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 |
|---|---|---|---|---|
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $42.50 | $85.00 | $23.88 – $24.26 | 2 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $120.00 | $240.00 | $45.62 – $61.50 | 2 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $207.50 | $415.00 | $125.88 – $284.82 | 2 |
| Cytopath smear other source CPT 88160 | $92.50 | $185.00 | $58.03 – $156.45 | 2 |
| Cytopath smear other source CPT 88162 | not published | not published | $80.84 – $258.06 | 2 |
| Cytopath smear oth prep screen & interp CPT 88161 | $85.00 | $170.00 | $55.72 – $162.18 | 2 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $12.10 – $56.08 | 16 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $12.10 – $56.08 | 16 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $31.17 – $148.18 | 16 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $12.10 – $56.08 | 16 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $62.92 – $276.04 | 16 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $23.74 – $104.16 | 16 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $760.00 | $1,520.00 | $360.32 – $1,067.19 | 2 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $4.27 – $10.18 | 12 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $282.13 – $2,325.60 | 13 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $15.57 – $38.06 | 13 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $14.28 – $33.83 | 12 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $0.19 | $0.37 | $0.03 – $0.67 | 12 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.04 – $0.10 | 12 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $150.33 | $300.66 | $51.39 – $125.38 | 12 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $20.22 | $40.44 | $2.92 – $7.25 | 13 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $2.92 – $7.25 | 13 |
| Dark field exam spec collj CPT 87164 | not published | not published | $10.74 – $37.69 | 16 |
| Dark field exam without collj CPT 87166 | not published | not published | $9.04 – $39.67 | 16 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $242.50 – $606.12 | 13 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $23.52 – $76.98 | 13 |
| Daunorubicin citrate inj HCPCS J9151 | not published | not published | $0.01 – $86.49 | 2 |
| Dch glucoscan CPT 82948 | not published | not published | $4.03 – $17.68 | 16 |
| Dch pulmonary stress test CPT 94621 | $1,190.00 | $2,380.00 | not published | 0 |
| Dch validity tests CPT 81002 | $15.00 | $30.00 | $2.78 – $12.21 | 16 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $3,500.00 | $7,000.00 | not published | 0 |
| Deamidated gliadin antibody iga CPT 86258 | $85.00 | $170.00 | $9.22 – $39.04 | 14 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $237.50 | $475.00 | not published | 0 |
| Debridement (>20 cm) charge pt CPT 97598 | $227.50 | $455.00 | not published | 0 |
| Debride nail1-5 11720 CPT 11720 | $67.50 | $135.00 | not published | 0 |
| Debride nail6 or more 11721 CPT 11721 | $90.00 | $180.00 | not published | 0 |
| Decalcification CPT 88311 | $75.00 | $150.00 | $17.61 – $24.21 | 2 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $1.63 – $20.19 | 12 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $272.50 | $545.00 | not published | 0 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | not published | $6.78 – $21.81 | 12 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $4.18 – $10.45 | 13 |
| Delivery of placenta 59414 CPT 59414 | $635.00 | $1,270.00 | not published | 0 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $3,975.00 | $7,950.00 | not published | 0 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $70.00 | $140.00 | not published | 0 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $66.00 – $110.88 | 3 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $79.45 | $158.89 | $26.96 – $67.48 | 13 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $35.07 – $94.31 | 12 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $309.19 – $732.44 | 9 |
| Dermagraft HCPCS Q4106 | $85.00 | $170.00 | $35.96 – $67.41 | 4 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $46.33 – $127.00 | 10 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $154.58 – $567.82 | 10 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $929.21 – $3,801.50 | 10 |
| Description not available HCPCS S0013 | not published | not published | $13.24 – $21.11 | 3 |
| Design mlc device for imrt CPT 77338 | $1,785.00 | $3,570.00 | not published | 0 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | not published | not published | $4.49 – $19.93 | 13 |
| Desoxycorticosterone CPT 82633 | not published | not published | $24.78 – $108.73 | 16 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $3,960.00 | $7,920.00 | not published | 0 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $24.02 – $105.39 | 16 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $34.94 – $153.26 | 16 |
| Developmental screen/score/document 96110 CPT 96110 | $87.50 | $175.00 | not published | 0 |
| Device ablt adv novasure HCPCS C1886 | $4,479.95 | $8,959.89 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $2,886.00 | $5,772.00 | not published | 0 |
| Device intraute mirena HCPCS J7298 | not published | not published | $1,214.63 – $1,858.40 | 3 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $270.00 | $540.00 | not published | 0 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $110.68 – $275.59 | 10 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $1.10 – $1.76 | 3 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.04 – $0.16 | 12 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $9.15 | $18.29 | $0.09 – $0.26 | 12 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $205.24 – $501.56 | 13 |
| Dexamethasone panel CPT 80420 | not published | not published | $129.50 – $568.13 | 16 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.65 – $0.65 | 1 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $80.88 – $353.10 | 13 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $37.48 – $59.73 | 3 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $0.01 – $21.78 | 3 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $0.66 – $1.07 | 3 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $34.60 | $69.20 | $1.14 – $2.87 | 12 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $73.65 | $147.30 | $7.66 – $12.21 | 3 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | not published | not published | $1.82 – $4.39 | 12 |
| Dextrose 5 % IV bolus HCPCS J7070 | $75.36 | $150.72 | $3.64 – $8.78 | 12 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $137.50 | $275.00 | $17.78 – $78.02 | 16 |
| Diabetes (HbA1c) Test CPT 83036 | $82.50 | $165.00 | $7.77 – $34.08 | 16 |
| Diab manage trn ind/group HCPCS G0109 | $45.00 | $90.00 | not published | 0 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $160.00 | $320.00 | not published | 0 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $475.00 | $950.00 | not published | 0 |
| Diagnostic Mammogram (one breast) CPT 77065 | $412.50 | $825.00 | not published | 0 |
| Diagnostic radio unlisted proc CPT 76499 | $590.00 | $1,180.00 | not published | 0 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $7,020.00 | $14,040.00 | not published | 0 |
| Dialysis one evaluation CPT 90945 | $845.00 | $1,690.00 | not published | 0 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.07 – $0.18 | 12 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | not published | not published | $5.79 – $20.85 | 12 |
| Dicyclomine injection HCPCS J0500 | $55.91 | $111.82 | $12.86 – $111.31 | 12 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.13 – $0.36 | 4 |
| Diffusing capacity CPT 94729 | $285.00 | $570.00 | not published | 0 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $41.96 | $83.92 | $4.88 – $21.52 | 12 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $4,888.10 – $12,370.75 | 13 |
| Digoxin total therapeutic drug level CPT 80162 | $77.50 | $155.00 | $10.62 – $46.60 | 16 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $42.27 – $110.41 | 12 |
| Dilate biliary duct/ampulla CPT 47542 | $4,815.00 | $9,630.00 | not published | 0 |
| Dilate esophagus 1/mult pass CPT 43450 | $1,605.00 | $3,210.00 | not published | 0 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $1,895.00 | $3,790.00 | 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.