Wisconsin / Aurora Medical Center Sheboygan County
CMS certification 520035 · Sheboygan, WI · 1 entry in CMS's price-transparency list
Aurora Medical Center Sheboygan County: charges and Medicare payments
Aurora Medical Center Sheboygan County reported 880 Medicare inpatient stays across 31 DRGs in 2024. Across them it charged 3.59 times what it was paid — mid-range in Wisconsin, number 24 of 55 hospitals with at least 100 stays (state median 3.47×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 172 stays at an average charge of $50,490, 44% below the national average. It also billed 1,326 outpatient services, charging 6.59 times what Medicare paid.
- 1Medicare inpatient stays 880
- 2Charge ÷ paid, inpatient 3.59×
- 3Rank in WI (highest ratio = 1) 24 of 55
- 4CMS price-transparency actions 1
Inpatient stays
For the 31 DRGs that can be compared with the national average, Aurora Medical Center Sheboygan County charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 172 | $50,490 | -44% | $14,893 |
| 291 Heart Failure and Shock with MCC | 106 | $34,439 | -39% | $10,225 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 52 | $30,763 | -37% | $7,457 |
| 885 Psychoses | 52 | $36,208 | -18% | $11,936 |
| 189 Pulmonary Edema and Respiratory Failure | 45 | $33,760 | -41% | $9,393 |
| 177 Respiratory Infections and Inflammations with MCC | 36 | $45,352 | -36% | $12,578 |
| 193 Simple Pneumonia and Pleurisy with MCC | 35 | $34,705 | -42% | $10,120 |
| 378 Gastrointestinal Hemorrhage with CC | 29 | $36,107 | -26% | $7,238 |
| 603 Cellulitis without MCC | 23 | $24,686 | -34% | $6,454 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 22 | $101,188 | -56% | $33,510 |
| 682 Renal Failure with MCC | 20 | $41,865 | -37% | $11,582 |
| 389 Gastrointestinal Obstruction with CC | 19 | $28,236 | -27% | $6,091 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 19 | $35,553 | -52% | $13,005 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 18 | $42,075 | -45% | $10,761 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 17 | $24,983 | -38% | $5,989 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 16 | $57,267 | -10% | $9,065 |
| 313 Chest Pain | 16 | $30,540 | -24% | $6,480 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $27,438 | -26% | $5,897 |
| 690 Kidney and Urinary Tract Infections without MCC | 16 | $29,172 | -23% | $6,159 |
| 312 Syncope and Collapse | 15 | $24,421 | -46% | $6,565 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $43,266 | -28% | $10,313 |
| 377 Gastrointestinal Hemorrhage with MCC | 14 | $47,446 | -44% | $15,734 |
| 689 Kidney and Urinary Tract Infections with MCC | 14 | $38,110 | -26% | $8,697 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 13 | $24,952 | -31% | $6,496 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 12 | $33,086 | -41% | $7,259 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 12 | $48,944 | -3% | $12,991 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 12 | $29,429 | -21% | $6,523 |
| 178 Respiratory Infections and Inflammations with CC | 11 | $31,128 | -31% | $7,210 |
| 194 Simple Pneumonia and Pleurisy with CC | 11 | $24,462 | -36% | $6,259 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $32,273 | -47% | $10,574 |
| 683 Renal Failure with CC | 11 | $23,999 | -41% | $6,598 |
Outpatient services
Against the Wisconsin average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Aurora Medical Center Sheboygan County charged $50,490 on average, 15% less than the Wisconsin average of $59,481, and was paid $14,893 against a state average of $16,719. For Heart Failure and Shock with MCC (DRG 291), Aurora Medical Center Sheboygan County charged $34,439 on average, 13% less than the Wisconsin average of $39,564, and was paid $10,225 against a state average of $10,862. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Aurora Medical Center Sheboygan County charged $30,763 on average, 10% less than the Wisconsin average of $34,158, and was paid $7,457 against a state average of $8,925. For Psychoses (DRG 885), Aurora Medical Center Sheboygan County charged $36,208 on average, 30% more than the Wisconsin average of $27,914, and was paid $11,936 against a state average of $12,682. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $12,436 was 8% above the state average of $11,485. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,939 was 7% above the state average of $17,717. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $50,522 was 0% below the state average of $50,282. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $10,841 was 7% below the state average of $11,645.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Aurora Medical Center Sheboygan County in Sheboygan, WI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-06-24 (CMS case 5346)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.