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 |
|---|---|---|---|---|
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | not published | not published | $1.80 – $4.82 | 4 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | not published | not published | $30.97 – $85.38 | 10 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $0.48 – $0.77 | 5 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | not published | not published | $0.36 – $0.89 | 12 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $39.62 | $79.24 | $4.04 – $9.95 | 12 |
| Hydration IV infusion each additional hour CPT 96361 | $150.00 | $300.00 | not published | 0 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $292.50 | $585.00 | not published | 0 |
| Hydrocolld drg >16<=48 without b HCPCS A6235 | $6.37 | $12.73 | not published | 0 |
| Hydrocortisone acetate inj HCPCS J1700 | not published | not published | $0.98 – $1.03 | 2 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $67.53 | $135.06 | $19.40 – $51.09 | 12 |
| Hydrocortisone sodium ph inj HCPCS J1710 | not published | not published | $4.69 – $7.02 | 2 |
| Hydrogel drsg gel filler HCPCS A6248 | $32.50 | $65.00 | not published | 0 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $8.82 | $17.63 | $0.09 – $0.22 | 12 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $10.45 | $20.89 | not published | 0 |
| Hydromorphone 250 mg HCPCS S0092 | not published | not published | $80.08 – $127.64 | 3 |
| Hydromorphone injection HCPCS J1170 | not published | not published | $3.15 – $4.33 | 2 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.01 – $0.02 | 12 |
| Hydroxyurea 500 mg HCPCS S0176 | not published | not published | $0.40 – $0.86 | 3 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | not published | not published | $10.17 – $30.04 | 12 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $0.10 – $0.15 | 3 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $90.00 | $180.00 | $14.32 – $62.82 | 16 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $17.42 – $42.49 | 12 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $41.39 – $82.62 | 5 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $8.14 – $35.72 | 16 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | $42.26 | $84.52 | $17.50 – $43.16 | 13 |
| Hysterosalpingography s&i CPT 74740 | $585.00 | $1,170.00 | not published | 0 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $201.85 – $332.48 | 3 |
| I-123 iobenguane diag HCPCS A9582 | $4,840.00 | $9,680.00 | $2,074.81 – $7,815.87 | 4 |
| I-123 ioflupane diag HCPCS A9584 | $2,875.00 | $5,750.00 | $1,388.02 – $3,776.04 | 4 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $105.00 | $210.00 | $92.00 – $146.63 | 3 |
| I125 iothalamate, dx HCPCS A9554 | $830.00 | $1,660.00 | $36.00 – $57.38 | 3 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $21.00 – $261.50 | 2 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $0.01 – $1,245.63 | 2 |
| I131 iodide cap, rx HCPCS A9517 | $65.00 | $130.00 | $0.01 – $100.23 | 3 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $14.03 – $20.88 | 2 |
| I131 max 100uci HCPCS A9531 | not published | not published | $5.36 – $5.36 | 1 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $76.00 – $121.13 | 2 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $10.74 – $47.09 | 16 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $115.00 | $230.00 | $28.07 – $123.15 | 16 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $14.47 – $63.49 | 16 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $36.18 – $146.71 | 14 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $22.22 – $88.59 | 12 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $1,958.85 – $7,933.33 | 14 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $2.98 – $7.23 | 10 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | not published | not published | $186.97 – $465.92 | 5 |
| Icatibant injection HCPCS J1744 | not published | not published | $89.46 – $142.59 | 4 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $15,622.75 | $31,245.50 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $19,948.50 | $39,897.00 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $7,512.17 | $15,024.33 | not published | 0 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $43.51 – $114.19 | 12 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $0.01 – $1,289,082.32 | 10 |
| Identify sperm tissue CPT 89264 | not published | not published | $100.68 – $100.68 | 1 |
| Idh1 common variants CPT 81120 | $560.00 | $1,120.00 | $154.60 – $678.23 | 16 |
| Idh2 common variants CPT 81121 | $560.00 | $1,120.00 | $236.63 – $1,038.09 | 16 |
| Idursulfase injection HCPCS J1743 | not published | not published | $537.93 – $1,323.02 | 13 |
| Ifnl3 gene CPT 81283 | not published | not published | $58.70 – $257.49 | 16 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | not published | not published | $24.62 – $61.16 | 12 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $165.85 – $727.57 | 15 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $54.84 – $240.59 | 16 |
| Igh gene rearrange amp meth CPT 81261 | $347.50 | $695.00 | $158.39 – $694.87 | 16 |
| Igh@ var region somatic mutation analy CPT 81263 | not published | not published | $235.62 – $1,033.65 | 16 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $138.18 – $606.22 | 16 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $150.00 | $300.00 | $75.35 – $182.55 | 2 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $207.50 | $415.00 | $140.32 – $389.28 | 2 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $210.00 | $420.00 | $85.75 – $206.76 | 2 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $0.01 – $20.99 | 4 |
| Ikbkap gene CPT 81260 | not published | not published | $31.45 – $137.97 | 16 |
| Iliac revasc add-on 37222 CPT 37222 | $3,750.00 | $7,500.00 | not published | 0 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $41.62 – $361.70 | 12 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $2.85 – $4.55 | 3 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $50.47 – $80.45 | 4 |
| Immob elbow child sm HCPCS L3762 | $70.00 | $140.00 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $75.00 | $150.00 | not published | 0 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $147.50 | $295.00 | not published | 0 |
| Immune complex assay CPT 86332 | $210.00 | $420.00 | $19.50 – $85.52 | 16 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $144.09 | $288.17 | $45.13 – $113.36 | 13 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $68.88 – $198.69 | 13 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $128.47 | $256.94 | $48.06 – $120.29 | 13 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $95.08 – $159.74 | 3 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $117.50 | $235.00 | $16.65 – $73.04 | 16 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $110.00 | $220.00 | $16.65 – $73.04 | 16 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $20.46 – $89.74 | 16 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $60.00 | $120.00 | $9.58 – $42.06 | 16 |
| Immunodiffusion nes CPT 86329 | not published | not published | $11.24 – $49.31 | 16 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $23.94 – $105.00 | 15 |
| Immunofixation electrophoresis serum CPT 86334 | $142.50 | $285.00 | $17.87 – $78.41 | 16 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $100.00 | $200.00 | $75.35 – $245.94 | 2 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $160.00 | $320.00 | $102.78 – $329.43 | 2 |
| Immunoglobulin assay CPT 86023 | $125.00 | $250.00 | $9.97 – $43.74 | 16 |
| Immunology procedure CPT 86849 | not published | not published | $44.82 – $44.82 | 1 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $2,859.36 | $5,718.72 | not published | 0 |
| Implant neuroelectrodes CPT 64555 | $5,325.00 | $10,650.00 | not published | 0 |
| Impl neurostim electr perc CPT 63650 | $6,575.00 | $13,150.00 | not published | 0 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $0.01 – $762.65 | 4 |
| Impreg gauze no h20/sal/yard HCPCS A6266 | $2.14 | $4.28 | not published | 0 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $43.14 – $105.85 | 13 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $4,041.56 – $6,441.24 | 3 |
| In-111 autol wbc diag per dose HCPCS A9570 | $3,210.00 | $6,420.00 | $1,031.39 – $6,441.24 | 4 |
| In-111 capromab pendet HCPCS A9507 | $4,160.00 | $8,320.00 | $0.01 – $6,725.90 | 3 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $0.01 – $5,076.18 | 3 |
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.