Skip to main content
States Procedures Methodology Search
CMS Price Transparency Data Hospital file updated: 2025-11-21

Office visit, established patient (20-29 min)

Facility: Aurora Medical Center Sheboygan County

Billing Code: 99213 (CPT)

Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Good Deal · Below Fair Market
$121Fair BaseRate (0.68× Market)
Position vs. 1.00× Fair Price32% Below Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

This hospital's typical commercial price is $82 compared to the $121 fair price benchmark.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Value Leader
CMS Star Rating5/5 StarsOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score96/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER WaitNo ER DataMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

5-Star CMS clinical quality rating paired with 0.68× fair market pricing.

The BaseRate · fair price medium confidence
A fair price for this
$121
about 1.3× the $95 Medicare rate · typically $75–$259
modeled estimate · not a bill or quote
What this hospital charges insurers
$82
Below the fair price — a good deal
about $39 under the fair price · 0.9× Medicare
Medicare pays $95 Fair price $121 This hospital $82 Cash price $166 Hospital's list price $333

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 $58 Priciest $82

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

A fair price for a Office visit, established patient (20-29 min) is about $121 (about 1.3× the $95 Medicare rate). Aurora Medical Center Sheboygan County charges insurers about $82, or about $166 in cash — below the fair price — a good deal. 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

UnitedHealthcareBlue Cross Blue ShieldAetnaCigna 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 $82 - $290 86%
Blue Cross Blue Shieldmajor $66 - $293 69%
Aetnamajor $78 - $285 82%
Cignamajor $100 - $292 105%
HealthPartners $74 - $259 78%
Molina $74 78%
Quartz $70 - $80 74%
+ 10 smaller / regional plans $65 - $276

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 2629 N 7Th St, Sheboygan, WI 53083
  • CMS Rating: 5 / 5 Stars
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals

Other Procedures at Aurora Medical Center Sheboygan County

Compare: Office visit, established patient (20-29 min) at other WI hospitals

Insurance negotiated median for the same procedure, sorted lowest first.

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at Aurora Medical Center Sheboygan County (Zero PHI Required)

CMS CCN: 520035
CPT 99213
Fair BaseRate™ $121
Medicare Rate $95
Self-Pay Cash $166
Insurer Median $82
Pre-filled with Aurora Medical Center Sheboygan County’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $121 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $121

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $121).

Step 2 · Cash vs. Insurance Arbitrage Save $167 Paying Cash

Self-Pay Cash Rate ($166) Beats Your Bill

Aurora Medical Center Sheboygan County's published 45 CFR § 180 self-pay cash rate is $166 (vs. $82 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$212 Above Fair BaseRate

Negotiate Toward $121 Fair BaseRate ($95 Medicare)

Your bill ($333) is $212 above the denoised Fair BaseRate ($121) and 3.5× the $95 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.
CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall5/5 Stars (5/5)

Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

45 CFR § 180 Primary-Source Lineage & Federal Verification Verified CMS CCN 520035

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (390930748_aurora-medical-center-sheboygan-county_standardcharges.csv) Verify on CMS Medicare.gov (CCN 520035) ↗ CMS HCRIS Cost Reports ↗
Published MRF File390930748_aurora-medical-center-sheboygan-county_standardcharges.csv
Publication / Vintage2025-11-21 · 121.94 MB
Validated Rate Rows1,285,014 (CMS v3.0.0)
File Integrity Digeste377e3b8d8d6d2246557…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy