Aurora Medical Center Grafton
975 Port Washington Rd, Grafton, WI · Aurorahealthcare · · NPI 1265740195
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 |
|---|---|---|---|---|
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $570.98 | $1,141.96 | $50.13 – $127.85 | 10 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $193.60 – $308.55 | 2 |
| Drug assay caffeine CPT 80155 | $80.00 | $160.00 | $30.86 – $135.37 | 16 |
| Drug assay posaconazole CPT 80187 | $100.00 | $200.00 | $21.69 – $95.14 | 15 |
| Drug assay rufinamide CPT 80210 | $135.00 | $270.00 | $21.69 – $95.14 | 15 |
| Drug assay vedolizumab CPT 80280 | $272.50 | $545.00 | $30.86 – $135.37 | 15 |
| Drug assay voriconazole CPT 80285 | $137.50 | $275.00 | $21.69 – $95.14 | 15 |
| Drug asy hydroxychloroquine CPT 80220 | $345.00 | $690.00 | $14.91 – $60.39 | 14 |
| Drug of abuse screen urine CPT 80305 | $27.50 | $55.00 | $10.08 – $44.22 | 16 |
| Drug screening tapentadol CPT 80372 | not published | not published | $19.34 – $19.34 | 1 |
| Drug screen quant tiagabine CPT 80199 | $115.00 | $230.00 | $21.69 – $95.14 | 16 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $19.34 – $19.34 | 1 |
| Drug test def 15-21 classes HCPCS G0482 | $322.50 | $645.00 | $158.99 – $697.49 | 15 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $91.54 – $401.60 | 16 |
| Drug test def 22+ classes HCPCS G0483 | $140.00 | $280.00 | $197.54 – $866.59 | 15 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $125.27 – $549.56 | 15 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $49.71 – $218.10 | 16 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $13.71 – $60.15 | 16 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $352.50 | $705.00 | $49.71 – $218.10 | 16 |
| Drvvt confirm - quest CPT 85597 | not published | not published | $14.38 – $63.10 | 16 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $1,470.00 | $2,940.00 | not published | 0 |
| Ductogram sgl duct CPT 77053 | $302.50 | $605.00 | not published | 0 |
| Duplex scan bilateral study 93985 CPT 93985 | $1,090.00 | $2,180.00 | not published | 0 |
| Duplex scan unilateral study 93986 CPT 93986 | $730.00 | $1,460.00 | not published | 0 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $600.00 | $1,200.00 | not published | 0 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $745.00 | $1,490.00 | not published | 0 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $710.00 | $1,420.00 | not published | 0 |
| Duragen 1x1 5ea/bx HCPCS C9354 | not published | not published | $18.24 – $29.07 | 2 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $81.82 – $204.67 | 12 |
| Dxa bone density axl vrt fx CPT 77085 | $457.50 | $915.00 | not published | 0 |
| Ear and throat examination CPT 92502 | $2,455.00 | $4,910.00 | not published | 0 |
| Ear irrigation 69209 CPT 69209 | $30.00 | $60.00 | not published | 0 |
| Ecallantide injection HCPCS J1290 | not published | not published | $563.10 – $1,373.96 | 13 |
| Ecg 12 lead tracing only CPT 93005 | $335.00 | $670.00 | not published | 0 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $155.00 | $310.00 | not published | 0 |
| Ecg < 30 days transmission & analysis CPT 93271 | $395.00 | $790.00 | not published | 0 |
| Ecg external < 48 hours recording CPT 93225 | $440.00 | $880.00 | not published | 0 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $535.00 | $1,070.00 | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,255.00 | $4,510.00 | not published | 0 |
| Echocardiography doppler color flow mapping CPT 93325 | $525.00 | $1,050.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $1,110.00 | $2,220.00 | not published | 0 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $357.50 | $715.00 | not published | 0 |
| Echo exam of fetal heart CPT 76825 | $690.00 | $1,380.00 | not published | 0 |
| Echo exam uterus 76831- CPT 76831 | $475.00 | $950.00 | not published | 0 |
| Echograp trans r pros study CPT 76873 | $670.00 | $1,340.00 | not published | 0 |
| Echo guidance radiotherapy CPT 76965 | $515.00 | $1,030.00 | not published | 0 |
| Echo guide for amniocentesis CPT 76946 | $375.00 | $750.00 | not published | 0 |
| Echo guide for artery repair CPT 76936 | $660.00 | $1,320.00 | not published | 0 |
| Echo stress CPT 93350 | $2,030.00 | $4,060.00 | not published | 0 |
| Echo tee guidance CPT 93355 | $3,980.00 | $7,960.00 | not published | 0 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $2,725.00 | $5,450.00 | not published | 0 |
| Echo transesophageal CPT 93313 | $2,640.00 | $5,280.00 | not published | 0 |
| Echo transesophageal intraop CPT 93318 | $1,650.00 | $3,300.00 | not published | 0 |
| Echo transthoracic CPT 93303 | $1,500.00 | $3,000.00 | not published | 0 |
| Echo transthoracic CPT 93304 | $950.00 | $1,900.00 | not published | 0 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,560.00 | $3,120.00 | not published | 0 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $1,030.00 | $2,060.00 | not published | 0 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $1,030.00 | $2,060.00 | not published | 0 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $1,030.00 | $2,060.00 | not published | 0 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $1,030.00 | $2,060.00 | not published | 0 |
| Ecog impltd brn npgt <30 d CPT 95836 | $230.00 | $460.00 | not published | 0 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $10.13 – $44.43 | 16 |
| Eculizumab injection HCPCS J1300 | not published | not published | $44.81 – $546.95 | 13 |
| Edetate calcium disodium inj HCPCS J0600 | not published | not published | $6,084.10 – $14,845.21 | 12 |
| Edetate disodium per 150 mg HCPCS J3520 | not published | not published | $0.01 – $1.91 | 2 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $920.00 | $1,840.00 | not published | 0 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $865.00 | $1,730.00 | not published | 0 |
| Eeg during surgery CPT 95955 | $1,750.00 | $3,500.00 | not published | 0 |
| Eeg monitoring/function test CPT 95958 | $1,570.00 | $3,140.00 | not published | 0 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $680.00 | $1,360.00 | not published | 0 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $1,205.00 | $2,410.00 | not published | 0 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $865.00 | $1,730.00 | not published | 0 |
| Eeg recording awake and asleep CPT 95819 | $740.00 | $1,480.00 | not published | 0 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $2,665.00 | $5,330.00 | not published | 0 |
| E equine encephalitis igg CPT 86652 | not published | not published | $10.55 – $46.29 | 16 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $32.38 – $79.18 | 12 |
| Egfr gene com variants CPT 81235 | $427.50 | $855.00 | $259.66 – $1,139.14 | 16 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $47.50 | $95.00 | $28.07 – $113.69 | 14 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | not published | not published | $15.66 – $68.68 | 16 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $555.00 | $1,110.00 | not published | 0 |
| Elect analysis of infusion pump 62367 CPT 62367 | $492.50 | $985.00 | not published | 0 |
| Electrd sq emblem s-icd HCPCS C1896 | $12,774.30 | $25,548.60 | not published | 0 |
| Electrical stimulation/unattended 97014 CPT 97014 | $55.00 | $110.00 | not published | 0 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | $80.00 | $160.00 | not published | 0 |
| Electrocorticography durng sx CPT 95829 | $340.00 | $680.00 | not published | 0 |
| Electrolyte panel CPT 80051 | $57.50 | $115.00 | $5.61 – $24.60 | 16 |
| Electron microscopy diagnostic CPT 88348 | $960.00 | $1,920.00 | $315.28 – $1,169.88 | 2 |
| Elisa hiv-1/hiv-2 screen HCPCS G0433 | not published | not published | $14.63 – $64.18 | 16 |
| Elliotts b solution per ml HCPCS J9175 | not published | not published | $9.79 – $15.60 | 3 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $293.92 – $717.17 | 12 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | not published | not published | $7.58 – $18.84 | 13 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | not published | not published | $177.65 – $433.46 | 12 |
| Emboli detcj wo IV mbubb njx CPT 93897 | $630.00 | $1,260.00 | not published | 0 |
| Embolization s&i CPT 75894 | $3,575.00 | $7,150.00 | not published | 0 |
| Embo or occlude vascular arterial s&i CPT 37242 | $16,950.00 | $33,900.00 | not published | 0 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $16,950.00 | $33,900.00 | not published | 0 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $16,950.00 | $33,900.00 | not published | 0 |
| Embo or occlude vascular venous s&i CPT 37241 | $16,950.00 | $33,900.00 | not published | 0 |
| Embryo hatching CPT 89253 | not published | not published | $317.34 – $317.34 | 1 |
| Emb without cervical dilation 58100 CPT 58100 | $257.50 | $515.00 | 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.