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 |
|---|---|---|---|---|
| Intracranial angioplasty CPT 61630 | $2,735.00 | $5,470.00 | not published | 0 |
| Intrapul surf admin endo tube CPT 94610 | $205.00 | $410.00 | not published | 0 |
| Intrinsic factor antibody CPT 86340 | $95.00 | $190.00 | $12.06 – $52.93 | 16 |
| Intro cath dialysis circuit CPT 36901 | $1,145.00 | $2,290.00 | not published | 0 |
| Intro cath dialysis circuit w/pta CPT 36902 | $8,770.00 | $17,540.00 | not published | 0 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $9,045.00 | $18,090.00 | not published | 0 |
| Intro catheter aorta CPT 36200 | $1,060.00 | $2,120.00 | not published | 0 |
| Intro cath svc/ivc CPT 36010 | $880.00 | $1,760.00 | not published | 0 |
| Intro long gi tube CPT 44500 | $457.50 | $915.00 | not published | 0 |
| Intro long gi tube w/mult fluo CPT 74340 | $317.50 | $635.00 | not published | 0 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $1,605.00 | $3,210.00 | not published | 0 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $1,450.00 | $2,900.00 | not published | 0 |
| Intubation endotracheal emergency procedure CPT 31500 | $302.50 | $605.00 | not published | 0 |
| Iodine i-123 sod iodide mil HCPCS A9509 | $307.50 | $615.00 | $0.01 – $228.51 | 2 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $208.58 – $262.32 | 2 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $307.58 – $490.20 | 3 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $7.96 | $15.91 | $0.38 – $0.99 | 12 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $1.73 | $3.46 | $0.14 – $0.35 | 12 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.01 – $0.44 | 2 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $471.15 | $942.29 | $176.88 – $439.32 | 13 |
| Ipratropium bromide comp HCPCS J7645 | not published | not published | $0.05 – $0.08 | 2 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.33 – $0.90 | 12 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $1.64 – $4.82 | 12 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $64.22 – $156.68 | 13 |
| Iron CPT 83540 | $82.50 | $165.00 | $5.18 – $22.71 | 16 |
| Iron binding capacity CPT 83550 | $72.50 | $145.00 | $6.99 – $30.67 | 16 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $48.47 | $96.93 | $17.23 – $42.47 | 13 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $5.50 – $24.15 | 16 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $0.99 | $1.98 | $0.23 – $0.55 | 12 |
| Irradiation of blood product each unit reference CPT 86945 | $65.00 | $130.00 | $24.26 – $80.28 | 2 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $112.50 | $225.00 | not published | 0 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $78.05 – $193.61 | 12 |
| Ivc venogram s&i CPT 75825 | $2,095.00 | $4,190.00 | not published | 0 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $143.04 – $227.97 | 2 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $147.50 | $295.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $147.50 | $295.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $147.50 | $295.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $347.50 | $695.00 | not published | 0 |
| IV inj ra drug dx study CPT 78808 | $505.00 | $1,010.00 | not published | 0 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $670.00 | $1,340.00 | not published | 0 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $122.87 – $332.88 | 13 |
| Jak2 targeted sequence analysis CPT 81279 | $475.00 | $950.00 | $148.16 – $649.97 | 15 |
| John cunningham antibody CPT 86711 | $65.00 | $130.00 | $13.51 – $59.28 | 16 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $543.53 – $866.25 | 2 |
| Ketamine and metabolite screen - quest CPT 80357 | $225.00 | $450.00 | $19.34 – $19.34 | 1 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $12.38 – $54.30 | 16 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $47.50 | $95.00 | $6.54 – $28.67 | 16 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $35.84 | $71.67 | $0.50 – $1.83 | 12 |
| Kidney function study CPT 78725 | $1,595.00 | $3,190.00 | not published | 0 |
| Kidney imag w/bld flow multi CPT 78709 | $2,525.00 | $5,050.00 | not published | 0 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,595.00 | $3,190.00 | not published | 0 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $525.00 | $1,050.00 | not published | 0 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $6,838.50 | $13,677.00 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | $382.50 | $765.00 | $99.90 – $438.24 | 16 |
| Kit lead specify 5-6-5 HCPCS C1778 | $11,349.00 | $22,698.00 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $31.19 – $73.88 | 10 |
| Knee MRI (with and without contrast) CPT 73723 | $3,265.00 | $6,530.00 | not published | 0 |
| Knee MRI (with contrast) CPT 73722 | $2,210.00 | $4,420.00 | not published | 0 |
| Knee MRI (without contrast) CPT 73721 | $2,110.00 | $4,220.00 | not published | 0 |
| Knee X-ray CPT 73564 | $805.00 | $1,610.00 | not published | 0 |
| Ko single upright pre cst HCPCS L1843 | $115.18 | $230.36 | not published | 0 |
| Kras gene addl variants CPT 81276 | $875.00 | $1,750.00 | $154.60 – $678.23 | 16 |
| Kras gene variants exon 2 CPT 81275 | $260.00 | $520.00 | $154.60 – $678.23 | 16 |
| Kyleena, 19.5 mg HCPCS J7296 | not published | not published | $1,214.63 – $1,858.40 | 3 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $70.00 | $140.00 | not published | 0 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | $70.00 | $140.00 | not published | 0 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $12.94 | $25.88 | $0.27 – $0.72 | 11 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | not published | not published | $0.19 – $0.30 | 3 |
| Lactate dehydrogenase (ldh) CPT 83615 | $47.50 | $95.00 | $4.83 – $21.18 | 16 |
| Lactated ringers intravenous solution HCPCS J7120 | $112.35 | $224.69 | $2.30 – $5.89 | 12 |
| Lactic acid CPT 83605 | $65.00 | $130.00 | $9.26 – $40.60 | 16 |
| Lactoferrin fecal qualitative CPT 83630 | $75.00 | $150.00 | $15.76 – $69.14 | 16 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $15.70 – $68.90 | 16 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $176.23 | $352.45 | $39.55 – $109.76 | 13 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | not published | not published | $0.04 – $0.06 | 3 |
| Laronidase injection HCPCS J1931 | not published | not published | $38.61 – $94.22 | 13 |
| Laryngoscopic sensory vid CPT 92614 | $405.00 | $810.00 | not published | 0 |
| Laryngoscopy telescopic CPT 31579 | $790.00 | $1,580.00 | not published | 0 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $2,146.00 | $4,292.00 | not published | 0 |
| Lead capillary CPT 83655 | $57.50 | $115.00 | $9.69 – $42.49 | 16 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $508.69 | $1,017.38 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $3,404.00 | $6,808.00 | not published | 0 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $16.04 – $70.37 | 16 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $33.41 – $146.56 | 16 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,015.00 | $2,030.00 | not published | 0 |
| Leishmania antibody CPT 86717 | not published | not published | $9.80 – $42.99 | 16 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $200.00 | $400.00 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $224.25 | $448.49 | not published | 0 |
| Lepirudin HCPCS J1945 | not published | not published | $0.01 – $855.81 | 2 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $19.28 | $38.56 | $3.51 – $10.16 | 12 |
| Leukacyte transfusion CPT 86950 | not published | not published | $63.23 – $209.28 | 2 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $8.31 – $36.47 | 16 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $472.16 | $944.31 | $172.29 – $441.14 | 13 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | not published | not published | $1,617.65 – $4,066.93 | 13 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $0.01 – $7,229.73 | 3 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $9.18 – $50.56 | 12 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $220.74 – $574.08 | 12 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $52.38 – $136.41 | 12 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $1.35 – $2.16 | 2 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.23 – $0.72 | 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.