Target gsa panel hmtlmph neop at Aurora Medical Center Sheboygan County
3400 Union Ave, Sheboygan, WI · Aurorahealthcare · · NPI 1922053107
$2,710.00
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.
$5,420.00
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.
$607.62 with United Healthcare vs $4,607.00 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 | Charter | $607.62 | ↓ -78% |
| United Healthcare | Nexus | $607.62 | ↓ -78% |
| United Healthcare | Exchange | $607.62 | ↓ -78% |
| United Healthcare | HMO | $607.62 | ↓ -78% |
| Anthem | Blue Priority | $759.53 | ↓ -72% |
| Aurora Caregiver | Commercial | $759.53 | ↓ -72% |
| Anthem | Blue Preferred | $911.44 | ↓ -66% |
| Everpointe Elite | Commercial | $1,404.51 | ↓ -48% |
| Common Ground | Employee Trust Fund | $1,595.01 | ↓ -41% |
| Common Ground | Exchange | $1,595.01 | ↓ -41% |
| Common Ground | Envision | $1,660.33 | ↓ -39% |
| Centivo | Commercial | $1,660.33 | ↓ -39% |
| Aetna | HMO | $1,693.75 | ↓ -38% |
| Health Payment Systems | Commercial | $1,898.83 | ↓ -30% |
| Quartz One | Commercial | $1,898.83 | ↓ -30% |
| HealthPartners | Employee Trust Fund | $2,014.46 | ↓ -26% |
| Molina Exchange | Commercial | $2,096.30 | ↓ -23% |
| HS Technology | Commercial | $2,137.32 | ↓ -21% |
| Quartz Group | Commercial | $2,202.64 | ↓ -19% |
| Cigna | PPO-GPPO | $2,217.18 | ↓ -18% |
| Wisconsin Physician Service | Aurora Featured | $2,460.88 | ↓ -9% |
| HealthPartners | Robin | $2,578.51 | ↓ -5% |
| Wisconsin Physician Service | Statewide | $2,590.00 | ↓ -4% |
| Wisconsin Physician Service | Arise | $2,590.00 | ↓ -4% |
| Trilogy | Commercial | $2,665.62 | ↓ -2% |
| Health EOS Plus | Commercial | $3,252.00 | ↑ +20% |
| HealthPartners | Broad | $4,065.00 | ↑ +50% |
| Health EOS | PPO | $4,336.00 | ↑ +60% |
| Aetna | PPO | $4,476.92 | ↑ +65% |
| United Healthcare | PPO | $4,563.64 | ↑ +68% |
| Cigna | PPO | $4,585.32 | ↑ +69% |
| Anthem | PPO | $4,607.00 | ↑ +70% |
Visitor-reported prices
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Target gsa panel hmtlmph neop at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HSHS St. Nicholas Hospital | SHEBOYGAN | $1,954.92 | $607.62 – $1,708.94 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $4,396.88 | $131.32 – $2,377.07 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $4,396.88 | $131.32 – $2,377.07 |
| UnityPoint Health - Meriter Hospital | Madison | $2,423.00 | $455.72 – $1,090.35 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $4,531.45 | $569.65 – $4,731.28 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $4,382.95 | $569.65 – $3,785.02 |
| SSM Health St. Mary's Hospital - Madison | Madison | $4,158.00 | $569.65 – $3,871.05 |
| SSM Health Monroe Hospital | Monroe | $4,565.55 | $759.53 – $1,329.18 |