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 |
|---|---|---|---|---|
| Ghs musc tst done w/nerv tst lim CPT 95885 | $130.00 | $260.00 | not published | 0 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $72.50 | $145.00 | not published | 0 |
| Ghs myocardial strain img spckl track CPT 93356 | $235.00 | $470.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $357.50 | $715.00 | not published | 0 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $910.00 | $1,820.00 | not published | 0 |
| Ghs nerve blk intercostal, single level CPT 64420 | $610.00 | $1,220.00 | not published | 0 |
| Ghs nerve block brachial plexus CPT 64415 | $1,195.00 | $2,390.00 | not published | 0 |
| Ghs nerve block celiac plexus CPT 64530 | $1,290.00 | $2,580.00 | not published | 0 |
| Ghs nerve block interscaline CPT 64510 | $985.00 | $1,970.00 | not published | 0 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,255.00 | $2,510.00 | not published | 0 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,645.00 | $3,290.00 | not published | 0 |
| Ghs nerve block suprascapular CPT 64418 | $515.00 | $1,030.00 | not published | 0 |
| Ghs ng placement w fluoro guidance CPT 43752 | $485.00 | $970.00 | not published | 0 |
| Ghs o2 saturation CPT 82810 | $65.00 | $130.00 | $7.82 – $34.29 | 16 |
| Ghs opcc repair cvp without subq port CPT 36575 | $610.00 | $1,220.00 | not published | 0 |
| Ghs opcc repair cvp w subq port CPT 36576 | $1,125.00 | $2,250.00 | not published | 0 |
| Ghs ot prosthetic training/15 min CPT 97761 | $87.50 | $175.00 | not published | 0 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $87.50 | $175.00 | not published | 0 |
| Ghs ot work hardening-additional hours CPT 97546 | $135.00 | $270.00 | not published | 0 |
| Ghs pacing - transcutaneous CPT 92953 | $815.00 | $1,630.00 | not published | 0 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $21.08 – $45.96 | 2 |
| Ghs phenylketonurid CPT 84030 | $12.50 | $25.00 | $4.40 – $19.30 | 16 |
| Ghs picc line insert < 5 CPT 36568 | $920.00 | $1,840.00 | not published | 0 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $3.45 – $15.13 | 16 |
| Ghs ppd (tb intradermal) CPT 86580 | $22.50 | $45.00 | $7.50 – $29.01 | 2 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $67.50 | $135.00 | $7.73 – $33.90 | 16 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $4.49 – $19.69 | 16 |
| Ghs protoporphyrins fract CPT 84202 | $57.50 | $115.00 | $11.48 – $50.36 | 16 |
| Ghs pr without cont pulse ox CPT 94625 | $175.00 | $350.00 | not published | 0 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $87.50 | $175.00 | $9.80 – $42.99 | 16 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $270.00 | $540.00 | not published | 0 |
| Ghs quinidine CPT 80194 | $85.00 | $170.00 | $11.68 – $51.23 | 16 |
| Ghs refill of implantable pump CPT 95990 | $550.00 | $1,100.00 | not published | 0 |
| Ghs removal intranasal foreign body CPT 30300 | $140.00 | $280.00 | not published | 0 |
| Ghs removal pharyngeal foreign body CPT 42809 | $140.00 | $280.00 | not published | 0 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $12.71 – $55.76 | 16 |
| Ghs reticulocyte count CPT 85044 | $30.00 | $60.00 | $3.45 – $15.13 | 16 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $11.13 – $48.83 | 16 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $3.42 – $14.98 | 16 |
| Ghs semen analysis fert CPT 89320 | $105.00 | $210.00 | $9.85 – $43.21 | 16 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $7.87 – $34.54 | 16 |
| Ghs sensitivity (per antimicro) CPT 87184 | $27.50 | $55.00 | $5.98 – $26.25 | 16 |
| Ghs somatosensory testing lower extremit CPT 95926 | $1,130.00 | $2,260.00 | not published | 0 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,725.00 | $3,450.00 | not published | 0 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $175.00 | $350.00 | not published | 0 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $217.50 | $435.00 | not published | 0 |
| Ghs st - eval for alt comm CPT 92567 | $62.50 | $125.00 | not published | 0 |
| Ghs strapping shoulder - 29240 CPT 29240 | $110.00 | $220.00 | not published | 0 |
