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 |
|---|---|---|---|---|
| Pt repositioning canalith procedure(s) per day CPT 95992 | $105.00 | $210.00 | not published | 0 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $87.50 | $175.00 | not published | 0 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $10.50 | $21.00 | not published | 0 |
| Pt wheelchair management each 15 minutes CPT 97542 | $87.50 | $175.00 | not published | 0 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $4,400.00 – $19,302.67 | 15 |
| Pulmonary vent imaging CPT 78579 | $1,225.00 | $2,450.00 | not published | 0 |
| Pulse ox continuous overnight monitoring CPT 94762 | $222.50 | $445.00 | not published | 0 |
| Punc of shunt for asp or inj CPT 61070 | $725.00 | $1,450.00 | not published | 0 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $80.00 | $160.00 | not published | 0 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $282.50 | $565.00 | not published | 0 |
| Puncture spinal lumbar diagnostic CPT 62270 | $580.00 | $1,160.00 | not published | 0 |
| Puraply 1 sq cm HCPCS Q4195 | $270.00 | $540.00 | $105.87 – $250.80 | 10 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $74.82 – $177.25 | 10 |
| Pyridoxine hcl 100 mg HCPCS J3415 | not published | not published | $12.57 – $38.50 | 12 |
| Pyruvate CPT 84210 | $80.00 | $160.00 | $11.58 – $50.82 | 16 |
| Pyruvate kinase CPT 84220 | $67.50 | $135.00 | $7.55 – $33.13 | 16 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,285.00 | $2,570.00 | not published | 0 |
| Quant diff pulm perf w/imaging CPT 78597 | $870.00 | $1,740.00 | not published | 0 |
| Quest t3 uptake CPT 84479 | $60.00 | $120.00 | $5.18 – $22.71 | 16 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $0.01 – $713.00 | 5 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $347.32 – $760.32 | 6 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $241.15 – $611.28 | 12 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $750.41 | $1,500.82 | $280.37 – $684.10 | 13 |
| Rabies vaccine id CPT 90676 | not published | not published | $79.00 – $264.47 | 2 |
| Radiation physics consult CPT 77336 | $695.00 | $1,390.00 | not published | 0 |
| Radiation therapy dose plan CPT 77300 | $525.00 | $1,050.00 | not published | 0 |
| Radiation treatment aid(s) CPT 77332 | $550.00 | $1,100.00 | not published | 0 |
| Radiation treatment aid(s) CPT 77333 | $1,040.00 | $2,080.00 | not published | 0 |
| Radiation treatment aid(s) CPT 77334 | $1,505.00 | $3,010.00 | not published | 0 |
| Radiation treatment delivery CPT 77402 | $715.00 | $1,430.00 | not published | 0 |
| Radiation treatment delivery CPT 77412 | $1,100.00 | $2,200.00 | not published | 0 |
| Radiesse injection HCPCS Q2026 | not published | not published | $333.42 – $333.42 | 1 |
| Radiology port images(s) CPT 77417 | $300.00 | $600.00 | not published | 0 |
| Radiotherapy dose plan imrt CPT 77301 | $12,155.00 | $24,310.00 | not published | 0 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $157.54 – $258.60 | 5 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,315.00 | $2,630.00 | not published | 0 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,760.00 | $3,520.00 | not published | 0 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $1,905.00 | $3,810.00 | not published | 0 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,505.00 | $3,010.00 | not published | 0 |
| Radphm lcl tumor plr sgl day CPT 78800 | $875.00 | $1,750.00 | not published | 0 |
| Radphm quant measure sgl area add-on CPT 78835 | $237.50 | $475.00 | not published | 0 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $195.37 | $390.73 | $71.07 – $177.91 | 13 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $90.41 – $581.61 | 13 |
| Rapid desensitization CPT 95180 | $317.50 | $635.00 | not published | 0 |
| Rapid Strep Test CPT 87880 | $42.50 | $85.00 | $13.22 – $58.01 | 16 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $967.19 | $1,934.38 | $369.97 – $902.72 | 13 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $220.32 – $538.23 | 12 |
| Rb82 rubidium HCPCS A9555 | not published | not published | $576.63 – $576.63 | 1 |
| Rbc count only automated CPT 85041 | $15.00 | $30.00 | $2.42 – $10.60 | 16 |
| Rbc irradiated each unit HCPCS P9038 | $575.00 | $1,150.00 | not published | 0 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $6.88 – $30.18 | 16 |
