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 |
|---|---|---|---|---|
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $0.01 – $67.32 | 3 |
| Tc-99m pentetate dtpa HCPCS A9539 | $175.00 | $350.00 | $0.01 – $47.94 | 3 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | not published | not published | $25.98 – $25.98 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $4.00 | $8.00 | $1.60 – $2.60 | 3 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $110.00 | $220.00 | $61.49 – $98.00 | 3 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $310.00 | $620.00 | $102.48 – $140.66 | 2 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $575.44 – $917.12 | 2 |
| Tc-99m sulfur colloid HCPCS A9541 | $250.00 | $500.00 | $256.67 – $409.07 | 3 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $357.50 | $715.00 | $81.86 – $130.47 | 3 |
| Tc-99m tilmanocept diag HCPCS A9520 | $800.00 | $1,600.00 | $635.11 – $1,012.22 | 3 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $175.00 | $350.00 | $37.58 – $164.88 | 16 |
| T cells absolute cd 4 count CPT 86361 | $95.00 | $190.00 | $21.42 – $93.98 | 16 |
| T cells total count CPT 86359 | $135.00 | $270.00 | $30.18 – $132.42 | 16 |
| Team conf without pat by hc pro CPT 99368 | $87.50 | $175.00 | not published | 0 |
| Team conf w/pat by hc prof CPT 99366 | $82.50 | $165.00 | not published | 0 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $214.76 – $524.00 | 12 |
| Telavancin injection HCPCS J3095 | not published | not published | $6.38 – $18.05 | 13 |
| Telehealth original site facility fee HCPCS Q3014 | $27.50 | $55.00 | not published | 0 |
| Telethx isodose plan cplx CPT 77307 | $3,510.00 | $7,020.00 | not published | 0 |
| Telethx isodose plan simple CPT 77306 | $1,780.00 | $3,560.00 | not published | 0 |
| Temozolomide HCPCS J8700 | not published | not published | $0.27 – $1.38 | 12 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.40 – $25.40 | 13 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $29.52 – $104.74 | 13 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $340.69 | $681.37 | $157.72 – $396.33 | 13 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $2,396.11 – $3,818.81 | 3 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | not published | not published | $1.41 – $5.23 | 12 |
| Teriparatide injection HCPCS J3110 | not published | not published | $48.32 – $77.01 | 3 |
| Tert gene targeted seq alys CPT 81345 | $335.00 | $670.00 | $148.16 – $649.97 | 16 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $4.81 – $21.09 | 16 |
| Test for porphobilinogen CPT 84106 | not published | not published | $4.66 – $20.44 | 16 |
| Test for urine cystines CPT 82615 | not published | not published | $7.64 – $33.52 | 16 |
| Testicular imaging w/vasc flow CPT 78761 | $1,080.00 | $2,160.00 | not published | 0 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $100.93 – $160.86 | 3 |
| Testosterone response panel CPT 80414 | not published | not published | $41.31 – $181.23 | 16 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $1.92 – $4.68 | 13 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $60.00 | $120.00 | $113.64 – $113.64 | 1 |
| Test stress cardiovascular tracing only CPT 93017 | $995.00 | $1,990.00 | not published | 0 |
| Test urine for lactose CPT 83633 | not published | not published | $9.00 – $39.48 | 16 |
| Test urine for porphyrins CPT 84119 | not published | not published | $10.69 – $46.88 | 16 |
| Test urine urobilinogen CPT 84578 | not published | not published | $3.58 – $15.69 | 16 |
| Tetanus ig im CPT 90389 | not published | not published | $649.17 – $1,090.61 | 3 |
| Tetanus immune globulin inj HCPCS J1670 | not published | not published | $572.07 – $1,395.85 | 13 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $17.77 – $44.30 | 12 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $109.60 – $480.81 | 16 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $607.62 – $2,460.88 | 14 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $3,505.00 | $7,010.00 | $2,335.68 – $9,459.50 | 14 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $478.33 – $1,937.23 | 14 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $317.34 – $317.34 | 1 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $317.34 – $317.34 | 1 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $317.34 – $317.34 | 1 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $100.68 – $100.68 | 1 |
