CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Aurora Medical Center Sheboygan County

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$46,016
about 2.0× the $23,504 Medicare rate · typically $27,277–$62,004
modeled estimate · not a bill or quote
What this hospital charges insurers
$61,936
Above the fair price
about $15,920 over the fair price · 2.6× Medicare
Medicare pays $23,504 Fair price $46,016 This hospital $61,936

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 $15,202 Priciest $61,936

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $46,016 (about 2.0× the $23,504 Medicare rate). Aurora Medical Center Sheboygan County charges insurers about $61,936 — above the fair price. Located in Sheboygan, WI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $46,016. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $62,211 - $69,889 265%
Blue Cross Blue Shieldmajor $56,847 - $74,854 242%
Aetnamajor $46,407 197%
Cignamajor $67,892 289%
HealthPartners $50,746 - $58,116 216%
Molina $59,584 254%
Quartz $56,782 - $66,442 242%
+ 8 smaller / regional plans $53,487 - $65,195

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: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals