Aurora Medical Center Burlington
252 McHenry St, Burlington, WI · Aurorahealthcare · · NPI 1861557753
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $6.60 | $13.20 | $0.38 – $0.99 | 12 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $1.52 | $3.03 | $0.14 – $0.35 | 12 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.01 – $0.44 | 2 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $176.88 – $439.32 | 13 |
| Ipratropium bromide comp HCPCS J7645 | not published | not published | $0.05 – $0.08 | 2 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.33 – $0.90 | 12 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $1.64 – $4.82 | 12 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $64.22 – $156.68 | 13 |
| Iron CPT 83540 | $82.50 | $165.00 | $5.18 – $22.71 | 16 |
| Iron binding capacity CPT 83550 | $72.50 | $145.00 | $6.99 – $30.67 | 16 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $17.23 – $42.47 | 13 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $5.50 – $24.15 | 16 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $1.16 | $2.32 | $0.23 – $0.55 | 12 |
| Irradiation of blood product each unit reference CPT 86945 | $65.00 | $130.00 | $24.26 – $80.28 | 2 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $112.50 | $225.00 | not published | 0 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $78.05 – $193.61 | 12 |
| Ivc venogram s&i CPT 75825 | $2,095.00 | $4,190.00 | not published | 0 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $143.04 – $227.97 | 2 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $150.00 | $300.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $150.00 | $300.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $150.00 | $300.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $350.00 | $700.00 | not published | 0 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $670.00 | $1,340.00 | not published | 0 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $122.87 – $332.88 | 13 |
| Jak2 targeted sequence analysis CPT 81279 | $475.00 | $950.00 | $148.16 – $649.97 | 15 |
| John cunningham antibody CPT 86711 | $65.00 | $130.00 | $13.51 – $59.28 | 16 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $543.53 – $866.25 | 2 |
| Ketamine and metabolite screen - quest CPT 80357 | $225.00 | $450.00 | $19.34 – $19.34 | 1 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $12.38 – $54.30 | 16 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $47.50 | $95.00 | $6.54 – $28.67 | 16 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $29.73 | $59.46 | $0.50 – $1.83 | 12 |
| Kidney function study CPT 78725 | $1,595.00 | $3,190.00 | not published | 0 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,595.00 | $3,190.00 | not published | 0 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $515.00 | $1,030.00 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | $382.50 | $765.00 | $99.90 – $438.24 | 16 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,176.18 | $2,352.35 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $47.50 | $95.00 | $31.19 – $73.88 | 10 |
| Knee MRI (with and without contrast) CPT 73723 | $3,265.00 | $6,530.00 | not published | 0 |
| Knee MRI (with contrast) CPT 73722 | $2,210.00 | $4,420.00 | not published | 0 |
| Knee MRI (without contrast) CPT 73721 | $2,110.00 | $4,220.00 | not published | 0 |
| Knee X-ray CPT 73564 | $585.00 | $1,170.00 | not published | 0 |
| Kras gene addl variants CPT 81276 | $875.00 | $1,750.00 | $154.60 – $678.23 | 16 |
| Kras gene variants exon 2 CPT 81275 | $260.00 | $520.00 | $154.60 – $678.23 | 16 |
| Kyleena, 19.5 mg HCPCS J7296 | not published | not published | $1,214.63 – $1,858.40 | 3 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | $70.00 | $140.00 | not published | 0 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $25.80 | $51.60 | $0.27 – $0.72 | 11 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | not published | not published | $0.19 – $0.30 | 3 |
| Lactate dehydrogenase (ldh) CPT 83615 | $47.50 | $95.00 | $4.83 – $21.18 | 16 |
| Lactated ringers intravenous solution HCPCS J7120 | $113.71 | $227.42 | $2.30 – $5.89 | 12 |
| Lactic acid CPT 83605 | $65.00 | $130.00 | $9.26 – $40.60 | 16 |
| Lactoferrin fecal qualitative CPT 83630 | $75.00 | $150.00 | $15.76 – $69.14 | 16 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $15.70 – $68.90 | 16 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | not published | not published | $39.55 – $109.76 | 13 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | not published | not published | $0.04 – $0.06 | 3 |
| Laronidase injection HCPCS J1931 | not published | not published | $38.61 – $94.22 | 13 |
| Lead capillary CPT 83655 | $57.50 | $115.00 | $9.69 – $42.49 | 16 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $11,395.00 | $22,790.00 | not published | 0 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $16.04 – $70.37 | 16 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $33.41 – $146.56 | 16 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,015.00 | $2,030.00 | not published | 0 |
| Leishmania antibody CPT 86717 | not published | not published | $9.80 – $42.99 | 16 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $200.00 | $400.00 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $325.65 | $651.30 | not published | 0 |
| Lepirudin HCPCS J1945 | not published | not published | $0.01 – $855.81 | 2 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | not published | not published | $3.51 – $10.16 | 12 |
| Leukacyte transfusion CPT 86950 | not published | not published | $63.23 – $209.28 | 2 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $8.31 – $36.47 | 16 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | not published | not published | $172.29 – $441.14 | 13 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | not published | not published | $1,617.65 – $4,066.93 | 13 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $0.01 – $7,229.73 | 3 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $9.18 – $50.56 | 12 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $220.74 – $574.08 | 12 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $52.38 – $136.41 | 12 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $1.35 – $2.16 | 2 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.23 – $0.72 | 12 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.08 – $0.21 | 12 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $0.48 | $0.96 | $0.05 – $0.24 | 12 |
| Levetiracetam therapeutic drug level CPT 80177 | $100.00 | $200.00 | $10.60 – $46.50 | 16 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | not published | not published | $1.03 – $4.61 | 12 |
| Levonorgestrel implant sys HCPCS J7306 | not published | not published | $406.00 – $479.28 | 2 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $23.74 | $47.48 | $5.55 – $13.15 | 10 |
| Lidocaine injection HCPCS J2001 | not published | not published | $0.03 – $0.07 | 2 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | not published | not published | $0.01 – $0.02 | 3 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | not published | not published | $0.01 – $0.02 | 5 |
| Lidocaine therapeutic drug level CPT 80176 | $122.50 | $245.00 | $11.75 – $51.55 | 16 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $3,385.00 | $6,770.00 | not published | 0 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $887.36 – $1,357.67 | 3 |
| Limited autopsy CPT 88036 | not published | not published | $0.01 – $6.18 | 2 |
| Limited autopsy CPT 88037 | not published | not published | $0.01 – $5.49 | 2 |
| Lincomycin injection HCPCS J2010 | not published | not published | $6.24 – $21.53 | 12 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $25.77 | $51.53 | $3.07 – $13.58 | 12 |
| Lipase CPT 83690 | $105.00 | $210.00 | $5.51 – $24.18 | 16 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $27.09 – $118.83 | 16 |
| Lipoprotein blood quant CPT 83704 | $137.50 | $275.00 | $27.35 – $120.00 | 16 |
| Lipoprotein direct measurement hdl CPT 83718 | $60.00 | $120.00 | $6.55 – $28.74 | 16 |
| Lipoprotein direct measurement ldl CPT 83721 | $67.50 | $135.00 | $8.40 – $36.85 | 16 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $27.35 – $120.00 | 16 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $0.01 – $1,260,225.76 | 10 |
| Listeria monocytogenes CPT 86723 | not published | not published | $10.55 – $46.29 | 16 |
| Lithium therapeutic drug level CPT 80178 | $62.50 | $125.00 | $5.29 – $23.19 | 16 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.