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 |
|---|---|---|---|---|
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $1,189.90 – $5,220.03 | 16 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $55.62 – $243.98 | 16 |
| Ftl cgen abnor four anal CPT 81511 | not published | not published | $122.80 – $538.72 | 16 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $44.43 – $194.92 | 16 |
| Ftl cgen abnor two proteins CPT 81508 | $110.00 | $220.00 | $43.44 – $190.58 | 16 |
| Full mouth x-ray of teeth CPT 70320 | $222.50 | $445.00 | not published | 0 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $35.52 | $71.03 | $0.40 – $1.32 | 12 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $219.86 – $964.54 | 16 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $109.60 – $480.81 | 16 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $219.86 – $964.54 | 16 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $148.16 – $649.97 | 16 |
| G6pc gene CPT 81250 | $195.00 | $390.00 | $46.79 – $205.28 | 16 |
| G6pd full gene sequence CPT 81249 | not published | not published | $480.00 – $2,105.75 | 16 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $139.85 – $613.52 | 16 |
| G6pd known familial variant CPT 81248 | not published | not published | $300.20 – $1,316.96 | 16 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $67.50 | $135.00 | $0.01 – $206.58 | 3 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $100.00 | $200.00 | $51.09 – $85.01 | 4 |
| Gabapentin non-blood CPT 80355 | $185.00 | $370.00 | $19.34 – $19.34 | 1 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $1.28 | $2.56 | $0.26 – $0.68 | 12 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $1.49 – $3.62 | 12 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.12 – $0.34 | 12 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $14.71 – $35.87 | 12 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $15.00 | $30.00 | $16.86 – $73.94 | 16 |
| Galactokinase - sendout CPT 82759 | not published | not published | $17.18 – $75.39 | 16 |
| Galactose transferase test CPT 82776 | not published | not published | $9.39 – $41.20 | 16 |
| Galectin-3 CPT 82777 | $92.50 | $185.00 | $35.40 – $155.29 | 16 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $4.05 – $11.60 | 4 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $372.17 – $1,165.26 | 4 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $534.91 – $1,190.13 | 4 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $944.64 – $1,505.52 | 4 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $791.04 – $1,260.72 | 4 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $0.01 – $3.12 | 2 |
| Galsulfase injection HCPCS J1458 | not published | not published | $484.75 – $1,183.21 | 12 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $488.85 – $1,205.76 | 13 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $48.89 – $120.58 | 13 |
| Gammaglobulin iga CPT 82784 | $37.50 | $75.00 | $7.44 – $32.65 | 16 |
| Gammaglobulin ige CPT 82785 | $107.50 | $215.00 | $13.17 – $57.77 | 16 |
| Gamma glutamyltransferase CPT 82977 | $75.00 | $150.00 | $5.76 – $25.26 | 16 |
| Gammagraft HCPCS Q4111 | not published | not published | $7.23 – $17.88 | 11 |
| Gammaplex injection HCPCS J1557 | not published | not published | $56.77 – $138.51 | 13 |
| Gamunex-c/gammaked HCPCS J1561 | $88.92 | $177.83 | $48.35 – $119.58 | 13 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $29.61 – $89.89 | 12 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $0.01 – $25,440.00 | 2 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $28.07 – $123.15 | 16 |
| Gardner vag dna quant CPT 87512 | not published | not published | $33.41 – $146.56 | 16 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $5.37 – $23.56 | 16 |
| Gastrin test CPT 82938 | not published | not published | $14.15 – $62.09 | 16 |
| Gastroesophageal reflux test CPT 91034 | $1,500.00 | $3,000.00 | not published | 0 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | $5.00 | $10.00 | not published | 0 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | $18.35 | $36.69 | not published | 0 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | $5.00 | $10.00 | not published | 0 |
| Gba gene CPT 81251 | not published | not published | $37.80 – $165.83 | 16 |
| Gefitinib oral HCPCS J8565 | not published | not published | $134.60 – $214.52 | 3 |
| Gel-one HCPCS J7326 | not published | not published | $526.38 – $1,284.36 | 12 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.58 – $1.36 | 11 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $2.79 – $9.48 | 12 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $229.67 – $568.81 | 12 |
| General health panel CPT 80050 | not published | not published | $37.82 – $130.50 | 5 |
| Generator barostim neo2 2014 HCPCS C1767 | $31,102.50 | $62,205.00 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $13,822.50 | $27,645.00 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | $1,870.00 | $3,740.00 | $1,958.85 – $8,593.41 | 16 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | $33,605.00 | $67,210.00 | not published | 0 |
| Genome re-evaluation CPT 81427 | not published | not published | $1,870.12 – $8,204.16 | 16 |
| Genome sequence analysis CPT 81425 | not published | not published | $4,024.96 – $17,657.37 | 16 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,167.96 – $9,510.77 | 16 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | not published | not published | $2.47 – $6.03 | 12 |
| Gentamicin peak therapeutic drug level CPT 80170 | $142.50 | $285.00 | $13.10 – $57.49 | 16 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $5.90 – $15.06 | 12 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,500.00 | $3,000.00 | not published | 0 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $57.50 | $115.00 | $7.85 – $34.42 | 16 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $117.50 | $235.00 | $13.69 – $60.05 | 16 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $337.50 | $675.00 | $81.81 – $358.88 | 16 |
| Ghs antibodies (torch) igm CPT 86694 | $65.00 | $130.00 | $11.51 – $50.51 | 16 |
| Ghs aspiration bladder - needle CPT 51100 | $280.00 | $560.00 | not published | 0 |
| Ghs bladder cath - complex-foley CPT 51703 | $327.50 | $655.00 | not published | 0 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $3.86 – $16.92 | 16 |
| Ghs central line insert < age 5, failed CPT 36555 | $1,085.00 | $2,170.00 | not published | 0 |
| Ghs change cysto/gastrost CPT 43762 | $365.00 | $730.00 | not published | 0 |
| Ghs chemo >8 hrs CPT 96416 | $470.00 | $940.00 | not published | 0 |
| Ghs chemo IV push, ea addtl CPT 96411 | $207.50 | $415.00 | not published | 0 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $142.50 | $285.00 | $28.07 – $123.15 | 16 |
| Ghs community re-entry 15 minutes CPT 97537 | $87.50 | $175.00 | not published | 0 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $137.50 | $275.00 | not published | 0 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $227.50 | $455.00 | not published | 0 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $227.50 | $455.00 | not published | 0 |
| Ghs cricothyroidotomy CPT 31605 | $1,020.00 | $2,040.00 | not published | 0 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $12.17 – $53.38 | 16 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $725.00 | $1,450.00 | not published | 0 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,660.00 | $3,320.00 | not published | 0 |
| Ghs excision ingrown nail CPT 11765 | $247.50 | $495.00 | not published | 0 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $160.00 | $320.00 | not published | 0 |
| Ghs fat & muscle CPT 89160 | not published | not published | $3.88 – $17.02 | 16 |
| Ghs fb removal - incisional CPT 10121 | $675.00 | $1,350.00 | not published | 0 |
| Ghs fb removal - non-incisional CPT 20520 | $392.50 | $785.00 | not published | 0 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $5.58 – $24.50 | 16 |
| Ghs fish cytogen CPT 88271 | $462.50 | $925.00 | $17.14 – $75.17 | 16 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $182.50 | $365.00 | $40.95 – $179.65 | 16 |
| Ghs flow volume loop CPT 94375 | $237.50 | $475.00 | not published | 0 |
| Ghs hcv amplificaiton CPT 87521 | $220.00 | $440.00 | $28.07 – $123.15 | 16 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $18.38 – $80.62 | 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.