| Theophylline therapeutic drug level CPT 80198 | $92.50 | $185.00 | $11.31 – $49.63 | 16 |
| Therapeutic procd strg endur HCPCS G0237 | $65.00 | $130.00 | not published | 0 |
| Therapy activity per session >= 45 minutes HCPCS G0176 | $177.50 | $355.00 | not published | 0 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $57.50 | $115.00 | not published | 0 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $50.00 | $100.00 | not published | 0 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $322.50 | $645.00 | not published | 0 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $29.70 | $59.39 | $1.76 – $4.82 | 12 |
| Thiethylperazine maleate inj HCPCS J3280 | not published | not published | $5.94 – $7.14 | 2 |
| Thiotepa injection HCPCS J9340 | not published | not published | $209.02 – $541.08 | 12 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,150.00 | $2,300.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $3,610.00 | $7,220.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $12,310.00 | $24,620.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $13,245.00 | $26,490.00 | not published | 0 |
| Thrombin time CPT 85670 | $50.00 | $100.00 | $4.62 – $20.25 | 16 |
| Thrombin time titer CPT 85675 | not published | not published | $5.48 – $24.03 | 16 |
| Thrombomodulin CPT 85337 | not published | not published | $13.82 – $60.61 | 16 |
| Thromboplastin inhibition CPT 85705 | not published | not published | $7.70 – $33.80 | 16 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $50.00 | $100.00 | $5.18 – $22.71 | 16 |
| Thromboxane urine CPT 84431 | not published | not published | $28.09 – $123.22 | 16 |
| Thyroglobulin antibody CPT 86800 | $90.00 | $180.00 | $12.73 – $55.85 | 16 |
| Thyroid imaging CPT 78013 | $715.00 | $1,430.00 | not published | 0 |
| Thyroid mets imag whole body CPT 78018 | $1,760.00 | $3,520.00 | not published | 0 |
| Thyroid met uptake CPT 78020 | $495.00 | $990.00 | not published | 0 |
| Thyroid (TSH) Test CPT 84443 | $105.00 | $210.00 | $13.44 – $58.97 | 16 |
| Thyroid Ultrasound CPT 76536 | $427.50 | $855.00 | not published | 0 |
| Thyroid uptake measurement CPT 78012 | $715.00 | $1,430.00 | not published | 0 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | not published | not published | $2,067.91 – $5,045.70 | 13 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $40.33 – $176.91 | 16 |
| Thyroxine binding globulin (tbg) CPT 84442 | $92.50 | $185.00 | $11.82 – $51.86 | 16 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $15,910.00 | $31,820.00 | not published | 0 |
| Tib/per revasc stnt & ather CPT 37235 | $15,910.00 | $31,820.00 | not published | 0 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $7,960.00 | $15,920.00 | not published | 0 |
| Tic-brn enceph vac 0.25ml im CPT 90626 | not published | not published | $295.22 – $486.24 | 3 |
| Tic-brn enceph vac 0.5ml im CPT 90627 | not published | not published | $295.22 – $486.24 | 3 |
| Tigecycline injection HCPCS J3243 | not published | not published | $0.30 – $3.01 | 12 |
| Tilt table study CPT 93660 | $1,235.00 | $2,470.00 | not published | 0 |
| Tinzaparin sodium injection HCPCS J1655 | not published | not published | $0.01 – $5.24 | 2 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | not published | not published | $3.55 – $8.84 | 11 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $0.01 – $1,380,122.16 | 10 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | not published | $181.60 – $443.77 | 12 |
| Tiss ex molecul study add-on CPT 88388 | not published | not published | $30.02 – $37.59 | 2 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | $47.50 | $95.00 | $24.00 – $38.25 | 2 |
| Tissue culture placenta CPT 88235 | $370.00 | $740.00 | $120.24 – $527.50 | 16 |
| Tissue culture skin/biopsy CPT 88233 | $575.00 | $1,150.00 | $112.58 – $493.91 | 16 |
| Tissue culture tumor CPT 88239 | $372.50 | $745.00 | $118.02 – $517.73 | 16 |
| Tissue exam koh skin/hair/nails CPT 87220 | $30.00 | $60.00 | $3.42 – $14.98 | 16 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | not published | not published | $96.80 – $154.28 | 2 |
| Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358 | not published | not published | $19.02 – $19.02 | 1 |
| Tissue transglutaminase iga CPT 86364 | $80.00 | $160.00 | $9.22 – $37.36 | 14 |
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.