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 |
|---|---|---|---|---|
| Retrograde ejaculation anal CPT 89331 | not published | not published | $15.67 – $68.74 | 16 |
| Revasc intra lithotrip-stent HCPCS C9765 | $12,420.00 | $24,840.00 | not published | 0 |
| Revasc intravasc lithotripsy HCPCS C9764 | $7,455.00 | $14,910.00 | not published | 0 |
| Revefenacin inh non-com 1mcg HCPCS J7677 | not published | not published | $0.19 – $0.48 | 11 |
| Revision tips CPT 37183 | $8,940.00 | $17,880.00 | not published | 0 |
| Revitalon 1 square cm HCPCS Q4157 | not published | not published | $167.65 – $267.20 | 2 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $254.99 – $2,126.70 | 5 |
| Revsc opn/prq tib/pero stent CPT 37234 | $11,020.00 | $22,040.00 | not published | 0 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $10.12 – $25.43 | 12 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $1,660.00 | $3,320.00 | not published | 0 |
| Rheumatoid factor qualitative CPT 86430 | not published | not published | $4.91 – $21.56 | 16 |
| Rheumatoid factor quantitative CPT 86431 | $57.50 | $115.00 | $4.54 – $19.91 | 16 |
| Rh ig IV CPT 90386 | not published | not published | $10.21 – $16.82 | 3 |
| Rh ig minidose im CPT 90385 | not published | not published | $29.84 – $50.13 | 3 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $12.50 | $25.00 | $4.80 – $11.94 | 12 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $23.62 – $59.92 | 12 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $32.51 – $80.19 | 13 |
| Rho d immune globulin inj HCPCS J2790 | not published | not published | $77.16 – $203.40 | 12 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $82.83 – $139.16 | 3 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $1,992.00 – $3,488.40 | 3 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | not published | not published | $0.14 – $0.14 | 1 |
| Rilonacept injection HCPCS J2793 | not published | not published | $24.66 – $41.46 | 3 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $44.29 | $88.57 | $14.63 – $36.80 | 12 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $10.50 – $26.82 | 13 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $250.15 | $500.30 | $76.43 – $187.22 | 13 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $36.58 – $89.25 | 13 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $157.57 | $315.13 | $31.83 – $77.67 | 12 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $33.09 – $89.73 | 12 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | not published | not published | $22.44 – $57.56 | 12 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $427.50 | $855.00 | not published | 0 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $1.58 – $3.94 | 13 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | not published | not published | $29.86 – $74.16 | 12 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | not published | not published | $10.52 – $25.72 | 11 |
| Romiplostim injection HCPCS J2796 | not published | not published | $101.05 – $138.44 | 4 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | not published | not published | $11.17 – $28.03 | 12 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $0.33 | $0.66 | $0.06 – $0.18 | 12 |
| Rotavirus antibody CPT 86759 | not published | not published | $14.58 – $63.99 | 16 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $22.80 – $55.68 | 12 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,125.00 | $2,250.00 | not published | 0 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $1,650.00 | $3,300.00 | not published | 0 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $2,180.00 | $4,360.00 | not published | 0 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $910.00 | $1,820.00 | not published | 0 |
| Rpl tun-cvad w subq port CPT 36582 | $2,905.00 | $5,810.00 | not published | 0 |
| Rpl tun cvc wo subq port CPT 36581 | $2,245.00 | $4,490.00 | not published | 0 |
| Rsv assay w/optic CPT 87807 | $105.00 | $210.00 | $10.48 – $45.97 | 16 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $290.00 – $487.20 | 3 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | $70.00 | $140.00 | not published | 0 |
| Rtm dev sply cbt 16-30 d CPT 98978 | $72.50 | $145.00 | not published | 0 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | $115.00 | $230.00 | not published | 0 |
| Rtm dev sply resp sys 16-30d CPT 98976 | $115.00 | $230.00 | not published | 0 |
| Rubella antibody igg CPT 86762 | $80.00 | $160.00 | $11.51 – $50.51 | 16 |
| Rubeola ag if CPT 87283 | not published | not published | $35.37 – $213.39 | 16 |
| Rubeola antibody igg CPT 86765 | $80.00 | $160.00 | $10.30 – $45.21 | 16 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $263.61 – $1,156.44 | 16 |
| Russell viper venom diluted CPT 85613 | $87.50 | $175.00 | $7.66 – $33.62 | 16 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $733.66 – $2,676.87 | 12 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $92.21 | $184.42 | $34.67 – $86.47 | 12 |
| Salmonella antibody CPT 86768 | $27.50 | $55.00 | $10.55 – $46.29 | 16 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $0.01 – $1.86 | 3 |
| Sargramostim injection HCPCS J2820 | not published | not published | $59.88 – $146.44 | 13 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $33.78 – $149.15 | 8 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $161.54 – $394.15 | 12 |
| Sarscov coronavirus ag ia CPT 87426 | $37.50 | $75.00 | $35.33 – $114.47 | 14 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $52.50 | $105.00 | $65.54 – $203.84 | 9 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $575.00 | $1,150.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $385.00 | $770.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $590.00 | $1,180.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $395.00 | $790.00 | not published | 0 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $685.00 | $1,370.00 | not published | 0 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $675.00 | $1,350.00 | not published | 0 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $965.00 | $1,930.00 | not published | 0 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $645.00 | $1,290.00 | not published | 0 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $475.00 | $950.00 | not published | 0 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $3,125.00 | $6,250.00 | not published | 0 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $2,220.00 | $4,440.00 | not published | 0 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $12.10 – $56.08 | 16 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $21.08 – $21.08 | 1 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $25.55 – $112.10 | 16 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $35.18 – $154.33 | 16 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $21.19 – $92.98 | 16 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $21.64 – $94.94 | 16 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $16.21 – $71.10 | 16 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $21.08 – $21.08 | 1 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $14.44 – $63.35 | 16 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $22.62 – $99.22 | 16 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $37.08 – $162.67 | 16 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $19.26 – $84.52 | 16 |
| Screening Mammogram CPT 77067 | $222.50 | $445.00 | not published | 0 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $21.08 – $21.08 | 1 |
| Screening prostate cancer PSA HCPCS G0103 | not published | not published | $15.45 – $67.78 | 16 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $12.10 – $56.08 | 16 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $17,875.00 | $35,750.00 | not published | 0 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $5,150.00 | $10,300.00 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $47.50 | $95.00 | $2.16 – $9.47 | 16 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $2,323.73 – $3,703.44 | 3 |
| Semen analysis HCPCS G0027 | not published | not published | $5.20 – $22.81 | 16 |
| Semen analysis presence/motility CPT 89321 | $70.00 | $140.00 | $9.64 – $42.29 | 16 |
| Semen analysis w/count CPT 89310 | not published | not published | $6.89 – $30.21 | 16 |
| Sept9 promoter methylation analysis CPT 81327 | $290.00 | $580.00 | $153.60 – $673.84 | 16 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $0.01 – $2.70 | 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.