Transcath biopsy at Aurora Medical Center Sheboygan County
3400 Union Ave, Sheboygan, WI · Aurorahealthcare · · NPI 1922053107
$1,245.00
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.
$2,490.00
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.
$1,070.70 with HealthPartners vs $15,090.00 with United Healthcare — 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 |
|---|---|---|---|
| HealthPartners | Employee Trust Fund | $1,070.70 | ↓ -14% |
| HealthPartners | Robin | $1,444.20 | ↑ +16% |
| Health EOS Plus | Commercial | $1,494.00 | ↑ +20% |
| HealthPartners | Broad | $1,867.50 | ↑ +50% |
| Health EOS | PPO | $1,992.00 | ↑ +60% |
| Aetna | PPO | $2,056.74 | ↑ +65% |
| United Healthcare | PPO | $2,096.58 | ↑ +68% |
| Cigna | PPO | $2,106.54 | ↑ +69% |
| Anthem | PPO | $2,116.50 | ↑ +70% |
| Cigna | PPO-GPPO | $3,500.00 | ↑ +181% |
| Everpointe Elite | Commercial | $7,978.00 | ↑ +541% |
| Common Ground | Employee Trust Fund | $8,181.00 | ↑ +557% |
| Common Ground | Exchange | $8,181.00 | ↑ +557% |
| Common Ground | Envision | $8,181.00 | ↑ +557% |
| Aetna | HMO | $8,243.00 | ↑ +562% |
| Aurora Caregiver | Commercial | $8,450.00 | ↑ +579% |
| Anthem | Blue Priority | $8,456.00 | ↑ +579% |
| Quartz One | Commercial | $8,690.00 | ↑ +598% |
| Molina Exchange | Commercial | $9,071.00 | ↑ +629% |
| Centivo | Commercial | $9,834.00 | ↑ +690% |
| HS Technology | Commercial | $10,017.00 | ↑ +705% |
| Quartz Group | Commercial | $10,170.00 | ↑ +717% |
| Wisconsin Physician Service | Aurora Featured | $10,544.00 | ↑ +747% |
| Health Payment Systems | Commercial | $10,600.00 | ↑ +751% |
| Anthem | Blue Preferred | $10,914.00 | ↑ +777% |
| Wisconsin Physician Service | Arise | $11,099.00 | ↑ +791% |
| Wisconsin Physician Service | Statewide | $11,099.00 | ↑ +791% |
| Trilogy | Commercial | $11,699.00 | ↑ +840% |
| United Healthcare | Exchange | $13,752.00 | ↑ +1005% |
| United Healthcare | Nexus | $13,851.00 | ↑ +1013% |
| United Healthcare | Charter | $13,851.00 | ↑ +1013% |
| United Healthcare | HMO | $15,090.00 | ↑ +1112% |
Visitor-reported prices
Comments
Transcath biopsy at other Wisconsin hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HSHS St. Nicholas Hospital | SHEBOYGAN | $6,243.60 | $1,628.87 – $12,244.06 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee | $4,877.59 | $338.30 – $880.97 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon | $7,436.96 | $338.30 – $880.97 |
| UnityPoint Health - Meriter Hospital | Madison | $6,692.30 | $191.84 – $2,777.30 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $2,488.20 | $4,203.64 – $16,582.00 |
| SSM Health St. Mary's Hospital - Madison | Madison | $2,869.35 | $4,053.72 – $18,955.00 |
| SSM Health Monroe Hospital | Monroe | $786.50 | $5,404.97 – $17,116.00 |
| SSM Health Ripon Community Hospital | Ripon | $2,889.70 | $4,428.00 – $18,364.00 |