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 |
|---|---|---|---|---|
| Serpina1 gene CPT 81332 | not published | not published | $34.92 – $153.20 | 16 |
| Sertraline (zoloft) - sendout CPT 80332 | $135.00 | $270.00 | $19.34 – $19.34 | 1 |
| Set radiation therapy field CPT 77280 | $825.00 | $1,650.00 | not published | 0 |
| Set radiation therapy field CPT 77285 | $1,075.00 | $2,150.00 | not published | 0 |
| Set radiation therapy field CPT 77290 | $1,450.00 | $2,900.00 | not published | 0 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.01 – $0.02 | 3 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.05 – $0.08 | 3 |
| Sex chromatin identification CPT 88130 | not published | not published | $14.38 – $63.10 | 16 |
| Sex chromatin identification CPT 88140 | not published | not published | $6.39 – $28.05 | 16 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $154.60 – $626.13 | 14 |
| Shigella antibody CPT 86771 | not published | not published | $19.58 – $85.92 | 16 |
| Shoe post-op mens m HCPCS L3260 | $40.00 | $80.00 | not published | 0 |
| Shoulder MRI (with and without contrast) CPT 73223 | $3,265.00 | $6,530.00 | not published | 0 |
| Shoulder MRI (with contrast) CPT 73222 | $2,210.00 | $4,420.00 | not published | 0 |
| Shoulder MRI (without contrast) CPT 73221 | $2,110.00 | $4,220.00 | not published | 0 |
| Shoulder X-ray CPT 73030 | $565.00 | $1,130.00 | not published | 0 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $2,466.67 | $4,933.33 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $302.50 | $605.00 | not published | 0 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $9.78 – $42.90 | 16 |
| Sickling rbc CPT 85660 | $187.50 | $375.00 | $4.41 – $19.34 | 16 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.26 – $0.41 | 3 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | not published | not published | $117.82 – $279.10 | 12 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,305.00 | $4,610.00 | not published | 0 |
| Sinus CT scan (with contrast) CPT 70487 | $1,570.00 | $3,140.00 | not published | 0 |
| Sinus CT scan (without contrast) CPT 70486 | $1,470.00 | $2,940.00 | not published | 0 |
| Sinus/juglr venogram s&i CPT 75860 | $1,315.00 | $2,630.00 | not published | 0 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $55,015.23 – $135,509.06 | 13 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $1.09 – $11.54 | 12 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $114.21 – $286.58 | 12 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $19.34 – $19.34 | 1 |
| Skin Biopsy CPT 11102 | $230.00 | $460.00 | not published | 0 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $4.33 – $17.52 | 2 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $1,011.38 – $1,547.42 | 3 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $139.85 – $613.52 | 16 |
| Sleep Study (Polysomnography) CPT 95810 | $3,385.00 | $6,770.00 | not published | 0 |
| Sleep study unattended CPT 95806 | $337.50 | $675.00 | not published | 0 |
| Sleeve fing rolyan med HCPCS L3933 | $140.00 | $280.00 | not published | 0 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $20.00 | $40.00 | not published | 0 |
| Slp eval non-spch gen comm dev CPT 92605 | $285.00 | $570.00 | not published | 0 |
| Slp ther svc non-spch gen CPT 92606 | $255.00 | $510.00 | not published | 0 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $4,314.91 – $24,912.81 | 4 |
| Small animal inoculation CPT 87003 | not published | not published | $13.47 – $59.10 | 16 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $453.60 | 4 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $55.00 | $110.00 | $4.31 – $18.92 | 16 |
| Smear gram stain CPT 87205 | $40.00 | $80.00 | $3.42 – $14.98 | 16 |
| Smear nasal eosinophil CPT 89190 | $30.00 | $60.00 | $4.63 – $20.31 | 16 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $67.50 | $135.00 | $5.99 – $21.03 | 16 |
| Smear wet mount CPT 87210 | $37.50 | $75.00 | $4.66 – $20.44 | 16 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $241.08 – $1,057.61 | 16 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $148.16 – $649.97 | 16 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $37.60 – $164.95 | 16 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $40.86 – $179.23 | 16 |
| So cap design without jnts cf HCPCS L3671 | $590.00 | $1,180.00 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $25.00 | $50.00 | $4.05 – $17.76 | 16 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $91.24 | $182.47 | $2.47 – $6.11 | 12 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $68.70 | $137.40 | $1.24 – $3.05 | 12 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $67.15 | $134.29 | $0.62 – $1.53 | 12 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.14 – $0.23 | 3 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $7.48 | $14.96 | $1.94 – $4.86 | 12 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $73.22 – $178.18 | 12 |
| Sodium serum/plasma/whole blood CPT 84295 | $22.50 | $45.00 | $3.85 – $16.88 | 16 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $0.74 – $1.23 | 2 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $3,000.04 – $3,713.06 | 2 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $2,666.70 – $3,300.49 | 2 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $7,333.38 – $9,076.29 | 2 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $2,333.36 – $2,887.93 | 2 |
| Somatropin injection HCPCS J2941 | not published | not published | $48.92 – $232.26 | 4 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $6,666.70 – $8,251.16 | 2 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $2,000.02 – $2,475.36 | 2 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $21.10 – $33.62 | 4 |
| Special physics consult CPT 77370 | $725.00 | $1,450.00 | not published | 0 |
| Special radiation dosimetry CPT 77331 | $392.50 | $785.00 | not published | 0 |
| Special radiation treatment CPT 77470 | $1,940.00 | $3,880.00 | not published | 0 |
| Special teletx port plan CPT 77321 | $1,900.00 | $3,800.00 | not published | 0 |
| Specific gravity body fluid CPT 84315 | not published | not published | $2.62 – $11.51 | 16 |
| Specimen fat stain CPT 89125 | $47.50 | $95.00 | $4.70 – $20.63 | 16 |
| Sperm antibody test CPT 89325 | not published | not published | $8.54 – $37.44 | 16 |
| Sperm evaluation test CPT 89329 | not published | not published | $15.67 – $68.74 | 16 |
| Sperm identification CPT 89257 | not published | not published | $100.68 – $100.68 | 1 |
| Sperm isolation complex CPT 89261 | not published | not published | $100.68 – $100.68 | 1 |
| Sperm isolation simple CPT 89260 | not published | not published | $100.68 – $100.68 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,130.00 | $2,260.00 | not published | 0 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $467.50 | $935.00 | not published | 0 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $330.00 | $660.00 | not published | 0 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $42.50 | $85.00 | not published | 0 |
| Splint finger frog med HCPCS L3927 | $42.50 | $85.00 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $62.50 | $125.00 | not published | 0 |
| Split blood or products CPT 86985 | $75.00 | $150.00 | $21.37 – $70.71 | 2 |
| Sputum specimen collection CPT 89220 | not published | not published | $13.28 – $54.81 | 2 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $3,600.00 – $5,737.50 | 4 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $140.32 – $568.30 | 14 |
| Srs linear based CPT 77372 | $24,095.00 | $48,190.00 | not published | 0 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $227.50 | $455.00 | not published | 0 |
| Staph a dna amp probe CPT 87640 | $125.00 | $250.00 | $28.07 – $123.15 | 16 |
| Static or dynami afo pre ots HCPCS L4397 | $167.50 | $335.00 | not published | 0 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $230.00 | $460.00 | not published | 0 |
| Stem cells total count CPT 86367 | not published | not published | $62.22 – $272.98 | 16 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $16,580.00 | $33,160.00 | not published | 0 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $4,891.71 | $9,783.42 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $172.50 | $345.00 | not published | 0 |
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.