62/100
#863 nationally
Aurora Medical Center Sheboygan County
2629 N 7Th St, Sheboygan, WI 53083 · (920) 451-5000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Aurora Medical Center Sheboygan County billed $4.24 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 4.2x
- volume-weighted across all its priced work
- Procedures priced
- 55
- inpatient and outpatient combined
- Rank in WI
- #33
- lower markup ranks higher
- CMS quality stars
- 5/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 59% of U.S. hospitals.
Better than 60% of U.S. hospitals.
Better than 61% of U.S. hospitals.
Better than 80% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
279 | $12,436 | $2,102 | +6% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
180 | $18,939 | $2,422 | about average |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
172 | $50,490 | $14,893 | -23% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
122 | $50,522 | $11,842 | -19% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
106 | $34,439 | $10,225 | -21% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
71 | $10,841 | $1,714 | -8% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
64 | $9,844 | $1,477 | about average |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
61 | $9,585 | $1,759 | -16% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
58 | $15,622 | $2,589 | -12% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
55 | $32,540 | $2,933 | +29% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$14,499 | $1,464 | +29% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$32,540 | $2,933 | +29% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$9,876 | $1,459 | +15% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
$48,945 | $12,991 | +12% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$12,436 | $2,102 | +6% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
$57,267 | $9,065 | +5% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$36,208 | $11,936 | about average |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$29,172 | $6,159 | about average |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$101,188 | $33,510 | -43% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$14,185 | $3,026 | -39% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$35,553 | $13,005 | -37% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
$32,273 | $10,574 | -37% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$39,006 | $9,372 | -35% |
|
Fainting
MS-DRG 312 · Inpatient stay |
$24,421 | $6,565 | -33% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
$47,446 | $15,734 | -33% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$26,919 | $6,507 | -32% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.