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 |
|---|---|---|---|---|
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $176.19 – $1,468.89 | 13 |
| Liver Function Test CPT 80076 | $140.00 | $280.00 | $6.54 – $28.67 | 16 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $12.64 | $25.27 | $0.93 – $2.94 | 12 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $107.99 – $172.11 | 3 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $206.38 – $517.57 | 12 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $44.30 | $88.60 | $1.16 – $3.30 | 12 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,305.00 | $4,610.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,570.00 | $3,140.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,470.00 | $2,940.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,265.00 | $6,530.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,210.00 | $4,420.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,110.00 | $4,220.00 | not published | 0 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $295.00 | $590.00 | not published | 0 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $14.40 – $22.95 | 3 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $17.59 – $77.17 | 16 |
| Lumbar diskogram s&i CPT 72295 | $1,940.00 | $3,880.00 | not published | 0 |
| Lumizyme injection HCPCS J0221 | not published | not published | $201.57 – $492.00 | 13 |
| Lung Function Test (Spirometry) CPT 94010 | $265.00 | $530.00 | not published | 0 |
| Lung perfusion imaging CPT 78580 | $1,095.00 | $2,190.00 | not published | 0 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $203.60 – $499.95 | 12 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $40.62 – $100.71 | 12 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $281.71 – $448.98 | 4 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $228.31 – $363.87 | 4 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $16.04 – $70.37 | 16 |
| Lymphatics/lymph node imaging CPT 78195 | $1,385.00 | $2,770.00 | not published | 0 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $29.25 – $166.60 | 16 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $39.22 – $172.07 | 16 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $151.61 – $665.10 | 16 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $38.07 – $167.02 | 16 |
| Lymph vessel x-ray arm/leg CPT 75801 | $815.00 | $1,630.00 | not published | 0 |
| Lymph vessel x-ray arms/legs CPT 75803 | $1,225.00 | $2,450.00 | not published | 0 |
| Lymph vessel x-ray trunk CPT 75805 | $815.00 | $1,630.00 | not published | 0 |
| Lymph vessel x-ray trunk CPT 75807 | $1,225.00 | $2,450.00 | not published | 0 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $15.33 – $37.76 | 11 |
| Macro exam dissect molec study ea CPT 88387 | $10.00 | $20.00 | $20.40 – $28.87 | 2 |
| Macroscopic exam arthropod CPT 87168 | $20.00 | $40.00 | $3.42 – $14.98 | 16 |
| Macroscopic exam parasite CPT 87169 | $20.00 | $40.00 | $3.45 – $15.13 | 16 |
| Magnesium CPT 83735 | $75.00 | $150.00 | $5.36 – $23.51 | 16 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $16.27 | $32.54 | $0.47 – $1.19 | 12 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $13.82 – $19.65 | 3 |
| Malaria antibody CPT 86750 | $82.50 | $165.00 | $10.55 – $46.29 | 16 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $60.00 | $120.00 | not published | 0 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $120.00 | $240.00 | not published | 0 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $2.26 – $6.19 | 12 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $6.31 – $10.07 | 3 |
| Manual diff wbc count b-coat CPT 85009 | $37.50 | $75.00 | $4.06 – $17.79 | 16 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $48.21 – $120.54 | 12 |
| Marker biop eviva buckle ss HCPCS A4648 | $457.58 | $915.16 | not published | 0 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $1,137.96 – $1,137.96 | 1 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $87.59 – $207.48 | 10 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $1,760.00 – $2,805.00 | 2 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $19.77 – $50.16 | 10 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $28.07 – $123.15 | 16 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $21.83 – $95.77 | 16 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $34.27 – $150.35 | 16 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $100.00 | $200.00 | $11.57 – $50.75 | 16 |
| Mayo aathr protein s free CPT 85306 | $160.00 | $320.00 | $12.26 – $53.77 | 16 |
| Mayo activated protein c resistance assay CPT 85307 | $140.00 | $280.00 | $12.26 – $53.77 | 16 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $357.50 | $715.00 | $30.86 – $135.37 | 15 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $147.50 | $295.00 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $112.50 | $225.00 | $19.34 – $19.34 | 1 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $70.00 | $140.00 | $11.82 – $51.86 | 16 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $225.00 | $450.00 | $19.34 – $19.34 | 1 |
| Mayo alpha 1 antitrypsin CPT 82103 | $100.00 | $200.00 | $10.75 – $47.16 | 16 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $60.00 | $120.00 | $12.06 – $52.93 | 16 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $90.00 | $180.00 | not published | 0 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $92.50 | $185.00 | $19.34 – $19.34 | 1 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $497.50 | $995.00 | $97.30 – $426.88 | 16 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $442.50 | $885.00 | $73.33 – $321.69 | 16 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $437.50 | $875.00 | $109.60 – $480.81 | 16 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | not published | not published | $928.00 – $4,071.11 | 16 |
| Mayo androstenedione CPT 82157 | not published | not published | $23.42 – $102.75 | 16 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $95.00 | $190.00 | $11.68 – $51.23 | 16 |
| Mayo antithrombin iii antigen CPT 85301 | $130.00 | $260.00 | $8.65 – $37.94 | 16 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $50.00 | $100.00 | $12.04 – $52.82 | 16 |
| Mayo avwpr vw factor activity CPT 85397 | $192.50 | $385.00 | $24.69 – $108.31 | 16 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $70.00 | $140.00 | $28.07 – $113.69 | 14 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | not published | not published | $19.34 – $19.34 | 1 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $37.50 | $75.00 | $8.14 – $35.72 | 16 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | not published | not published | $115.87 – $508.33 | 16 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $171.70 – $753.22 | 16 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $50.00 | $100.00 | $10.32 – $45.27 | 16 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $172.50 | $345.00 | $19.34 – $19.34 | 1 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $80.00 | $160.00 | $10.55 – $46.29 | 16 |
| Mayo brcmg brucella antibody igm CPT 86622 | $37.50 | $75.00 | $7.14 – $31.34 | 16 |
| Mayo c1 esterase inhibitor CPT 83883 | $590.00 | $1,180.00 | $10.88 – $47.74 | 16 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $107.50 | $215.00 | $19.34 – $19.34 | 1 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $155.00 | $310.00 | $13.50 – $59.21 | 16 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $117.50 | $235.00 | $21.42 – $93.98 | 16 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $207.50 | $415.00 | $97.78 – $428.94 | 16 |
| Mayo ceruloplasmin CPT 82390 | $85.00 | $170.00 | $8.59 – $37.69 | 16 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $225.00 | $450.00 | $11.30 – $49.55 | 16 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $130.00 | $260.00 | $10.30 – $45.21 | 16 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $35.00 | $70.00 | $9.46 – $41.49 | 16 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $35.00 | $70.00 | $10.14 – $44.50 | 16 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $217.50 | $435.00 | $93.19 – $408.83 | 16 |
| Mayo chromium CPT 82495 | $67.50 | $135.00 | $16.22 – $71.17 | 16 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $75.00 | $150.00 | $19.34 – $19.34 | 1 |
| Mayo coccidioides antibody CPT 86635 | $35.00 | $70.00 | $9.18 – $40.26 | 16 |
| Mayo cocou cortisone urine CPT 82542 | $1,505.00 | $3,010.00 | $19.27 – $84.55 | 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.