Aurora Medical Center Sheboygan County

3400 Union Ave · Sheboygan, WI 53081

🤖AI Overview

⚠️ This hospital charges 4.3x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$55.5M

Medicare Payments

$12.8M

Discharges

1,349

Avg Length of Stay

4.2 days

Markup Ratio

4.3x

Risk Score

2.00

Fairness Grade: D

Poor — charges 4–5x what Medicare pays

Aurora Medical Center Sheboygan County charges an average of $41,149 per discharge, but Medicare only pays $9,452 — a markup of 4.3x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio

This Hospital

4.3x

State Avg

4.5x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$41,149

State Avg

$63,361

National Avg

$69,838

Avg Length of Stay

This Hospital

4.2 days

State Avg

5.2 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

15.6%

65–74

36.4%

75–84

30.2%

85+

17.7%

Gender

50.4%

Female

49.6%

Male

Dual Eligibility

23.8%

Dual Eligible

76.2%

Non-Dual

Race & Ethnicity

White

87.4%

Black

1.2%

Hispanic

2.6%

Asian

4.3%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Chronic Kidney Disease

51.0%

Arthritis

48.7%

Ischemic Heart Disease

44.7%

Diabetes

44.0%

Heart Failure

43.9%

Mood Disorders

39.2%

Depression

36.2%

Anxiety

35.9%

Atrial Fibrillation

34.7%

COPD

29.3%

Cancer

18.2%

Asthma

17.1%

Osteoporosis

17.0%

Alzheimer's/Dementia

15.2%

Tobacco Use

14.4%

Stroke/TIA

12.7%

Substance Use

10.3%

Bipolar Disorder

6.6%

Schizophrenia/Psychosis

5.7%

PTSD

3.1%

ADHD/Conduct Disorders

2.9%

Personality Disorders

2.7%

Parkinson's

1.9%

Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.