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 |
|---|---|---|---|---|
| Established Patient Office Visit (level 1) CPT 99211 | $122.50 | $245.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $182.50 | $365.00 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $230.00 | $460.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $280.00 | $560.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $340.00 | $680.00 | not published | 0 |
| Estradiol total CPT 82670 | $122.50 | $245.00 | $22.35 – $98.06 | 16 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $7.30 – $19.94 | 12 |
| Estrogens total-sendout CPT 82672 | not published | not published | $17.36 – $76.16 | 16 |
| Etanercept injection HCPCS J1438 | not published | not published | $790.78 – $1,458.08 | 4 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $491.65 – $1,199.63 | 13 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $117.81 – $187.76 | 3 |
| Ethylene glycol -sendout CPT 82693 | $112.50 | $225.00 | $11.92 – $52.29 | 16 |
| Etonogestrel implant system HCPCS J7307 | not published | not published | $1,156.28 – $1,858.40 | 3 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | not published | not published | $1.01 – $2.38 | 12 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $76.46 – $186.72 | 12 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $120.68 – $294.46 | 13 |
| Euglobulin lysis CPT 85360 | not published | not published | $6.73 – $29.52 | 16 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $350.00 | $700.00 | not published | 0 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $8.30 – $36.44 | 16 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $392.50 | $785.00 | $78.49 – $344.31 | 16 |
| Evaluation of speech fluency 92521 CPT 92521 | $227.50 | $455.00 | not published | 0 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $4,365.00 | $8,730.00 | not published | 0 |
| Evasc prlng admn rx agnt add CPT 61651 | $3,265.00 | $6,530.00 | not published | 0 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $25,620.00 | $51,240.00 | not published | 0 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $18,785.00 | $37,570.00 | not published | 0 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $18,920.00 | $37,840.00 | not published | 0 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $18,920.00 | $37,840.00 | not published | 0 |
| Event monitor CPT 93270 | $210.00 | $420.00 | not published | 0 |
| Evoked oa emissions ltd CPT 92587 | $115.00 | $230.00 | not published | 0 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $85.00 | $170.00 | not published | 0 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $3,235.00 | $6,470.00 | not published | 0 |
| Exchange biliary drg cath CPT 47536 | $5,655.00 | $11,310.00 | not published | 0 |
| Exchange drainage catheter CPT 49423 | $1,585.00 | $3,170.00 | not published | 0 |
| Exchange nephrostomy cath CPT 50435 | $5,830.00 | $11,660.00 | not published | 0 |
| Exemestane, 25 mg HCPCS S0156 | not published | not published | $1.67 – $2.55 | 3 |
| Exercise tst brncspsm w/ecg CPT 94617 | $187.50 | $375.00 | not published | 0 |
| Exercise tst brncspsm wo ecg CPT 94619 | $112.50 | $225.00 | not published | 0 |
| Exhaled breath condensate CPT 83987 | not published | not published | $2.86 – $46.86 | 16 |
| Exome re-evaluation CPT 81417 | not published | not published | $256.00 – $1,123.06 | 16 |
| Exome sequence analysis CPT 81415 | not published | not published | $3,824.00 – $16,775.77 | 16 |
| Exome sequence analysis CPT 81416 | not published | not published | $9,600.00 – $42,114.90 | 16 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $1,628.00 | $3,256.00 | not published | 0 |
| Extended culture of oocytes CPT 89272 | not published | not published | $1,597.62 – $1,597.62 | 1 |
| External chromosome analysis 20-25 cells CPT 88264 | $427.50 | $855.00 | $115.69 – $507.52 | 16 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $52.50 | $105.00 | $29.16 – $96.51 | 2 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $3,098.40 – $13,592.58 | 16 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $317.50 | $635.00 | $115.00 – $504.50 | 16 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $55.00 | $110.00 | $14.34 – $62.93 | 16 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $140.32 – $615.59 | 16 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $226.30 – $992.79 | 16 |
| F-18 fdg pet diag HCPCS A9552 | $1,680.00 | $3,360.00 | $302.36 – $302.36 | 1 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | not published | not published | $2,194.62 – $4,371.83 | 4 |
| F-18 fluciclovine per mci HCPCS A9588 | $735.00 | $1,470.00 | $268.42 – $790.47 | 4 |
| F-18 sodium fluoride HCPCS A9580 | $580.00 | $1,160.00 | $334.10 – $334.10 | 1 |
| F9 full gene sequence CPT 81238 | not published | not published | $480.00 – $2,105.75 | 16 |
| Facial bones <3 CPT 70140 | $272.50 | $545.00 | not published | 0 |
| Factor ix CPT 85250 | $170.00 | $340.00 | $15.23 – $66.82 | 16 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.55 – $8.72 | 13 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.65 – $4.04 | 13 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $5.05 – $12.71 | 13 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.34 – $3.27 | 13 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.32 – $10.72 | 12 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.63 – $4.03 | 12 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.84 – $4.49 | 13 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $2.30 – $5.73 | 11 |
| Factor viii CPT 85240 | $170.00 | $340.00 | $14.32 – $62.82 | 16 |
| Factor viii HCPCS J7190 | not published | not published | $1.12 – $2.73 | 13 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.32 – $5.70 | 13 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.19 – $3.02 | 12 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.10 – $5.12 | 13 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.54 – $3.76 | 13 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.38 – $3.48 | 13 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.22 – $7.88 | 12 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $10.16 – $25.55 | 13 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $17.17 – $41.89 | 12 |
| Family therapy with patient 50 min 90847 CPT 90847 | $225.00 | $450.00 | not published | 0 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | not published | not published | $0.01 – $0.01 | 1 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $27.81 – $70.30 | 12 |
| Fancc gene CPT 81242 | not published | not published | $29.30 – $128.51 | 16 |
| Fat/lipids feces qualitative CPT 82705 | not published | not published | $4.08 – $17.90 | 16 |
| Fatty acids nonesterified CPT 82725 | $60.00 | $120.00 | $15.02 – $65.87 | 16 |
| Fecal bilirubin test CPT 82252 | not published | not published | $3.65 – $16.01 | 16 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | $161.41 | $322.82 | $63.30 – $155.18 | 12 |
| #fecal-sodium CPT 84302 | $25.00 | $50.00 | $3.89 – $17.06 | 16 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $110.00 | $220.00 | $14.91 – $65.43 | 15 |
| Fem/popl revasc w/stent CPT 37226 | $12,265.00 | $24,530.00 | not published | 0 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $43.09 | $86.18 | $0.84 – $2.08 | 12 |
| Fern test HCPCS Q0114 | $22.50 | $45.00 | $7.79 – $34.18 | 16 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $3.45 | $6.89 | $1.10 – $2.70 | 13 |
| Ferritin CPT 82728 | $90.00 | $180.00 | $10.90 – $47.84 | 16 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $1.08 | $2.15 | $0.33 – $1.61 | 13 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.33 – $1.61 | 13 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $636.00 – $2,790.11 | 16 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $720.00 | $1,440.00 | not published | 0 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $607.24 – $2,663.95 | 16 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $462.50 | $925.00 | $607.24 – $2,663.95 | 16 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $477.50 | $955.00 | not published | 0 |
| Fetal fibronectin CPT 82731 | $320.00 | $640.00 | $51.53 – $226.05 | 16 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $122.50 | $245.00 | $6.18 – $27.12 | 16 |
| Fetal hemoglobin rosette CPT 85461 | $62.50 | $125.00 | $7.49 – $32.84 | 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.