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 |
|---|---|---|---|---|
| Tl-201 thallium diag per mci HCPCS A9505 | $82.50 | $165.00 | $31.35 – $49.97 | 3 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $73.83 – $73.83 | 1 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | not published | not published | $1.60 – $4.80 | 12 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $14.80 – $63.38 | 12 |
| Tobramycin peak therapeutic drug level CPT 80200 | $115.00 | $230.00 | $12.90 – $56.61 | 16 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $17.21 | $34.41 | $5.88 – $14.56 | 13 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $7.57 – $18.47 | 12 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $62.50 | $125.00 | not published | 0 |
| Tomosynthesis breast screen bilateral CPT 77063 | $62.50 | $125.00 | not published | 0 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | not published | not published | $1.27 – $4.35 | 12 |
| Topotecan oral HCPCS J8705 | not published | not published | $124.86 – $304.83 | 12 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $38.87 – $95.94 | 12 |
| Total tau CPT 84394 | $312.50 | $625.00 | not published | 0 |
| Tot estradiol response panel CPT 80415 | not published | not published | $44.71 – $196.15 | 16 |
| Toxoplasma antibody igg CPT 86777 | $62.50 | $125.00 | $11.51 – $50.51 | 16 |
| Toxoplasma antibody igm CPT 86778 | $62.50 | $125.00 | $11.53 – $50.58 | 16 |
| Tp53 gene full gene sequence CPT 81351 | not published | not published | $513.48 – $2,252.62 | 15 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $246.40 – $1,080.96 | 15 |
| Tp53 gene trgt sequence alys CPT 81352 | $1,095.00 | $2,190.00 | $263.61 – $1,067.61 | 14 |
| Tpmt gene com vrnts CPT 81335 | $202.50 | $405.00 | $139.85 – $613.52 | 16 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | not published | not published | $362.75 – $885.11 | 13 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $85.00 | $170.00 | not published | 0 |
| Transcath biopsy CPT 37200 | $2,430.00 | $4,860.00 | not published | 0 |
| Transcatheter bx s&i CPT 75970 | $1,785.00 | $3,570.00 | not published | 0 |
| Transcath occlusion cns CPT 61624 | $2,290.00 | $4,580.00 | not published | 0 |
| Transcath occlusion non-cns CPT 61626 | $3,070.00 | $6,140.00 | not published | 0 |
| Transcrv abltj utrn fibrd rf CPT 58580 | $6,340.00 | $12,680.00 | not published | 0 |
| Transcutaneous carboxyhb CPT 88740 | not published | not published | $7.50 – $32.88 | 16 |
| Transcutaneous hgb 88738 CPT 88738 | not published | not published | $4.02 – $17.62 | 16 |
| Transcutaneous methb CPT 88741 | not published | not published | $7.50 – $32.88 | 16 |
| Transferrin CPT 84466 | $92.50 | $185.00 | $10.21 – $44.78 | 16 |
| Transfusion blood/blood component(s) CPT 36430 | $725.00 | $1,450.00 | not published | 0 |
| Transparent film >16<=48 in HCPCS A6258 | $1.78 | $3.55 | not published | 0 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | not published | not published | $75.69 – $188.00 | 13 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $225.37 | $450.74 | $24.33 – $84.64 | 12 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | not published | not published | $18.97 – $46.28 | 12 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $3,185.00 | $6,370.00 | not published | 0 |
| Trb@ gene rearrange dirprobe CPT 81341 | not published | not published | $39.67 – $174.04 | 16 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $180.00 | $360.00 | not published | 0 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $90.00 | $180.00 | not published | 0 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $85.00 | $170.00 | not published | 0 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | not published | not published | $135.45 – $337.77 | 12 |
| Treponema pallidum ag if CPT 87285 | not published | not published | $9.74 – $42.74 | 16 |
| Treponema pallidum antibody CPT 86780 | $52.50 | $105.00 | $10.59 – $46.47 | 16 |
| Treprostinil injection HCPCS J3285 | not published | not published | $55.82 – $136.51 | 13 |
| Treprostinil, non-comp unit HCPCS J7686 | not published | not published | $760.24 – $1,854.77 | 12 |
| Trg gene rearrangement anal CPT 81342 | $610.00 | $1,220.00 | $161.20 – $707.18 | 16 |
| Trh stimulation panel CPT 80439 | not published | not published | $53.77 – $235.88 | 16 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $18.49 | $36.97 | $0.87 – $2.72 | 12 |
