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 |
|---|---|---|---|---|
| Car ion chnnlpath inc 10 gns CPT 81413 | not published | not published | $467.92 – $2,052.76 | 16 |
| Car ion chnnlpath inc 2 gns CPT 81414 | not published | not published | $467.92 – $2,052.76 | 16 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | not published | not published | $145.60 – $6,475.32 | 13 |
| Carotene CPT 82380 | $70.00 | $140.00 | $7.38 – $32.36 | 16 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,030.00 | $2,060.00 | not published | 0 |
| Car seat/bed test 60 minutes CPT 94780 | $130.00 | $260.00 | not published | 0 |
| Car seat/bed test additional 30 minutes CPT 94781 | $65.00 | $130.00 | not published | 0 |
| Casirivimab and imdevimab HCPCS Q0243 | not published | not published | $0.01 – $0.02 | 2 |
| Caspofungin acetate HCPCS J0637 | not published | not published | $3.34 – $16.01 | 12 |
| Catecholamines,fractionated, urine CPT 82382 | not published | not published | $21.84 – $95.82 | 16 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $227.50 | $455.00 | not published | 0 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $2,656.60 | $5,313.20 | not published | 0 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $13,095.00 | $26,190.00 | not published | 0 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $316.04 | $632.07 | not published | 0 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $937.24 | $1,874.48 | not published | 0 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $263.38 | $526.75 | not published | 0 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $888.00 | $1,776.00 | not published | 0 |
| Catheter declot mechanical CPT 36596 | $1,085.00 | $2,170.00 | not published | 0 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $10.00 | $20.00 | $2.40 – $27.77 | 16 |
| Catheter stripping venous CPT 36595 | $2,175.00 | $4,350.00 | not published | 0 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $508.69 | $1,017.38 | not published | 0 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $3,552.00 | $7,104.00 | not published | 0 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $347.50 | $695.00 | not published | 0 |
| Cath lt/rt pulm art CPT 36014 | $760.00 | $1,520.00 | not published | 0 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $214.20 | $428.39 | not published | 0 |
| Cath place 1st order venous 36011 CPT 36011 | $760.00 | $1,520.00 | not published | 0 |
| Cath ptca pcltxl agent 3x20mm HCPCS C9610 | $8,220.75 | $16,441.50 | not published | 0 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $665.00 | $1,330.00 | not published | 0 |
| Cath segmntl pulm art CPT 36015 | $940.00 | $1,880.00 | not published | 0 |
| Cath stripping venous s&i CPT 75901 | $605.00 | $1,210.00 | not published | 0 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $71.39 | $142.78 | not published | 0 |
| Cauterization chemical granulation tissue CPT 17250 | $272.50 | $545.00 | not published | 0 |
| Cbc/diffwbc without platelet HCPCS G0306 | not published | not published | $6.22 – $27.27 | 16 |
| CBC without platelet HCPCS G0307 | not published | not published | $5.18 – $22.71 | 16 |
| #cbg+cort-cbg CPT 84449 | not published | not published | $14.40 – $63.18 | 16 |
| Cciiv4 vacc abx free im CPT 90756 | not published | not published | $28.52 – $47.91 | 7 |
| Cciiv4 vac no prsv 0.5 ml im CPT 90674 | not published | not published | $30.10 – $50.57 | 7 |
| Ccnd1/igh translocation alys CPT 81168 | not published | not published | $165.85 – $727.57 | 15 |
| Cdna analysis for variants CPT 81403 | $860.00 | $1,720.00 | $148.16 – $649.97 | 16 |
| Cebpa gene full sequence CPT 81218 | $590.00 | $1,180.00 | $193.52 – $848.97 | 16 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $15.69 | $31.37 | $0.81 – $1.99 | 12 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $20.19 | $40.38 | $1.20 – $3.95 | 12 |
| Cefotaxime sodium injection HCPCS J0698 | not published | not published | $9.41 – $15.00 | 3 |
| Cefotetan 1 gm vial HCPCS S0074 | not published | not published | $11.62 – $18.53 | 3 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | not published | not published | $4.51 – $10.86 | 12 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | not published | not published | $3.94 – $9.63 | 13 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | not published | not published | $1.60 – $4.02 | 12 |
| Ceftazidime and avibactam HCPCS J0714 | not published | not published | $100.50 – $245.77 | 12 |