| Rbc osmotic fragility CPT 85555 | $140.00 | $280.00 | $5.98 – $26.22 | 16 |
| Rbc serum pretx incubj drugs CPT 86975 | $370.00 | $740.00 | $26.27 – $86.97 | 2 |
| Red blood cells each unit HCPCS P9021 | $460.00 | $920.00 | not published | 0 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $530.00 | $1,060.00 | not published | 0 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $307.50 | $615.00 | not published | 0 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $350.00 | $700.00 | not published | 0 |
| Red blood cells washed each unit HCPCS P9022 | $460.00 | $920.00 | not published | 0 |
| Refill maint impl spine pump CPT 95991 | $397.50 | $795.00 | not published | 0 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $47.31 | $94.61 | $2.88 – $92.23 | 12 |
| Rem/biv cast full arm/leg CPT 29705 | $157.50 | $315.00 | not published | 0 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $14.04 | $28.07 | $6.35 – $15.50 | 12 |
| Rem endovas vena cava filter CPT 37193 | $3,980.00 | $7,960.00 | not published | 0 |
| Rem interrog evl pm/ids CPT 93296 | $140.00 | $280.00 | not published | 0 |
| Removal biliary drg cath CPT 47537 | $2,510.00 | $5,020.00 | not published | 0 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $665.00 | $1,330.00 | not published | 0 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $1,085.00 | $2,170.00 | not published | 0 |
| Removal cerclage without anes CPT 59899 | $252.50 | $505.00 | not published | 0 |
| Removal cerumen impacted (both sides) CPT 69210 | $50.00 | $100.00 | not published | 0 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $157.50 | $315.00 | not published | 0 |
| Removal duct glbldr calculi CPT 47544 | $3,280.00 | $6,560.00 | not published | 0 |
| Removal tunnled intprtnl cath CPT 49422 | $2,390.00 | $4,780.00 | not published | 0 |
| Remove cva lumen obstruct CPT 75902 | $477.50 | $955.00 | not published | 0 |
| Remove renal tube w/fluoro CPT 50389 | $610.00 | $1,220.00 | not published | 0 |
| Remove stent via transureth CPT 50386 | $760.00 | $1,520.00 | not published | 0 |
| Remove ureter stent percut CPT 50384 | $2,275.00 | $4,550.00 | not published | 0 |
| Renal function panel CPT 80069 | $142.50 | $285.00 | $6.94 – $30.46 | 16 |
| Renal venogram bil s&i CPT 75833 | $3,145.00 | $6,290.00 | not published | 0 |
| Renin stimulation panel CPT 80416 | not published | not published | $167.46 – $734.62 | 16 |
| Renin stimulation panel CPT 80417 | not published | not published | $35.19 – $154.39 | 16 |
| Repair elbow perc CPT 24357 | $3,770.00 | $7,540.00 | not published | 0 |
| Replace duod/jej tube perc CPT 49451 | $665.00 | $1,330.00 | not published | 0 |
| Replace g/c tube perc CPT 49450 | $665.00 | $1,330.00 | not published | 0 |
| Replace g-j tube perc CPT 49452 | $560.00 | $1,120.00 | not published | 0 |
| Replace tunneled cv cath CPT 36578 | $2,555.00 | $5,110.00 | not published | 0 |
| Repriza, 1cm HCPCS Q4143 | not published | not published | $33.92 – $50.88 | 4 |
| Reptilase test CPT 85635 | not published | not published | $7.88 – $34.57 | 16 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | $29.05 | $58.10 | $10.31 – $25.18 | 13 |
| Respirator motion mgmt simul CPT 77293 | $2,120.00 | $4,240.00 | not published | 0 |
| #resp virpnl dfa-adenovirus CPT 87260 | not published | not published | $11.54 – $50.64 | 16 |
| #resp virpnl dfa-parainfluenza CPT 87279 | not published | not published | $13.14 – $57.66 | 16 |
| Resp virus 6-11 targets CPT 87632 | not published | not published | $174.45 – $765.29 | 16 |
| Restorigin 1 sq cm HCPCS Q4191 | not published | not published | $1,046.80 – $2,479.80 | 10 |
| Resuscitation cardiopulmonary CPT 92950 | $1,225.00 | $2,450.00 | not published | 0 |
| Resuscitation delivery/birthing room CPT 99465 | $515.00 | $1,030.00 | not published | 0 |
| Reteplase injection HCPCS J2993 | not published | not published | $2,777.14 – $4,622.18 | 4 |
| Reticulated platelet assay CPT 85055 | $75.00 | $150.00 | $28.59 – $125.43 | 16 |
| Reticulocyte automated CPT 85045 | not published | not published | $3.19 – $14.01 | 16 |
| Reticulocyte direct measurement automated CPT 85046 | $47.50 | $95.00 | $4.46 – $19.55 | 16 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | $76.74 | $153.47 | $29.20 – $71.40 | 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.