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 |
|---|---|---|---|---|
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,110.00 | $4,220.00 | not published | 0 |
| Urea nitrogen CPT 84520 | $27.50 | $55.00 | $3.16 – $13.85 | 16 |
| Urea nitrogen 24 hour urine CPT 84540 | $57.50 | $115.00 | $4.45 – $19.51 | 16 |
| Urea nitrogen clearance CPT 84545 | $72.50 | $145.00 | $5.76 – $25.26 | 16 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $4.10 – $18.01 | 16 |
| Ureteral embolization/occl CPT 50705 | $3,545.00 | $7,090.00 | not published | 0 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $515.00 | $1,030.00 | not published | 0 |
| Urethrocystography void s&i CPT 74455 | $690.00 | $1,380.00 | not published | 0 |
| Uric acid blood CPT 84550 | $57.50 | $115.00 | $3.62 – $15.86 | 16 |
| Uric acid urine CPT 84560 | $52.50 | $105.00 | $4.06 – $17.83 | 16 |
| Urinalysis glass test CPT 81020 | not published | not published | $3.76 – $16.49 | 16 |
| Urinalysis microscopic only CPT 81015 | $20.00 | $40.00 | $2.44 – $10.71 | 16 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $1.74 – $7.61 | 16 |
| Urinalysis (with microscopy) CPT 81001 | $57.50 | $115.00 | $2.54 – $11.13 | 16 |
| Urinalysis (without microscopy) CPT 81003 | $25.00 | $50.00 | $1.80 – $7.89 | 16 |
| Urine Culture Test CPT 87086 | $80.00 | $160.00 | $6.46 – $28.33 | 16 |
| Urine pregnancy test CPT 81025 | $77.50 | $155.00 | $6.89 – $30.21 | 16 |
| Urine screen for bacteria CPT 81007 | not published | not published | $7.57 – $105.22 | 16 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $2.40 – $27.77 | 16 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $0.01 – $120.14 | 3 |
| Urography, antegrade CPT 74425 | $560.00 | $1,120.00 | not published | 0 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $0.01 – $686.60 | 2 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $0.01 – $13.74 | 2 |
| Use 1st target lesion CPT 76982 | $360.00 | $720.00 | not published | 0 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $12.76 – $31.13 | 13 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $155.88 – $380.35 | 13 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $161.65 – $394.43 | 12 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $147.06 – $358.83 | 12 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $155.90 – $380.38 | 12 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $87.78 – $214.18 | 12 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $65.55 – $159.94 | 12 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $29.59 – $48.39 | 3 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $103.62 – $164.60 | 3 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $62.82 – $102.62 | 3 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $156.62 – $263.12 | 3 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $120.06 – $201.71 | 3 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $30.58 – $51.38 | 3 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $13.04 – $20.25 | 3 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $70.48 – $174.72 | 12 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $128.47 – $212.01 | 3 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $38.85 – $63.86 | 3 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $30.75 – $30.75 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $75.15 – $183.35 | 12 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $70.38 – $171.72 | 13 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $168.30 – $410.65 | 13 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $30.77 – $75.08 | 13 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $307.61 – $516.78 | 3 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $0.01 – $269.09 | 3 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $83.49 – $203.72 | 13 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $83.49 – $203.72 | 13 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $21.86 – $53.33 | 12 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $22.35 – $54.53 | 13 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $18.44 – $30.98 | 7 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $67.98 – $114.21 | 6 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $0.01 – $34.86 | 5 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $19.73 – $33.15 | 7 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $9.22 – $15.50 | 7 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $24.50 – $41.16 | 6 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $64.51 – $108.38 | 7 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $36.85 – $89.91 | 12 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $10.93 – $26.67 | 12 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $228.10 – $375.90 | 3 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $193.94 – $319.64 | 3 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $170.20 – $288.92 | 3 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $160.37 – $264.35 | 3 |
| Vaccine mmr live subcutaneous CPT 90707 | not published | not published | $95.20 – $155.39 | 3 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $278.16 – $467.31 | 3 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $133.47 – $325.67 | 13 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $257.99 – $629.49 | 13 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $253.56 – $618.69 | 12 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $298.04 – $727.21 | 12 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $44.73 – $75.15 | 3 |
| Vaccine rabies im CPT 90675 | not published | not published | $317.67 – $799.77 | 13 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $300.90 – $495.60 | 3 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $530.15 – $873.18 | 3 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $530.15 – $873.18 | 3 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $294.00 – $493.92 | 3 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $141.39 – $233.09 | 3 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $98.82 – $166.02 | 3 |
| Vaccine tdap >=7 years im CPT 90715 | $144.97 | $289.93 | $38.52 – $94.25 | 12 |
| Vaccine td preservative free >= 7 years im CPT 90714 | not published | not published | $33.48 – $81.70 | 12 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $111.68 – $246.24 | 4 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $183.00 – $307.44 | 3 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $209.58 – $376.28 | 3 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.02 | 3 |
| Valproic acid total therapeutic drug level CPT 80164 | $122.50 | $245.00 | $10.83 – $47.52 | 16 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,392.52 – $3,397.74 | 13 |
| Vancomycin hcl injection HCPCS J3370 | $25.19 | $50.38 | $1.92 – $6.78 | 12 |
| Vancomycin peak therapeutic drug level CPT 80202 | $142.50 | $285.00 | $10.83 – $47.52 | 16 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $28.07 – $123.15 | 16 |
| Vantas implant HCPCS J9225 | not published | not published | $0.01 – $7,457.01 | 4 |
| Varicella zoster antibody igg CPT 86787 | $85.00 | $170.00 | $10.30 – $45.21 | 16 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $2,226.22 – $3,666.72 | 4 |
| Vasc emb/occ w/prs cath HCPCS C9797 | $20,240.00 | $40,480.00 | not published | 0 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | not published | not published | $1.42 – $3.98 | 11 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | not published | not published | $21.16 – $52.87 | 13 |
| Veeg cont 2-12 hrs CPT 95713 | $1,825.00 | $3,650.00 | not published | 0 |
| Vein x-ray adrenal glands CPT 75842 | $3,935.00 | $7,870.00 | not published | 0 |
| Vein x-ray kidney CPT 75831 | $2,095.00 | $4,190.00 | not published | 0 |
| Vein x-ray liver CPT 75891 | $2,095.00 | $4,190.00 | 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.