Suscept studies macrobroth dilution ea at Aurora Medical Center Sheboygan County
3400 Union Ave, Sheboygan, WI · Aurorahealthcare · · NPI 1922053107
$100.00
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.
$200.00
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.
$5.31 with United Healthcare vs $170.00 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 |
|---|---|---|---|
| United Healthcare | HMO | $5.31 | ↓ -95% |
| United Healthcare | Charter | $5.31 | ↓ -95% |
| United Healthcare | Nexus | $5.31 | ↓ -95% |
| United Healthcare | Exchange | $5.31 | ↓ -95% |
| Anthem | Blue Priority | $6.64 | ↓ -93% |
| Aurora Caregiver | Commercial | $6.64 | ↓ -93% |
| Anthem | Blue Preferred | $7.97 | ↓ -92% |
| Common Ground | Employee Trust Fund | $13.94 | ↓ -86% |
| Common Ground | Exchange | $13.94 | ↓ -86% |
| Common Ground | Envision | $14.52 | ↓ -85% |
| Centivo | Commercial | $14.52 | ↓ -85% |
| Aetna | HMO | $14.81 | ↓ -85% |
| Health Payment Systems | Commercial | $16.60 | ↓ -83% |
| Quartz One | Commercial | $16.60 | ↓ -83% |
| HealthPartners | Employee Trust Fund | $17.61 | ↓ -82% |
| Molina Exchange | Commercial | $18.33 | ↓ -82% |
| HS Technology | Commercial | $18.68 | ↓ -81% |
| Cigna | PPO-GPPO | $19.11 | ↓ -81% |
| Quartz Group | Commercial | $19.26 | ↓ -81% |
| Everpointe Elite | Commercial | $19.59 | ↓ -80% |
| Wisconsin Physician Service | Aurora Featured | $21.51 | ↓ -78% |
| HealthPartners | Robin | $22.55 | ↓ -77% |
| Wisconsin Physician Service | Statewide | $22.64 | ↓ -77% |
| Wisconsin Physician Service | Arise | $22.64 | ↓ -77% |
| Trilogy | Commercial | $23.31 | ↓ -77% |
| Health EOS Plus | Commercial | $120.00 | ↑ +20% |
| HealthPartners | Broad | $150.00 | ↑ +50% |
| Health EOS | PPO | $160.00 | ↑ +60% |
| Aetna | PPO | $165.20 | ↑ +65% |
| United Healthcare | PPO | $168.40 | ↑ +68% |
| Cigna | PPO | $169.20 | ↑ +69% |
| Anthem | PPO | $170.00 | ↑ +70% |
Visitor-reported prices
Comments
Suscept studies macrobroth dilution ea at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HSHS St. Nicholas Hospital | SHEBOYGAN | $143.88 | $6.64 – $14.94 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $47.17 | $6.64 – $28.64 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $47.17 | $6.64 – $28.64 |
| UnityPoint Health - Meriter Hospital | Madison | $267.45 | $3.98 – $120.35 |
| Orthopaedic Hospital of Wisconsin, LLC | Glendale | $111.83 | $6.44 – $11.89 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $146.30 | $4.98 – $65.97 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $197.45 | $4.98 – $52.77 |
| SSM Health St. Mary's Hospital - Madison | Madison | $231.00 | $4.98 – $53.97 |