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 |
|---|---|---|---|---|
| Storage/year embryo(s) CPT 89342 | not published | not published | $317.34 – $317.34 | 1 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $317.34 – $317.34 | 1 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $317.34 – $317.34 | 1 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $317.34 – $317.34 | 1 |
| Strapping of hand or finger CPT 29280 | $97.50 | $195.00 | not published | 0 |
| Strep a ag ia CPT 87430 | $20.00 | $40.00 | $13.45 – $59.00 | 16 |
| Strep a dna dir probe CPT 87650 | not published | not published | $16.04 – $70.37 | 16 |
| Strep a dna quant CPT 87652 | not published | not published | $33.41 – $146.56 | 16 |
| Strep b assay w/optic CPT 87802 | not published | not published | $10.18 – $44.68 | 16 |
| Strep b dna amp probe CPT 87653 | $90.00 | $180.00 | $28.07 – $123.15 | 16 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | not published | not published | $75.00 – $119.25 | 2 |
| Streptokinase antibody CPT 86590 | not published | not published | $10.13 – $44.43 | 16 |
| Streptomycin injection HCPCS J3000 | not published | not published | $10.20 – $68.96 | 12 |
| Streptozocin injection HCPCS J9320 | not published | not published | $335.26 – $553.48 | 4 |
| Stress test pulmonary CPT 94618 | $217.50 | $435.00 | not published | 0 |
| Stress tte complete CPT 93351 | $2,830.00 | $5,660.00 | not published | 0 |
| Str markers spec anal addl CPT 81266 | not published | not published | $243.85 – $1,069.75 | 16 |
| Str markers specimen anal CPT 81265 | $380.00 | $760.00 | $186.46 – $817.98 | 16 |
| St treatment speech individual CPT 92507 | $255.00 | $510.00 | not published | 0 |
| St treatment swallow dysfunction/oral CPT 92526 | $270.00 | $540.00 | not published | 0 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | not published | not published | $0.79 – $1.23 | 3 |
| Sugars multiple quant CPT 84379 | not published | not published | $9.22 – $40.47 | 16 |
| Sugars single quant CPT 84378 | not published | not published | $9.22 – $40.47 | 16 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | not published | not published | $0.06 – $0.06 | 1 |
| Sulfonylurea screen qn-sendout CPT 80377 | $230.00 | $460.00 | $19.34 – $19.34 | 1 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | not published | not published | $37.00 – $74.97 | 3 |
| Support clav 29.6-40.5in med HCPCS L3650 | $70.00 | $140.00 | not published | 0 |
| Supprelin la implant HCPCS J9226 | not published | not published | $45,212.04 – $110,438.78 | 13 |
| Surgical pathology level 1 gross examination only CPT 88300 | $87.50 | $175.00 | $12.70 – $33.78 | 2 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $147.50 | $295.00 | $25.12 – $75.84 | 2 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $190.00 | $380.00 | $33.49 – $91.11 | 2 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $307.50 | $615.00 | $57.17 – $101.64 | 2 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $480.00 | $960.00 | $225.20 – $596.70 | 2 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $680.00 | $1,360.00 | $342.13 – $838.50 | 2 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $80.00 – $127.50 | 2 |
| Susceptibility agar dilution per agent CPT 87181 | $20.00 | $40.00 | $3.80 – $16.67 | 16 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $20.00 | $40.00 | $3.80 – $16.67 | 16 |
| Susceptibility mic per plate CPT 87186 | $40.00 | $80.00 | $6.92 – $30.36 | 16 |
| Suscept studies macrobroth dilution ea CPT 87188 | $100.00 | $200.00 | $5.31 – $23.31 | 16 |
| Svc venogram s&i CPT 75827 | $2,095.00 | $4,190.00 | not published | 0 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $2.02 – $7.98 | 2 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $8.43 – $21.72 | 11 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $9.16 – $22.36 | 13 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $17.50 | $35.00 | $3.52 – $15.44 | 16 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $4,341.60 | $8,683.20 | not published | 0 |
| System sealant biosentry tract HCPCS C2613 | $613.73 | $1,227.45 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $95.00 | $190.00 | $13.55 – $59.45 | 16 |
| T3 (triiodothyronine) total CPT 84480 | $105.00 | $210.00 | $11.34 – $49.76 | 16 |
