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 |
|---|---|---|---|---|
| Ultrasound infant hips ltd without stress CPT 76886 | $247.50 | $495.00 | not published | 0 |
| Ultrasound joint complete left CPT 76881 | $750.00 | $1,500.00 | not published | 0 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $565.00 | $1,130.00 | not published | 0 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | $355.00 | $710.00 | not published | 0 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $330.00 | $660.00 | not published | 0 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $267.50 | $535.00 | not published | 0 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $387.50 | $775.00 | not published | 0 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $387.50 | $775.00 | not published | 0 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $452.50 | $905.00 | not published | 0 |
| Ultrasound prostate/transrectal CPT 76872 | $790.00 | $1,580.00 | not published | 0 |
| Ultrasound retroperitoneal limited CPT 76775 | $392.50 | $785.00 | not published | 0 |
| Ultrasound scrotum and contents CPT 76870 | $595.00 | $1,190.00 | not published | 0 |
| Ultrasound spinal canal and contents CPT 76800 | $405.00 | $810.00 | not published | 0 |
| Ultrasound transabd ea addl gest CPT 76812 | $267.50 | $535.00 | not published | 0 |
| Ultrasound transvaginal non obstetric CPT 76830 | $312.50 | $625.00 | not published | 0 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | $685.00 | $1,370.00 | not published | 0 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | $342.50 | $685.00 | not published | 0 |
| Umbilical artery cath newborn 36660 CPT 36660 | $347.50 | $695.00 | not published | 0 |
| Unlistd noninvas vasc dx std CPT 93998 | $427.50 | $855.00 | not published | 0 |
| Unlisted chemotherapy px CPT 96549 | $127.50 | $255.00 | not published | 0 |
| Unlisted CT procedure CPT 76497 | $1,540.00 | $3,080.00 | not published | 0 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $64.32 – $64.32 | 1 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $64.32 – $64.32 | 1 |
| Unlisted fluoroscopic px CPT 76496 | $460.00 | $920.00 | not published | 0 |
| Unlisted hematology&coagj px CPT 85999 | not published | not published | $44.82 – $44.82 | 1 |
| Unlisted maaa CPT 81599 | not published | not published | $455.04 – $455.04 | 1 |
| Unlisted misc path test CPT 89240 | not published | not published | $100.68 – $100.68 | 1 |
| Unlisted mr procedure CPT 76498 | $1,385.00 | $2,770.00 | not published | 0 |
| Unlisted procedure microbiology CPT 87999 | $530.00 | $1,060.00 | $44.82 – $44.82 | 1 |
| Unlisted px med radj physics CPT 77399 | $495.00 | $990.00 | not published | 0 |
| Unlisted reprod med lab proc CPT 89398 | $65.00 | $130.00 | $100.68 – $100.68 | 1 |
| Unlisted surgical path px CPT 88399 | not published | not published | $100.68 – $100.68 | 1 |
| Unlisted transfusion med px CPT 86999 | $145.00 | $290.00 | $31.98 – $31.98 | 1 |
| Unlisted ultrasound procedure CPT 76999 | $75.00 | $150.00 | not published | 0 |
| Unlisted urinalysis px CPT 81099 | not published | not published | $44.82 – $44.82 | 1 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,240.00 | $2,480.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,265.00 | $6,530.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,210.00 | $4,420.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,110.00 | $4,220.00 | not published | 0 |
| Urea nitrogen CPT 84520 | $27.50 | $55.00 | $3.16 – $13.85 | 16 |
| Urea nitrogen 24 hour urine CPT 84540 | $57.50 | $115.00 | $4.45 – $19.51 | 16 |
| Urea nitrogen clearance CPT 84545 | $72.50 | $145.00 | $5.76 – $25.26 | 16 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $4.10 – $18.01 | 16 |
| Ureteral embolization/occl CPT 50705 | $3,785.00 | $7,570.00 | not published | 0 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $515.00 | $1,030.00 | not published | 0 |
| Urethrocystography void s&i CPT 74455 | $690.00 | $1,380.00 | not published | 0 |
| Uric acid blood CPT 84550 | $57.50 | $115.00 | $3.62 – $15.86 | 16 |
| Uric acid urine CPT 84560 | $52.50 | $105.00 | $4.06 – $17.83 | 16 |
| Urinalysis glass test CPT 81020 | not published | not published | $3.76 – $16.49 | 16 |
| Urinalysis microscopic only CPT 81015 | $20.00 | $40.00 | $2.44 – $10.71 | 16 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $1.74 – $7.61 | 16 |
| Urinalysis (with microscopy) CPT 81001 | $57.50 | $115.00 | $2.54 – $11.13 | 16 |
| Urinalysis (without microscopy) CPT 81003 | $25.00 | $50.00 | $1.80 – $7.89 | 16 |
| Urine Culture Test CPT 87086 | $80.00 | $160.00 | $6.46 – $28.33 | 16 |
| Urine pregnancy test CPT 81025 | $77.50 | $155.00 | $6.89 – $30.21 | 16 |
| Urine screen for bacteria CPT 81007 | not published | not published | $7.57 – $105.22 | 16 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $2.40 – $27.77 | 16 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $0.01 – $120.14 | 3 |
| Urography, antegrade CPT 74425 | $560.00 | $1,120.00 | not published | 0 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $0.01 – $686.60 | 2 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $0.01 – $13.74 | 2 |
| Use 1st target lesion CPT 76982 | $360.00 | $720.00 | not published | 0 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $41.33 | $82.66 | $12.76 – $31.13 | 13 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $155.88 – $380.35 | 13 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $161.65 – $394.43 | 12 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $147.06 – $358.83 | 12 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $155.90 – $380.38 | 12 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $87.78 – $214.18 | 12 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $65.55 – $159.94 | 12 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $29.59 – $48.39 | 3 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $103.62 – $164.60 | 3 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $62.82 – $102.62 | 3 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $156.62 – $263.12 | 3 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $120.06 – $201.71 | 3 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $30.58 – $51.38 | 3 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $13.04 – $20.25 | 3 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $70.48 – $174.72 | 12 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $128.47 – $212.01 | 3 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $38.85 – $63.86 | 3 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $30.75 – $30.75 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $75.15 – $183.35 | 12 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $70.38 – $171.72 | 13 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $168.30 – $410.65 | 13 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $88.01 | $176.01 | $30.77 – $75.08 | 13 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $307.61 – $516.78 | 3 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $0.01 – $269.09 | 3 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $62.50 | $125.00 | $83.49 – $203.72 | 13 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $83.49 – $203.72 | 13 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $21.86 – $53.33 | 12 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $22.35 – $54.53 | 13 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $18.44 – $30.98 | 7 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $67.98 – $114.21 | 6 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $0.01 – $34.86 | 5 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $19.73 – $33.15 | 7 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $9.22 – $15.50 | 7 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $24.50 – $41.16 | 6 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $64.51 – $108.38 | 7 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $36.85 – $89.91 | 12 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $10.93 – $26.67 | 12 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $228.10 – $375.90 | 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.