Aurora Medical Center Fond du Lac
210 Wisconsin American Dr., Fond Du Lac, WI · Aurorahealthcare · · NPI 1275578064
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 |
|---|---|---|---|---|
| CT lwr extremity w/o&w/dye CPT 73702 | $2,305.00 | $4,610.00 | not published | 0 |
| CT neck soft tissue w/contrast CPT 70491 | $1,570.00 | $3,140.00 | not published | 0 |
| CT neck soft tissue without contrast CPT 70490 | $1,470.00 | $2,940.00 | not published | 0 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,305.00 | $4,610.00 | not published | 0 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $2,305.00 | $4,610.00 | not published | 0 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,570.00 | $3,140.00 | not published | 0 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,470.00 | $2,940.00 | not published | 0 |
| CT scan for localization CPT 77011 | $845.00 | $1,690.00 | not published | 0 |
| CT scan for therapy guide CPT 77014 | $1,445.00 | $2,890.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $4,610.00 | $9,220.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,140.00 | $6,280.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,940.00 | $5,880.00 | not published | 0 |
| CT thoracic spine w/contrast CPT 72129 | $1,570.00 | $3,140.00 | not published | 0 |
| CT thoracic spine without contrast CPT 72128 | $1,470.00 | $2,940.00 | not published | 0 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $445.00 | $890.00 | not published | 0 |
| CT t-spine w /wo contrast CPT 72130 | $2,305.00 | $4,610.00 | not published | 0 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,570.00 | $3,140.00 | not published | 0 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,470.00 | $2,940.00 | not published | 0 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,305.00 | $4,610.00 | not published | 0 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $790.79 – $3,157.59 | 2 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $822.55 – $3,284.70 | 2 |
| Culture aerobic additional method definitive id each CPT 87077 | $80.00 | $160.00 | $6.46 – $28.36 | 16 |
| Culture afb any source CPT 87116 | $80.00 | $160.00 | $8.64 – $37.91 | 16 |
| Culture anaerobic additional method definitive id each CPT 87076 | $47.50 | $95.00 | $6.46 – $28.36 | 16 |
| Culture anaerobic except blood CPT 87075 | $80.00 | $160.00 | $7.58 – $33.24 | 16 |
| Culture bacteria anaerobic CPT 87073 | not published | not published | $7.73 – $33.90 | 16 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $15.59 – $15.59 | 1 |
| Culture bact stool aero addl path ea CPT 87046 | $80.00 | $160.00 | $7.55 – $33.13 | 16 |
| Culture body fluid CPT 87070 | $80.00 | $160.00 | $6.90 – $30.25 | 16 |
| Culture fungi definitive id mold CPT 87107 | $80.00 | $160.00 | $8.26 – $36.22 | 16 |
| Culture fungi definitive id yeast CPT 87106 | $80.00 | $160.00 | $8.26 – $36.22 | 16 |
| Culture fungi other (except blood) CPT 87102 | $80.00 | $160.00 | $6.73 – $29.52 | 16 |
| Culture fungi skin/hair/nail CPT 87101 | $80.00 | $160.00 | $6.17 – $27.06 | 16 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $80.00 | $160.00 | $11.69 – $51.27 | 16 |
| Culture mycoplasma any source CPT 87109 | not published | not published | $12.31 – $54.02 | 16 |
| Culture of specimen by kit CPT 87084 | not published | not published | $21.66 – $95.00 | 16 |
| Culture quantitative aerobic other source CPT 87071 | $80.00 | $160.00 | $7.91 – $34.70 | 16 |
| Culture screening strep group a CPT 87081 | $142.50 | $285.00 | $5.30 – $23.28 | 16 |
| Culture type pulse field gel CPT 87152 | $120.00 | $240.00 | $6.19 – $27.16 | 16 |
| Culture typing added method CPT 87158 | not published | not published | $6.19 – $27.16 | 16 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $10.02 – $43.93 | 16 |
| Culture typing immunologic CPT 87147 | $22.50 | $45.00 | $4.14 – $18.18 | 16 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $392.50 | $785.00 | $174.45 – $706.51 | 14 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $235.00 | $470.00 | $28.07 – $123.15 | 16 |
| Culture urine each isolate CPT 87088 | $80.00 | $160.00 | $6.47 – $28.39 | 16 |
| Culture virus isolation CPT 87250 | not published | not published | $15.65 – $68.65 | 16 |