| T4 (thyroxine) free CPT 84439 | $90.00 | $180.00 | $7.22 – $31.66 | 16 |
| T4 (thyroxine) total CPT 84436 | $72.50 | $145.00 | $5.50 – $24.11 | 16 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.57 – $1.39 | 12 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.77 – $4.40 | 12 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.18 – $0.92 | 12 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $254.67 – $621.39 | 13 |
| Tacrolimus therapeutic drug level CPT 80197 | $77.50 | $155.00 | $10.98 – $48.18 | 16 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $13.71 – $34.08 | 12 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $70.36 – $171.70 | 13 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $67.65 – $170.73 | 12 |
| Talymed HCPCS Q4127 | not published | not published | $70.54 – $167.11 | 10 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $0.18 – $0.30 | 3 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,710.00 | $5,420.00 | $607.62 – $2,665.62 | 16 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $1,735.00 | $3,470.00 | $2,335.68 – $10,246.56 | 16 |
| Target gsa panel organ neop CPT 81445 | $1,525.00 | $3,050.00 | $478.33 – $2,098.41 | 16 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,440.00 – $2,295.00 | 4 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.37 – $0.99 | 13 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $109.60 – $480.81 | 16 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $212.50 | $425.00 | $80.00 – $350.96 | 16 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $175.00 | $350.00 | $49.58 – $217.53 | 16 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $400.00 – $617.04 | 2 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $0.01 – $1,482.39 | 4 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $683.80 – $5,609.48 | 4 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $988.68 – $1,120.00 | 2 |
| Tc-99m diag per dose HCPCS A4641 | $50.00 | $100.00 | not published | 0 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $0.01 – $107.10 | 3 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $1,040.32 – $2,622.38 | 4 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $802.34 – $2,622.38 | 4 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $297.60 – $328.60 | 3 |
| Tc-99m labeled rbc HCPCS A9560 | $232.50 | $465.00 | $89.66 – $142.91 | 3 |
| Tc-99m maa HCPCS A9540 | $265.00 | $530.00 | $28.80 – $45.90 | 3 |
| Tc-99m mebrofenin HCPCS A9537 | $157.50 | $315.00 | $53.10 – $84.63 | 3 |
| Tc-99m medronate HCPCS A9503 | $95.00 | $190.00 | $12.48 – $19.89 | 3 |
| Tc-99m mertiatide HCPCS A9562 | $407.50 | $815.00 | not published | 0 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $5.00 | $10.00 | $10.00 – $10.00 | 1 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $0.01 – $67.32 | 3 |
| Tc-99m pentetate dtpa HCPCS A9539 | $175.00 | $350.00 | $0.01 – $47.94 | 3 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $115.00 | $230.00 | $25.98 – $25.98 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $4.00 | $8.00 | $1.60 – $2.60 | 3 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $110.00 | $220.00 | $61.49 – $98.00 | 3 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $310.00 | $620.00 | $102.48 – $140.66 | 2 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $575.44 – $917.12 | 2 |
| Tc-99m sulfur colloid HCPCS A9541 | $250.00 | $500.00 | $256.67 – $409.07 | 3 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $357.50 | $715.00 | $81.86 – $130.47 | 3 |
| Tc-99m tilmanocept diag HCPCS A9520 | $800.00 | $1,600.00 | $635.11 – $1,012.22 | 3 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $175.00 | $350.00 | $37.58 – $164.88 | 16 |
| T cells absolute cd 4 count CPT 86361 | $95.00 | $190.00 | $21.42 – $93.98 | 16 |
| T cells total count CPT 86359 | $135.00 | $270.00 | $30.18 – $132.42 | 16 |
| Team conf w/pat by hc prof CPT 99366 | $82.50 | $165.00 | not published | 0 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $214.76 – $524.00 | 12 |
| Telavancin injection HCPCS J3095 | not published | not published | $6.38 – $18.05 | 13 |
| Telehealth original site facility fee HCPCS Q3014 | $27.50 | $55.00 | not published | 0 |
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.