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 |
|---|---|---|---|---|
| Perq plmt bile duct stent CPT 47538 | $6,435.00 | $12,870.00 | not published | 0 |
| Perq plmt bile duct stent CPT 47539 | $7,450.00 | $14,900.00 | not published | 0 |
| Perq plmt bile duct stent CPT 47540 | $7,680.00 | $15,360.00 | not published | 0 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $457.50 | $915.00 | not published | 0 |
| Pertussis ag if CPT 87265 | not published | not published | $9.58 – $42.06 | 16 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $42.73 | $85.45 | $16.12 – $39.50 | 13 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $203.46 | $406.92 | $62.99 – $155.87 | 12 |
| Pet CT skull-mid thgh initial CPT 78815 | $4,060.00 | $8,120.00 | not published | 0 |
| Pet CT whole body initial CPT 78816 | $4,060.00 | $8,120.00 | not published | 0 |
| Pet fdg brain metoblic eval sb CPT 78608 | $4,060.00 | $8,120.00 | not published | 0 |
| Pet image skull-thigh CPT 78812 | $4,060.00 | $8,120.00 | not published | 0 |
| Pet image w/ct lmtd CPT 78814 | $4,060.00 | $8,120.00 | not published | 0 |
| Pet not otherwise specified HCPCS G0235 | $4,060.00 | $8,120.00 | not published | 0 |
| Pet scan brain perf study CPT 78609 | $4,060.00 | $8,120.00 | not published | 0 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $14,077.13 | $28,154.25 | not published | 0 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $82.50 | $165.00 | not published | 0 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $105.00 | $210.00 | not published | 0 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $50.00 | $100.00 | not published | 0 |
| Ph body fluid CPT 83986 | $35.00 | $70.00 | $2.86 – $12.56 | 16 |
| Phencyclidine (pcp) CPT 83992 | $90.00 | $180.00 | $34.65 – $105.12 | 2 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $72.78 | $145.55 | $29.44 – $75.04 | 12 |
| Phenobarbital therapeutic drug level CPT 80184 | $112.50 | $225.00 | $12.24 – $53.71 | 16 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $367.12 – $962.89 | 12 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $4.85 | $9.70 | $0.01 – $0.02 | 3 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $113.28 – $180.54 | 3 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.44 – $1.66 | 12 |
| Phenytoin total therapeutic drug level CPT 80185 | $97.50 | $195.00 | $10.60 – $46.50 | 16 |
| Phlebotomy therapeutic CPT 99195 | $125.00 | $250.00 | not published | 0 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $3,420.00 | $6,840.00 | not published | 0 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $3,960.00 | $7,920.00 | not published | 0 |
| Phosphorus CPT 84100 | $47.50 | $95.00 | $3.79 – $16.64 | 16 |
| Phosphorus 24 hour urine CPT 84105 | $47.50 | $95.00 | $4.62 – $20.28 | 16 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $45.04 – $91.95 | 2 |
| Phys blood bank serv reactj CPT 86078 | $207.50 | $415.00 | $45.04 – $91.95 | 2 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $45.04 – $91.95 | 2 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $92.74 | $185.48 | $2.27 – $6.77 | 12 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $890.00 | $1,780.00 | $332.44 – $887.87 | 4 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $219.86 – $964.54 | 15 |
| Pinworm exam CPT 87172 | $52.50 | $105.00 | $3.42 – $14.98 | 16 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $3.42 – $15.96 | 16 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $15.01 | $30.02 | $1.10 – $3.10 | 12 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $463.58 – $2,033.73 | 16 |
| Place duod/jej tube perc CPT 49441 | $1,125.00 | $2,250.00 | not published | 0 |
| Place gastrostomy tube perc CPT 49440 | $990.00 | $1,980.00 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,060.00 | $2,120.00 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $795.00 | $1,590.00 | not published | 0 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,165.00 | $2,330.00 | not published | 0 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $5,040.00 | $10,080.00 | not published | 0 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $555.00 | $1,110.00 | not published | 0 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $16,005.00 | $32,010.00 | not published | 0 |
| Place non-slctv cath thoracic arta CPT 36221 | $5,915.00 | $11,830.00 | not published | 0 |
