Advocate Aurora Health · Burlington, WI
41
In-network payers
550
Disclosed rate categories
123
Beds
3
Care quality
Aurora Medical Center Burlington is a 123-bed voluntary non-profit - private hospital in Burlington, WI, affiliated with Advocate Aurora Health. Below you'll find publicly disclosed negotiated rates and facility details, including 41 in-network payers and 550 disclosed rate categories.
CCN (Medicare provider number)
520059
NPI
1861557753
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
123
Care Quality
3
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Aurora Medical Center Burlington most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$5,288 - $5,428
from 4 insurers · median $5,325
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$9,275 - $15,352
from 4 insurers · median $10,335
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$12,988 - $21,832
from 4 insurers · median $15,728
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Medicine & Surgery
CPT 66984
$3,080 - $17,500
from 4 insurers · median $4,411
705 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93306
$3,725 - $4,293
from 4 insurers · median $4,262
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$5,498 - $5,551
from 4 insurers · median $5,517
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$3,267 - $3,503
from 4 insurers · median $3,290
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$2,644 - $2,696
from 4 insurers · median $2,663
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$5,557 - $6,370
from 4 insurers · median $5,994
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,026 - $6,800
from 4 insurers · median $4,171
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$11,569 - $19,000
from 4 insurers · median $13,184
Typical for a hospital with this service line
MRI imaging
CPT 72148
$3,353 - $3,587
from 4 insurers · median $3,562
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$307 - $357
from 4 insurers · median $325
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$4,648
negotiated rate
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$3,029 - $6,800
from 4 insurers · median $4,171
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$11,569 - $19,000
from 4 insurers · median $15,547
Typical for a hospital with this service line
MRI imaging
CPT 74183
$5,372 - $5,551
from 4 insurers · median $5,511
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,026 - $6,800
from 4 insurers · median $4,613
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$3,486 - $3,587
from 4 insurers · median $3,562
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$324 - $413
from 4 insurers · median $326
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 64721
$6,800 - $9,177
from 4 insurers · median $7,469
148 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
Digestive procedures
CPT 49650
$11,569 - $14,301
from 4 insurers · median $13,898
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$9,275 - $15,352
from 4 insurers · median $10,335
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Medicine & Surgery
CPT 29881
$9,766 - $13,500
from 4 insurers · median $10,508
49 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 23 | 645% | 13 | 5 |
| Insurer B* | 24 | 503% | 20 | 0 |
| Insurer C* | 23 | 381% | 16 | 4 |
| Insurer D* | 23 | 359% | 13 | 6 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Aurora Medical Center Burlington.
252 Mchenry Street, Burlington, WI 53105
(262) 767-6545
The nearest hospitals of similar type and size. Their rates are compared with Aurora Medical Center Burlington for the same insurers and services above.
Froedtert Pleasant Prairie Hospital
▲ Rates typically 11% higher than Aurora Medical Center Burlington (21 services)
Northwestern Medicine Mchenry Hospital
▼ Rates typically 23% lower than Aurora Medical Center Burlington (21 services)
Midwestern Regional Medical Center
▼ Rates typically 56% lower than Aurora Medical Center Burlington (21 services)
Northwestern Medicine Woodstock Hospital
▼ Rates typically 23% lower than Aurora Medical Center Burlington (21 services)
Vista Medical Center - East
▼ Rates typically 78% lower than Aurora Medical Center Burlington (21 services)
Prohealth Oconomowoc Memorial Hospital
▼ Rates typically 27% lower than Aurora Medical Center Burlington (20 services)
Aurora Medical Center Manitowoc County
Aurora Baycare Medical Center
West Allis Memorial Hospital
Aurora Medical Center Washington County
About Aurora Medical Center Burlington's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Aurora Medical Center Burlington range from $5,498 to $5,551 across 4 insurers. Blue Cross Blue Shield's rate is $5,551. The median at nearby comparable hospitals is $2,255. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Aurora Medical Center Burlington range from $5,288 to $5,428 across 4 insurers. Aetna's rate is $5,428. The median at nearby comparable hospitals is $1,769. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Aurora Medical Center Burlington range from $2,026 to $6,800 across 4 insurers. Cigna's rate is $6,800. The median at nearby comparable hospitals is $3,732. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Aurora Medical Center Burlington range from $9,275 to $15,352 across 4 insurers. UnitedHealthcare's rate is $11,175. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Aurora Medical Center Burlington range from $307 to $357 across 4 insurers. UnitedHealthcare's rate is $307. The median at nearby comparable hospitals is $309. What a patient pays depends on their plan's deductible, coinsurance and network status.
Aurora Medical Center Burlington has 123 beds. Facility type: Short Term Acute Care Hospital.
Aurora Medical Center Burlington is located at 252 Mchenry Street, Burlington, WI 53105. Its main phone number is (262) 767-6545.
Aurora Medical Center Burlington's CMS Certification Number (CCN), also called its Medicare provider number, is 520059.
The National Provider Identifier (NPI) on file for Aurora Medical Center Burlington is 1861557753.
Aurora Medical Center Burlington is affiliated with Advocate Aurora Health.
Aurora Medical Center Burlington lists 41 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
550 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers