Aurora Medical Center Sheboygan County
Aurora Medical Center Sheboygan County in Sheboygan, Wisconsin charges 4.8x the Medicare reimbursement rate across 26 analyzed procedures at this nonprofit facility.
Sheboygan, WI 53083 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
No credit card required. Results in 60 seconds.
Pricing grade
C
Average
Avg markup vs Medicare
4.82x
Charge / Medicare rate
Max markup
7.85x
Worst procedure
Procedures analyzed
26
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $38,385 | $19,193 | — | 7.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $31,270 | $15,635 | — | 7.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $37,695 | $18,848 | — | 6.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $35,062 | $17,531 | — | 6.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $25,398 | $12,699 | — | 5.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $25,507 | $12,753 | — | 5.6x |
| SYNCOPE AND COLLAPSE | 312 | $27,925 | $13,963 | — | 5.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $24,696 | $12,348 | — | 5.3x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $27,716 | $13,858 | — | 5.2x |
| RENAL FAILURE WITH CC | 683 | $25,859 | $12,929 | — | 5.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $30,035 | $15,018 | — | 5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $47,973 | $23,986 | — | 4.8x |
| CELLULITIS WITHOUT MCC | 603 | $22,903 | $11,452 | — | 4.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $33,155 | $16,577 | — | 4.2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $30,276 | $15,138 | — | 4.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $46,261 | $23,131 | — | 4.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $31,299 | $15,650 | — | 4.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $48,167 | $24,083 | — | 4.1x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $42,429 | $21,214 | — | 3.9x |
| PSYCHOSES | 885 | $32,423 | $16,212 | — | 3.9x |
| RENAL FAILURE WITH MCC | 682 | $36,113 | $18,056 | — | 3.8x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $98,892 | $49,446 | — | 3.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $23,499 | $11,750 | — | 3.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $26,348 | $13,174 | — | 3.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $30,451 | $15,225 | — | 3.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $23,714 | $11,857 | — | 3.2x |
How AURORA MEDICAL CENTER SHEBOYGAN COUNTY compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
Got a bill from AURORA MEDICAL CENTER SHEBOYGAN COUNTY?
Upload your bill and our AI compares every line item against these benchmark prices. Free analysis in 60 seconds. You only pay if we find savings.
Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
Related pricing data
Got a bill from Aurora Medical Center Sheboygan County?
Free guides to help you take action
Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use