| Ghs st - re-eval for alt comm CPT 92597 | $345.00 | $690.00 | not published | 0 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $570.00 | $1,140.00 | not published | 0 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $5.84 – $25.63 | 16 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $19.44 – $85.28 | 16 |
| Ghs urine, porphyrins quant CPT 84120 | $110.00 | $220.00 | $11.77 – $51.64 | 16 |
| Ghs vaginal delivery only CPT 59409 | $950.00 | $1,900.00 | not published | 0 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $2,665.00 | $5,330.00 | not published | 0 |
| Giardia ag if CPT 87269 | not published | not published | $10.89 – $47.77 | 16 |
| Giardia lamblia antibody CPT 86674 | $85.00 | $170.00 | $11.78 – $51.67 | 16 |
| Gi inhouse confirmation CPT 87045 | $80.00 | $160.00 | $7.55 – $33.13 | 16 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,070.00 | $4,140.00 | not published | 0 |
| Gi trc img intral colon i&r CPT 91113 | $3,350.00 | $6,700.00 | not published | 0 |
| Gi trc img intral esophagus CPT 91111 | $1,740.00 | $3,480.00 | not published | 0 |
| Gjb2 gene full sequence CPT 81252 | $1,025.00 | $2,050.00 | $80.90 – $354.88 | 16 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $49.22 – $215.90 | 16 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $28.00 – $122.83 | 16 |
| Glassia injection HCPCS J0257 | not published | not published | $5.45 – $13.45 | 13 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $184.18 – $449.40 | 13 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $266.96 | $533.91 | $108.93 – $273.06 | 12 |
| Glucagon plasma - sendout CPT 82943 | $107.50 | $215.00 | $11.43 – $50.14 | 16 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $36.86 – $161.69 | 16 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $40.40 – $177.23 | 16 |
| Glucagon tolerance test CPT 82946 | not published | not published | $14.22 – $62.37 | 16 |
| Glucose 1 hr post dose CPT 82950 | $55.00 | $110.00 | $3.80 – $16.67 | 16 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $4.84 – $21.25 | 16 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $10.00 | $20.00 | $2.62 – $11.51 | 16 |
| Glucose blood quantitative CPT 82947 | $27.50 | $55.00 | $3.14 – $13.79 | 16 |
| Glucose body fluid CPT 82945 | $50.00 | $100.00 | $3.14 – $13.79 | 16 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $107.50 | $215.00 | $10.30 – $45.17 | 16 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $35.00 | $70.00 | $3.14 – $13.76 | 16 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $10.75 | $21.49 | $0.51 – $1.41 | 12 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $0.01 – $45.23 | 2 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $10.54 – $37.29 | 13 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $137.50 | $275.00 | $14.86 – $65.21 | 16 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $118.73 – $520.85 | 16 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $95.00 | $190.00 | $14.82 – $64.99 | 16 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $674.77 – $1,715.47 | 13 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $65.00 | $130.00 | $30.57 – $74.36 | 11 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $1,194.40 – $2,829.46 | 10 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $77.72 – $184.11 | 10 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $129.78 | $259.55 | $24.89 – $46.67 | 2 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $718.00 – $1,211.82 | 3 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $9,719.58 | $19,439.15 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $17,237.01 | $34,474.02 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $65.41 – $159.59 | 10 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $95.56 – $257.88 | 11 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $136.96 – $338.56 | 11 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $65.00 | $130.00 | $48.87 – $118.23 | 11 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $129.66 – $243.12 | 2 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $140.96 – $333.92 | 11 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $19,746.37 | $39,492.73 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $2,850.05 | $5,700.10 | 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.