| Placental lactogen CPT 83632 | $140.00 | $280.00 | $16.18 – $70.96 | 16 |
| Place right device/marker pros CPT 55876 | $965.00 | $1,930.00 | not published | 0 |
| Place slctv cath carotd art uni CPT 36224 | $15,400.00 | $30,800.00 | not published | 0 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $5,190.00 | $10,380.00 | not published | 0 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $7,310.00 | $14,620.00 | not published | 0 |
| Place slctv cath subclavian art CPT 36225 | $5,240.00 | $10,480.00 | not published | 0 |
| Place slctv cath vertebral art uni CPT 36226 | $5,400.00 | $10,800.00 | not published | 0 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $95.00 | $190.00 | not published | 0 |
| Plasmaprotein fract,5%,250ml HCPCS P9048 | not published | not published | $50.78 – $80.93 | 3 |
| Plasma protein fract,5%,50ml HCPCS P9043 | not published | not published | $21.62 – $34.46 | 3 |
| Platelet aggregation each agent teg CPT 85576 | $105.00 | $210.00 | $19.93 – $87.42 | 16 |
| Platelet automated CPT 85049 | $30.00 | $60.00 | $3.58 – $15.72 | 16 |
| Platelet pheresis irr ea HCPCS P9036 | $905.00 | $1,810.00 | not published | 0 |
| Platelets each unit HCPCS P9019 | $120.00 | $240.00 | not published | 0 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $1,125.00 | $2,250.00 | not published | 0 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $165.00 | $330.00 | not published | 0 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $790.00 | $1,580.00 | not published | 0 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $1,075.00 | $2,150.00 | not published | 0 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,035.00 | $2,070.00 | not published | 0 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,075.00 | $2,150.00 | not published | 0 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $960.00 | $1,920.00 | not published | 0 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $233.09 – $1,022.55 | 16 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $5,085.00 | $10,170.00 | not published | 0 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $4,525.00 | $9,050.00 | not published | 0 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $2,930.00 | $5,860.00 | not published | 0 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $4,030.00 | $8,060.00 | not published | 0 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $3,975.00 | $7,950.00 | not published | 0 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,230.00 | $2,460.00 | not published | 0 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $920.00 | $1,840.00 | not published | 0 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $4,715.00 | $9,430.00 | not published | 0 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $870.00 | $1,740.00 | not published | 0 |
| Plerixafor injection HCPCS J2562 | not published | not published | $24.98 – $528.08 | 13 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $367.50 | $735.00 | not published | 0 |
| Plmt access bil tree sm bwl CPT 47541 | $5,225.00 | $10,450.00 | not published | 0 |
| Plmt biliary drainage cath CPT 47534 | $5,085.00 | $10,170.00 | not published | 0 |
| Plmt nephroureteral catheter CPT 50433 | $3,450.00 | $6,900.00 | not published | 0 |
| Plmt ureteral stent prq CPT 50694 | $3,220.00 | $6,440.00 | not published | 0 |
| Pm device progr eval dual CPT 93280 | $307.50 | $615.00 | not published | 0 |
| Pm device progr eval multi CPT 93281 | $307.50 | $615.00 | not published | 0 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $165.85 – $933.05 | 16 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $606.69 – $2,661.52 | 16 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $615.66 – $2,700.90 | 16 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $37.28 – $163.55 | 16 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $162.80 – $714.20 | 16 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $541.20 – $2,374.23 | 16 |
| Pms2 known familial variants CPT 81318 | not published | not published | $264.80 – $1,161.67 | 16 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $31.47 – $67.05 | 2 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $70.00 | $140.00 | $20.86 – $91.49 | 16 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $347.63 | $695.25 | $129.78 – $324.32 | 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.