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AURORA BAYCARE MEDICAL CTR

GREEN BAY, WI 54313 · Acute Care Hospitals

32 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 27, 2026 · Methodology

Procedures Analyzed

32

With CMS pricing data

Avg Charge-to-Medicare Ratio

5.7x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Proprietary

Above 90th Percentile

0%

Compared to WI hospitals

Understanding Your Costs

When you receive a bill from AURORA BAYCARE MEDICAL CTR, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, AURORA BAYCARE MEDICAL CTR lists chargemaster rates that average 5.7x the corresponding Medicare reimbursement amount across 32 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).

The median hospital in WI has a chargemaster-to-Medicare ratio of 4.1x, with ratios across the state ranging from 1.4x to 7.3x. At 5.7x, this facility’s average ratio is above the state median. 63 hospitals in WI report pricing data to CMS (Source: CMS IPPS Provider Summary).

The procedure with the largest gap between the listed price and Medicare reimbursement at AURORA BAYCARE MEDICAL CTR is SEIZURES WITHOUT MCC (DRG 101). The listed chargemaster rate is $45,209, while Medicare reimburses $4,397 for the same procedure — a ratio of 10.3x (Source: CMS IPPS Provider Summary, FY2024).

What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.

AURORA BAYCARE MEDICAL CTR is a proprietary acute care hospitals facility with a CMS quality rating of 4/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.

Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio

Listed Chargemaster Rate Medicare Reimbursement

Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Procedure Pricing Lookup

Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
SEIZURES WITHOUT MCC101$45,209$4,39710.3x
1th
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$37,730$4,8427.8x
1th
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EXTRACRANIAL PROCEDURES WITHOUT CC/MCC039$46,209$6,1047.6x
0th
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$40,800$5,3957.6x
0th
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SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$49,906$6,9457.2x
1th
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CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$39,735$5,7276.9x
0th
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$70,735$10,5336.7x
0th
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MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$29,361$4,4066.7x
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MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$58,196$9,0606.4x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$46,173$7,4076.2x
1th
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OTHER VASCULAR PROCEDURES WITH CC253$94,469$15,2886.2x
0th
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$23,793$3,8666.2x
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GASTROINTESTINAL HEMORRHAGE WITH CC378$33,309$5,4626.1x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$65,949$11,1835.9x
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PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$51,156$8,7565.8x
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CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$117,427$21,3615.5x
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HEART FAILURE AND SHOCK WITH MCC291$39,926$7,3525.4x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$44,341$8,1695.4x
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GASTROINTESTINAL HEMORRHAGE WITH MCC377$59,111$11,0255.4x
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SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$30,207$5,7165.3x
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SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$65,092$12,4615.2x
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OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$47,950$9,9004.8x
0th
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HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$62,823$13,1934.8x
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MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$36,124$7,8404.6x
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CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O023$174,074$39,5394.4x
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PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$89,965$21,0534.3x
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INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$50,752$12,6334.0x
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INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$130,289$33,1363.9x
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RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$38,483$9,9613.9x
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REVISION OF HIP OR KNEE REPLACEMENT WITH CC467$84,859$22,0423.9x
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REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC468$58,271$16,0193.6x
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MAJOR CHEST PROCEDURES WITH MCC163$114,381$32,2413.5x
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Showing 32 of 32 procedures

All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Statewide Context

Charge-to-Medicare ratio range across WI hospitals

1.4x
Median: 4.1x
7.3x
5.7x

63 hospitals in WI report pricing data to CMS. This facility's average ratio of 5.7x places it at the upper-middle range of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

Compare Your Bill

Upload your bill and our system compares every line item against CMS reimbursement data. Free, takes 60 seconds.

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Request an Itemized Bill

Federal law entitles you to a detailed breakdown of every charge. If you haven't received one, knowing what to ask for is the first step.

Learn how

Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

How it works

Data: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).

Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.

Read our methodology·Report a data error

Frequently Asked Questions About AURORA BAYCARE MEDICAL CTR

How much does AURORA BAYCARE MEDICAL CTR charge compared to Medicare?

According to CMS IPPS data, AURORA BAYCARE MEDICAL CTR's listed chargemaster rates average 5.7x the Medicare reimbursement amount across 32 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.

What is the most expensive procedure at AURORA BAYCARE MEDICAL CTR?

The procedure with the highest chargemaster-to-Medicare ratio at AURORA BAYCARE MEDICAL CTR is SEIZURES WITHOUT MCC (DRG 101), with a listed charge of $45,209 compared to Medicare reimbursement of $4,397 — a ratio of 10.3x. Source: CMS IPPS Provider Summary.

Is AURORA BAYCARE MEDICAL CTR expensive compared to other WI hospitals?

AURORA BAYCARE MEDICAL CTR's average chargemaster-to-Medicare ratio is 5.7x. Ratios vary significantly across WI hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.

Where does the pricing data for AURORA BAYCARE MEDICAL CTR come from?

All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.

How can I check if my bill from AURORA BAYCARE MEDICAL CTR is correct?

You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.

Does AURORA BAYCARE MEDICAL CTR in GREEN BAY, WI accept Medicare?

AURORA BAYCARE MEDICAL CTR is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact AURORA BAYCARE MEDICAL CTR directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.