Thrombin time at Aurora Medical Center Sheboygan County
3400 Union Ave, Sheboygan, WI · Aurorahealthcare · · NPI 1922053107
$50.00
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.
$100.00
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.
$4.62 with United Healthcare vs $85.00 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 | $4.62 | ↓ -91% |
| United Healthcare | Nexus | $4.62 | ↓ -91% |
| United Healthcare | Exchange | $4.62 | ↓ -91% |
| United Healthcare | Charter | $4.62 | ↓ -91% |
| Anthem | Blue Priority | $5.77 | ↓ -88% |
| Aurora Caregiver | Commercial | $5.77 | ↓ -88% |
| Anthem | Blue Preferred | $6.92 | ↓ -86% |
| Common Ground | Employee Trust Fund | $12.12 | ↓ -76% |
| Common Ground | Exchange | $12.12 | ↓ -76% |
| Centivo | Commercial | $12.61 | ↓ -75% |
| Common Ground | Envision | $12.61 | ↓ -75% |
| Aetna | HMO | $12.87 | ↓ -74% |
| Quartz One | Commercial | $14.43 | ↓ -71% |
| Health Payment Systems | Commercial | $14.43 | ↓ -71% |
| HealthPartners | Employee Trust Fund | $15.31 | ↓ -69% |
| Molina Exchange | Commercial | $15.93 | ↓ -68% |
| HS Technology | Commercial | $16.24 | ↓ -68% |
| Quartz Group | Commercial | $16.73 | ↓ -67% |
| Everpointe Elite | Commercial | $17.02 | ↓ -66% |
| Cigna | PPO-GPPO | $17.19 | ↓ -66% |
| Wisconsin Physician Service | Aurora Featured | $18.69 | ↓ -63% |
| HealthPartners | Robin | $19.59 | ↓ -61% |
| Wisconsin Physician Service | Statewide | $19.68 | ↓ -61% |
| Wisconsin Physician Service | Arise | $19.68 | ↓ -61% |
| Trilogy | Commercial | $20.25 | ↓ -60% |
| Health EOS Plus | Commercial | $60.00 | ↑ +20% |
| HealthPartners | Broad | $75.00 | ↑ +50% |
| Health EOS | PPO | $80.00 | ↑ +60% |
| Aetna | PPO | $82.60 | ↑ +65% |
| United Healthcare | PPO | $84.20 | ↑ +68% |
| Cigna | PPO | $84.60 | ↑ +69% |
| Anthem | PPO | $85.00 | ↑ +70% |
Visitor-reported prices
Comments
Thrombin time at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HSHS St. Nicholas Hospital | SHEBOYGAN | $89.10 | $1.59 – $12.98 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $47.17 | $5.77 – $25.23 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $47.17 | $5.77 – $25.23 |
| UnityPoint Health - Meriter Hospital | Madison | $82.75 | $3.46 – $32.27 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $43.45 | $4.33 – $57.36 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $43.45 | $4.33 – $45.87 |
| SSM Health St. Mary's Hospital - Madison | Madison | $43.45 | $4.33 – $46.92 |
| SSM Health Monroe Hospital | Monroe | $44.55 | $5.77 – $10.10 |