| Ceftizoxime sodium / 500 mg HCPCS J0715 | not published | not published | $0.01 – $7.86 | 3 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $9.16 | $18.32 | $0.44 – $1.09 | 12 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | not published | not published | $1.88 – $4.61 | 12 |
| #celiac hla-dq2 CPT 81377 | not published | not published | $75.79 – $332.50 | 16 |
| #celiac hla-dq8 CPT 81383 | $245.00 | $490.00 | $87.30 – $383.00 | 16 |
| Cell count body fluid CPT 89050 | $50.00 | $100.00 | $3.78 – $16.57 | 16 |
| Cell count w differential body fluid CPT 89051 | $67.50 | $135.00 | $4.48 – $19.66 | 16 |
| Cell cryopreserve/storage CPT 88240 | $100.00 | $200.00 | $10.46 – $45.87 | 16 |
| Cell enumeration & id CPT 86152 | $515.00 | $1,030.00 | $200.62 – $880.13 | 16 |
| Cell enumeration phys interp CPT 86153 | not published | not published | $28.58 – $28.58 | 1 |
| Cellesta or duo per sq cm HCPCS Q4184 | not published | not published | $624.34 – $1,523.39 | 10 |
| Cell function assay w/stim CPT 86352 | $330.00 | $660.00 | $108.69 – $476.81 | 16 |
| Cell marker study CPT 88182 | $285.00 | $570.00 | $112.31 – $369.60 | 2 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $28.21 – $68.82 | 12 |
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $4,799.10 – $8,026.53 | 4 |
| Cephalin floculation test HCPCS P2028 | not published | not published | $3.96 – $17.37 | 15 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $36.31 | $72.61 | $3.90 – $12.63 | 13 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | not published | not published | $75.48 – $188.11 | 13 |
| #cf-97variants CPT 81220 | $232.50 | $465.00 | $445.28 – $1,953.42 | 16 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $348.06 – $1,526.92 | 16 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $135.00 – $592.24 | 16 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $77.78 – $341.20 | 16 |
| Change cystostomy tube simple CPT 51705 | $212.50 | $425.00 | not published | 0 |
| Change g-tube to g-j perc CPT 49446 | $910.00 | $1,820.00 | not published | 0 |
| Change nephroureteral cath CPT 50387 | $3,220.00 | $6,440.00 | not published | 0 |
| Change of ureter tube/stent CPT 50688 | $1,410.00 | $2,820.00 | not published | 0 |
| Change of windpipe airway 31502 CPT 31502 | $302.50 | $605.00 | not published | 0 |
| Change stent via transureth CPT 50385 | $2,230.00 | $4,460.00 | not published | 0 |
| Change ureter stent percut CPT 50382 | $2,275.00 | $4,550.00 | not published | 0 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $116.22 – $205.86 | 2 |
| Chemo adm cns w/lmbr punct CPT 96450 | $645.00 | $1,290.00 | not published | 0 |
| Chemo ia push tecnique CPT 96420 | $307.50 | $615.00 | not published | 0 |
| Chemotaxis assay CPT 86155 | not published | not published | $12.79 – $56.13 | 16 |
| Chemotherapy injection 96542 CPT 96542 | $442.50 | $885.00 | not published | 0 |
| Chemotx admn pertl cav impl CPT 96446 | $590.00 | $1,180.00 | not published | 0 |
| Chest 2 vws w oblique CPT 71048 | $360.00 | $720.00 | not published | 0 |
| Chest apical lordotic proj CPT 71047 | $317.50 | $635.00 | not published | 0 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,305.00 | $4,610.00 | not published | 0 |
| Chest CT scan (with contrast) CPT 71260 | $1,570.00 | $3,140.00 | not published | 0 |
| Chest CT scan (without contrast) CPT 71250 | $1,470.00 | $2,940.00 | not published | 0 |
| Chest X-ray CPT 71046 | $255.00 | $510.00 | not published | 0 |
| Chest X-ray (single view) CPT 71045 | $212.50 | $425.00 | not published | 0 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $645.00 | $1,290.00 | not published | 0 |
| Chikungunya vaccine live im CPT 90589 | not published | not published | $275.00 – $462.00 | 3 |
| Chimerism anal no cell selec CPT 81267 | $380.00 | $760.00 | $165.97 – $728.10 | 16 |
| Chimerism anal w/cell select CPT 81268 | $1,600.00 | $3,200.00 | $208.63 – $915.26 | 16 |
| Chlamydia culture CPT 87110 | $80.00 | $160.00 | $15.68 – $68.79 | 16 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $9.58 – $42.06 | 16 |
| Chlamydia type CPT 87140 | $22.50 | $45.00 | $4.46 – $19.55 | 16 |
| Chlmyd pneum dna dir probe CPT 87485 | not published | not published | $16.04 – $70.37 | 16 |
| Chlmyd pneum dna quant CPT 87487 | not published | not published | $34.27 – $150.35 | 16 |
| Chloramphenicol sodium injec HCPCS J0720 | not published | not published | $46.70 – $74.43 | 4 |
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.