| Triamcinolone a inj prs-free HCPCS J3300 | not published | not published | $6.16 – $36.11 | 4 |
| Triamcinolone diacetate inj HCPCS J3302 | not published | not published | $0.22 – $0.42 | 2 |
| Triamcinolone hexacetonl inj HCPCS J3303 | not published | not published | $7.80 – $12.44 | 3 |
| Trichinella antibody CPT 86784 | not published | not published | $10.05 – $44.09 | 16 |
| Trichomonas assay w/optic CPT 87808 | $52.50 | $105.00 | $12.23 – $53.65 | 16 |
| Triglycerides CPT 84478 | $65.00 | $130.00 | $4.59 – $20.16 | 16 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | not published | not published | $5.36 – $13.09 | 12 |
| Trimethobenzamide hci 250mg HCPCS Q0173 | not published | not published | $0.28 – $1.26 | 2 |
| Trimethobenzamide hcl inj HCPCS J3250 | $152.84 | $305.68 | $50.04 – $124.32 | 12 |
| Trim nail(s) HCPCS G0127 | $50.00 | $100.00 | not published | 0 |
| Trim nondyst nails CPT 11719 | $50.00 | $100.00 | not published | 0 |
| Triptorelin pamoate HCPCS J3315 | not published | not published | $390.69 – $1,174.36 | 13 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | $10,145.00 | $20,290.00 | not published | 0 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $4,875.00 | $9,750.00 | not published | 0 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $6,570.00 | $13,140.00 | not published | 0 |
| Trnscath plc stnt ante carotid art CPT 37218 | $4,095.00 | $8,190.00 | not published | 0 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $10,405.00 | $20,810.00 | not published | 0 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $10,405.00 | $20,810.00 | not published | 0 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $16,005.00 | $32,010.00 | not published | 0 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $3,170.00 | $6,340.00 | not published | 0 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $2,005.00 | $4,010.00 | not published | 0 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $3,510.00 | $7,020.00 | not published | 0 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $3,510.00 | $7,020.00 | not published | 0 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $2,005.00 | $4,010.00 | not published | 0 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $512.58 – $2,075.97 | 14 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $7,225.20 – $10,497.60 | 3 |
| Troponin quantitative CPT 84484 | $87.50 | $175.00 | $9.98 – $43.77 | 16 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $96.75 – $154.20 | 2 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $150.00 | $300.00 | not published | 0 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | $10.00 | $20.00 | not published | 0 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $125.00 | $250.00 | not published | 0 |
| Tyms gene com variants CPT 81346 | $140.00 | $280.00 | $139.85 – $613.52 | 16 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $106.67 – $179.21 | 3 |
| U2af1 gene common variants CPT 81357 | not published | not published | $154.60 – $626.13 | 14 |
| Ua w/micro/comp poc CPT 81000 | $15.00 | $30.00 | $3.22 – $14.10 | 16 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $68.66 – $168.42 | 12 |
| Ugt1a1 gene analy common variants CPT 81350 | $235.00 | $470.00 | $187.20 – $821.24 | 16 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $380.00 | $760.00 | not published | 0 |
| Ultrasound breast complete CPT 76641 | $880.00 | $1,760.00 | not published | 0 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $660.00 | $1,320.00 | not published | 0 |
| Ultrasound chest CPT 76604 | $352.50 | $705.00 | not published | 0 |
| Ultrasound elastography ea l target les CPT 76983 | $180.00 | $360.00 | not published | 0 |
| Ultrasound elastography parenchyma CPT 76981 | $362.50 | $725.00 | not published | 0 |
| Ultrasound encephalogram CPT 76506 | $570.00 | $1,140.00 | not published | 0 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $670.00 | $1,340.00 | not published | 0 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $585.00 | $1,170.00 | not published | 0 |
| Ultrasound guidance for vascular access CPT 76937 | $590.00 | $1,180.00 | not published | 0 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $720.00 | $1,440.00 | not published | 0 |
| Ultrasound guide intraoperative CPT 76998 | $292.50 | $585.00 | not published | 0 |
| Ultrasound guide tissue ablation CPT 76940 | $420.00 | $840.00 | not published | 0 |
| Ultrasound hips infant dynamic CPT 76885 | $370.00 | $740.00 | 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.