Advocate Aurora Health · Sheboygan, WI
45
In-network payers
578
Disclosed rate categories
118
Beds
5
Care quality
Aurora Sheboygan Memorial Medical Center is a 118-bed voluntary non-profit - private hospital in Sheboygan, WI, affiliated with Advocate Aurora Health. Below you'll find publicly disclosed negotiated rates and facility details, including 45 in-network payers and 578 disclosed rate categories.
CCN (Medicare provider number)
520035
NPI
1922053107
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
118
Care Quality
5
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 Sheboygan Memorial Medical Center 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 - $5,359
from 4 insurers · median $5,325
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$8,092 - $15,352
from 4 insurers · median $9,663
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 neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$11,998 - $21,832
from 4 insurers · median $16,220
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 neonatal nursery services to CMS
MRI imaging
CPT 70553
$3,079 - $5,551
from 4 insurers · median $5,511
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$3,267 - $3,440
from 4 insurers · median $3,290
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$2,401 - $19,000
from 4 insurers · median $13,427
38 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 71260
$2,490 - $2,669
from 4 insurers · median $2,650
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$2,115 - $3,544
from 4 insurers · median $2,258
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$4,763 - $5,372
from 4 insurers · median $5,197
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$3,119 - $6,902
from 4 insurers · median $6,853
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$11,569 - $14,301
from 3 insurers · median $13,500
38 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
MRI imaging
CPT 72148
$469 - $3,587
from 4 insurers · median $3,562
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$906 - $17,500
from 4 insurers · median $3,271
279 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
X-ray and bone density
CPT 71046
$391 - $408
from 4 insurers · median $405
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,320 - $6,800
from 4 insurers · median $3,812
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$607 - $5,551
from 4 insurers · median $5,511
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$4,358
negotiated rate
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$10,276 - $13,500
from 3 insurers · median $10,876
20 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
MRI imaging
CPT 73721
$347 - $3,587
from 4 insurers · median $3,562
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$2,026 - $6,800
from 4 insurers · median $3,574
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$8,092 - $15,352
from 4 insurers · median $9,663
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 neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$55,820 - $69,407
from 2 insurers · median $62,614
Hospital reports orthopedic surgery services to CMS
Gynecology
CPT 58571
$11,569 - $19,000
from 4 insurers · median $13,166
13 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$1,988 - $6,800
from 4 insurers · median $3,825
Common here, based on CMS Medicare volume
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* | 22 | 556% | 18 | 1 |
| Insurer B* | 22 | 412% | 13 | 5 |
| Insurer C* | 23 | 404% | 16 | 4 |
| Insurer D* | 22 | 378% | 10 | 8 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 4 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 Sheboygan Memorial Medical Center.
2629 North Seventh Street, Sheboygan, WI 53083
(920) 451-5000
The nearest hospitals of similar type and size. Their rates are compared with Aurora Sheboygan Memorial Medical Center for the same insurers and services above.
St. Nicholas Hospital
▼ Rates typically 24% lower than Aurora Sheboygan Memorial Medical Center (21 services)
Holy Family Memorial Medical Center
▼ Rates typically 32% lower than Aurora Sheboygan Memorial Medical Center (21 services)
Froedtert West Bend Hospital
▼ Rates typically 32% lower than Aurora Sheboygan Memorial Medical Center (21 services)
St Marys Ozaukee
▼ Rates typically 82% lower than Aurora Sheboygan Memorial Medical Center (19 services)
St. Agnes Hospital
▼ Rates typically 14% lower than Aurora Sheboygan Memorial Medical Center (21 services)
Ascension Ne Wisconsin - Mercy Campus
▼ Rates typically 48% lower than Aurora Sheboygan Memorial Medical Center (21 services)
Aurora Medical Center Burlington
Aurora Sinai Medical Center
Aurora Medical Center Summit
About Aurora Sheboygan Memorial Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Aurora Sheboygan Memorial Medical Center range from $3,079 to $5,551 across 4 insurers. Blue Cross Blue Shield's rate is $5,551. The median at nearby comparable hospitals is $1,386. 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 Sheboygan Memorial Medical Center range from $5,288 to $5,359 across 4 insurers. Aetna's rate is $5,359. The median at nearby comparable hospitals is $1,070. 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 Sheboygan Memorial Medical Center range from $2,320 to $6,800 across 4 insurers. Cigna's rate is $6,800. The median at nearby comparable hospitals is $3,844. 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 Sheboygan Memorial Medical Center range from $8,092 to $15,352 across 4 insurers. Aetna's rate is $8,150. What a patient pays depends on their plan's deductible, coinsurance and network status.
Aurora Sheboygan Memorial Medical Center has 118 beds. Facility type: Short Term Acute Care Hospital.
Aurora Sheboygan Memorial Medical Center is located at 2629 North Seventh Street, Sheboygan, WI 53083. Its main phone number is (920) 451-5000.
Aurora Sheboygan Memorial Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 520035.
The National Provider Identifier (NPI) on file for Aurora Sheboygan Memorial Medical Center is 1922053107.
Aurora Sheboygan Memorial Medical Center is affiliated with Advocate Aurora Health.
Aurora Sheboygan Memorial Medical Center lists 45 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.
578 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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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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