CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Aurora Medical Center Sheboygan County

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$2,735
about 2.2× the $1,223 Medicare rate · typically $1,341–$3,719
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,976
About the fair price
about $241 over the fair price · 2.4× Medicare
Medicare pays $1,223 Fair price $2,735 This hospital $2,976

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $166 Priciest $2,976

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a Colonoscopy with biopsy is about $2,735 (about 2.2× the $1,223 Medicare rate). Aurora Medical Center Sheboygan County charges insurers about $2,976 — about the fair price. Located in Sheboygan, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $2,955 - $3,242 242%
Blue Cross Blue Shieldmajor $1,979 - $2,550 162%
Aetnamajor $3,119 255%
Cignamajor $6,800 556%
Molina $2,568 210%
Quartz $2,790 - $3,260 228%
+ 8 smaller / regional plans $2,153 - $4,387

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Facility Profile & Credentials

  • Address: 2629 N 7Th St, Sheboygan, WI 53083
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals