | $755.00 | ↓ -83% |
| United Healthcare | Exchange | $767.00 | ↓ -83% |
| United Healthcare | Nexus | $773.00 | ↓ -83% |
| United Healthcare | Charter | $773.00 | ↓ -83% |
| United Healthcare | HMO | $853.00 | ↓ -81% |
| HealthPartners | Employee Trust Fund | $954.00 | ↓ -78% |
| Anthem | Blue Preferred | $969.00 | ↓ -78% |
| Centivo | Commercial | $1,038.00 | ↓ -77% |
| Common Ground | Envision | $1,083.00 | ↓ -75% |
| Common Ground | Employee Trust Fund | $1,083.00 | ↓ -75% |
| Common Ground | Exchange | $1,083.00 | ↓ -75% |
| Aetna | HMO | $1,114.00 | ↓ -75% |
| Health Payment Systems | Commercial | $1,170.00 | ↓ -74% |
| HealthPartners | Robin | $1,185.00 | ↓ -73% |
| Quartz One | Commercial | $1,200.00 | ↓ -73% |
| Molina Exchange | Commercial | $1,273.00 | ↓ -71% |
| HS Technology | Commercial | $1,350.00 | ↓ -69% |
| Quartz Group | Commercial | $1,350.00 | ↓ -69% |
| Everpointe Elite | Commercial | $1,352.00 | ↓ -69% |
| Trilogy | Commercial | $1,520.00 | ↓ -66% |
| Wisconsin Physician Service | Aurora Featured | $1,636.00 | ↓ -63% |
| Wisconsin Physician Service | Statewide | $1,722.00 | ↓ -61% |
| Wisconsin Physician Service | Arise | $1,722.00 | ↓ -61% |
| Cigna | PPO-GPPO | $2,550.00 | ↓ -42% |
| Health EOS Plus | Commercial | $2,652.00 | ↓ -40% |
| HealthPartners | Broad | $3,315.00 | ↓ -25% |
| Health EOS | PPO | $3,536.00 | ↓ -20% |
| Aetna | PPO | $3,650.92 | ↓ -17% |
| United Healthcare | PPO | $3,721.64 | ↓ -16% |
| Cigna | PPO | $3,739.32 | ↓ -15% |
| Anthem | PPO | $3,757.00 | ↓ -15% |
Visitor-reported prices
Comments
Shoulder MRI (with contrast) at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HSHS St. Nicholas Hospital | SHEBOYGAN | $2,542.32 | $179.97 – $1,724.93 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $2,607.07 | $127.60 – $1,692.04 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $2,607.07 | $127.60 – $1,692.04 |
| UnityPoint Health - Meriter Hospital | Madison | $6,415.28 | $71.72 – $2,662.34 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $2,448.60 | $571.09 – $3,195.55 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $2,456.30 | $592.21 – $2,293.27 |
| SSM Health St. Mary's Hospital - Madison | Madison | $2,982.10 | $571.09 – $2,406.05 |
| SSM Health Monroe Hospital | Monroe | $3,223.00 | $761.45 – $788.49 |