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 |
|---|---|---|---|---|
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $1,345.00 | $2,690.00 | $772.64 – $3,220.62 | 4 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $3,150.00 | $6,300.00 | $715.29 – $1,354.82 | 4 |
| In-111 pentetreotide HCPCS A9572 | $4,165.00 | $8,330.00 | $1,914.61 – $5,448.96 | 3 |
| In-111 satumomab pend HCPCS A4642 | not published | not published | $1,340.00 – $2,070.15 | 2 |
| Inactivated je vacc im CPT 90738 | not published | not published | $293.35 – $483.17 | 3 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $935.00 | $1,870.00 | not published | 0 |
| Incision of achilles tendon CPT 27605 | $2,660.00 | $5,320.00 | not published | 0 |
| Incision of breast lesion CPT 19020 | $1,700.00 | $3,400.00 | not published | 0 |
| Incision of eardrum CPT 69420 | $285.00 | $570.00 | not published | 0 |
| Incision of hip tendon CPT 27000 | $2,365.00 | $4,730.00 | not published | 0 |
| Incision of tendon & muscle CPT 23405 | $3,770.00 | $7,540.00 | not published | 0 |
| Incision of thigh tendon CPT 27306 | $2,365.00 | $4,730.00 | not published | 0 |
| Incision of thigh tendons CPT 27307 | $3,785.00 | $7,570.00 | not published | 0 |
| Incobotulinumtoxin a HCPCS J0588 | not published | not published | $5.31 – $12.94 | 13 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $156.55 – $227.45 | 3 |
| Infec agen detec ampli probe HCPCS U0005 | not published | not published | $25.00 – $87.73 | 4 |
| Infect ag drug suscept pheno predict CPT 87900 | $320.00 | $640.00 | $104.28 – $457.48 | 16 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $12.00 – $52.64 | 16 |
| Infect ag eia influenza a or b ea CPT 87400 | not published | not published | $11.30 – $49.59 | 16 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $205.96 – $903.53 | 16 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $205.96 – $903.53 | 16 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $475.00 | $950.00 | $102.98 – $451.80 | 16 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $715.00 | $1,430.00 | $205.96 – $903.53 | 16 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $75.00 | $150.00 | $26.22 – $115.00 | 16 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $28.23 – $123.84 | 16 |
| Infect ag ia optc obs influenza CPT 87804 | $85.00 | $170.00 | $13.24 – $58.09 | 16 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $9.58 – $42.06 | 16 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $14.69 – $64.43 | 16 |
| Infect ag if influenza a CPT 87276 | not published | not published | $12.86 – $56.41 | 16 |
| Infect ag if influenza b CPT 87275 | not published | not published | $9.80 – $42.99 | 16 |
| Infect ag if legionella pneumophila CPT 87278 | not published | not published | $12.48 – $54.75 | 16 |
| Infect ag if nos ea CPT 87299 | not published | not published | $12.88 – $56.50 | 16 |
| Infect ag if pneumocystis carinii CPT 87281 | $137.50 | $275.00 | $9.58 – $42.06 | 16 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $10.74 – $47.09 | 16 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $42.78 – $187.66 | 16 |
| Infect ag na hep b amp CPT 87516 | $180.00 | $360.00 | $28.07 – $123.15 | 16 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $34.27 – $150.35 | 16 |
| Infect ag na hpv high-risk types CPT 87624 | $137.50 | $275.00 | $28.07 – $123.15 | 16 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $227.50 | $455.00 | $76.64 – $336.22 | 16 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $41.05 – $180.08 | 16 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $147.50 | $295.00 | $42.73 – $141.62 | 3 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $715.00 | $1,430.00 | $333.42 – $1,462.71 | 16 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $1,135.00 | $2,270.00 | $390.93 – $1,714.98 | 16 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $85.00 | $170.00 | $20.86 – $91.49 | 16 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $47.50 | $95.00 | $36.95 – $134.07 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $62.50 | $125.00 | $9.58 – $42.06 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $10.74 – $47.09 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $40.00 | $80.00 | $11.06 – $48.50 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | not published | not published | $9.58 – $42.06 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $125.00 | $250.00 | $11.50 – $50.47 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $85.00 | $170.00 | $8.26 – $36.25 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $60.00 | $120.00 | $8.26 – $36.25 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $100.00 | $200.00 | $19.26 – $84.52 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $115.00 | $230.00 | $9.58 – $42.06 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $72.50 | $145.00 | $9.58 – $42.06 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $57.50 | $115.00 | $9.58 – $42.06 | 16 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $540.00 | $1,080.00 | $28.07 – $123.15 | 16 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $112.50 | $225.00 | $28.07 – $123.15 | 16 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $115.00 | $230.00 | $29.82 – $130.80 | 16 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $860.00 | $1,720.00 | $333.42 – $1,462.71 | 16 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $145.00 | $290.00 | $28.07 – $123.15 | 16 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $97.50 | $195.00 | $28.07 – $123.15 | 16 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $250.00 | $500.00 | $33.34 – $146.28 | 16 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $105.00 | $210.00 | $28.07 – $123.15 | 16 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $87.50 | $175.00 | $41.05 – $166.24 | 14 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $155.00 | $310.00 | $127.03 – $462.12 | 14 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $165.00 | $330.00 | $127.03 – $462.12 | 14 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $92.50 | $185.00 | $28.07 – $123.15 | 16 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $117.50 | $235.00 | $28.07 – $123.15 | 16 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $117.50 | $235.00 | $171.20 – $248.73 | 3 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $530.00 | $1,060.00 | $333.42 – $1,462.71 | 16 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $252.50 | $505.00 | $102.63 – $450.24 | 16 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $210.39 – $922.98 | 16 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $337.50 | $675.00 | $34.27 – $150.35 | 16 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $180.00 | $360.00 | $34.27 – $150.35 | 16 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $195.00 | $390.00 | $34.27 – $150.35 | 16 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $375.00 | $750.00 | $68.08 – $298.67 | 16 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $220.00 | $440.00 | $114.10 – $500.57 | 16 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $122.56 | $245.11 | $30.52 – $122.48 | 13 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $126.30 | $252.59 | $19.75 – $48.37 | 12 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $123.00 | $246.00 | $11.55 – $91.51 | 13 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $23.38 – $102.55 | 16 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $83.49 – $203.72 | 12 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $28.87 – $70.45 | 12 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | $1,060.00 | $2,120.00 | not published | 0 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | $1,060.00 | $2,120.00 | not published | 0 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | $1,060.00 | $2,120.00 | not published | 0 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $140.00 | $280.00 | not published | 0 |
| Initiation & management bipap/cpap initial day CPT 94660 | $250.00 | $500.00 | not published | 0 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $5.87 – $14.44 | 12 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $7.03 – $17.25 | 13 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.22 – $0.36 | 3 |
| Inj, acetaminophen (b braun) HCPCS J0136 | not published | not published | $0.05 – $0.12 | 11 |
| Inj acetaminophen -fresenius HCPCS J0134 | not published | not published | $0.04 – $0.10 | 11 |
| Inj, acetaminophen (hikma) HCPCS J0137 | not published | not published | $0.03 – $0.12 | 11 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $3,750.08 – $9,339.90 | 11 |
| Inj, adalimumab, 1 mg HCPCS J0139 | not published | not published | $91.73 – $91.73 | 1 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $10.54 – $19.85 | 4 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $63,235.61 – $154,700.98 | 12 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $5.98 – $14.59 | 12 |
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.