| Cutter lead HCPCS C1773 | $2,452.36 | $4,904.72 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $1,050.00 | $2,100.00 | not published | 0 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $100.00 | $200.00 | $11.46 – $50.26 | 16 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | not published | not published | $0.67 – $3.10 | 12 |
| Cyclic citrullinated peptide antibody CPT 86200 | $80.00 | $160.00 | $10.36 – $45.45 | 16 |
| Cyclophosphamide 100 mg inj HCPCS J9070 | not published | not published | $23.93 – $60.46 | 2 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.80 – $2.14 | 12 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $0.86 – $7.26 | 12 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $71.40 – $174.12 | 11 |
| Cyclosporine 2 hour CPT 80158 | $150.00 | $300.00 | $14.44 – $63.35 | 16 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $0.74 – $2.02 | 12 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $2.02 – $5.37 | 12 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $342.91 – $887.64 | 10 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $131.94 – $1,453.50 | 5 |
| Cymetra injectable HCPCS Q4112 | $615.00 | $1,230.00 | $1,211.82 – $1,308.12 | 2 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $233.09 – $1,022.55 | 16 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $139.85 – $613.52 | 16 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $360.73 – $1,582.50 | 16 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $139.85 – $613.52 | 16 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $139.85 – $613.52 | 16 |
| Cystatin c CPT 82610 | $90.00 | $180.00 | $14.82 – $64.99 | 16 |
| Cystic fibrosis cftr CPT 81223 | $1,100.00 | $2,200.00 | $399.20 – $1,751.29 | 16 |
| Cystine urine quantitative CPT 82131 | $112.50 | $225.00 | $18.38 – $80.65 | 16 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $510.00 | $1,020.00 | not published | 0 |
| Cystoscopy and treatment CPT 52310 | $2,400.00 | $4,800.00 | not published | 0 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | not published | not published | $0.77 – $1.93 | 12 |
| Cytarabine liposome inj HCPCS J9098 | not published | not published | $0.01 – $1,004.09 | 4 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $928.00 – $3,758.40 | 14 |
| Cytogenetics 25-99 CPT 88274 | $265.00 | $530.00 | $33.90 – $148.74 | 16 |
| Cytogenetics 3-5 CPT 88272 | $915.00 | $1,830.00 | $32.56 – $142.83 | 16 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $928.00 – $4,071.11 | 15 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $720.00 – $3,158.62 | 16 |
| Cytog genom-wid alys hem mal CPT 81195 | not published | not published | $2,817.67 – $4,093.84 | 3 |
| Cytomegalovirus ag ia CPT 87332 | not published | not published | $9.58 – $42.06 | 16 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $95.00 | $190.00 | $11.51 – $50.51 | 16 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $100.00 | $200.00 | $13.48 – $59.13 | 16 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $10.74 – $47.09 | 16 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,804.31 – $4,426.42 | 13 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $24.02 – $105.39 | 16 |
| Cyto/molecular report CPT 88291 | not published | not published | $27.72 – $63.84 | 2 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $20.30 – $89.03 | 16 |
| Cytopath c/v automated CPT 88147 | not published | not published | $31.17 – $177.44 | 16 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $22.11 – $97.01 | 16 |
| Cytopath c/v auto rescreen CPT 88148 | not published | not published | $12.80 – $56.16 | 16 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $11.72 – $51.42 | 16 |
| Cytopath c/v manual CPT 88150 | not published | not published | $12.10 – $56.08 | 16 |
| Cytopath c/v redo CPT 88153 | not published | not published | $19.22 – $84.33 | 16 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $18.43 – $80.86 | 16 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $52.83 – $150.69 | 2 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $80.00 | $160.00 | $54.86 – $117.87 | 2 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $95.00 | $190.00 | $21.29 – $93.38 | 16 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $87.50 | $175.00 | $16.21 – $71.10 | 16 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $152.50 | $305.00 | $50.53 – $134.13 | 2 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $100.00 | $200.00 | $55.72 – $139.23 | 2 |
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.