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 |
|---|---|---|---|---|
| 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 | $89.80 | $179.60 | $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 | not published | not published | $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 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $193.94 – $319.64 | 3 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $170.20 – $288.92 | 3 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $160.37 – $264.35 | 3 |
| Vaccine mmr live subcutaneous CPT 90707 | $292.01 | $584.01 | $95.20 – $155.39 | 3 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $278.16 – $467.31 | 3 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $133.47 – $325.67 | 13 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $257.99 – $629.49 | 13 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $253.56 – $618.69 | 12 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $298.04 – $727.21 | 12 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $44.73 – $75.15 | 3 |
| Vaccine rabies im CPT 90675 | not published | not published | $317.67 – $799.77 | 13 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $300.90 – $495.60 | 3 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $530.15 – $873.18 | 3 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $530.15 – $873.18 | 3 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $294.00 – $493.92 | 3 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $141.39 – $233.09 | 3 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $98.82 – $166.02 | 3 |
| Vaccine tdap >=7 years im CPT 90715 | $137.39 | $274.78 | $38.52 – $94.25 | 12 |
| Vaccine td preservative free >= 7 years im CPT 90714 | not published | not published | $33.48 – $81.70 | 12 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $111.68 – $246.24 | 4 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $183.00 – $307.44 | 3 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $209.58 – $376.28 | 3 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.02 | 3 |
| Vacuum drain bottle/tube kit HCPCS A7048 | $487.50 | $975.00 | not published | 0 |
| Valproic acid total therapeutic drug level CPT 80164 | $122.50 | $245.00 | $10.83 – $47.52 | 16 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,392.52 – $3,397.74 | 13 |
| Vancomycin hcl injection HCPCS J3370 | $29.23 | $58.45 | $1.92 – $6.78 | 12 |
| Vancomycin peak therapeutic drug level CPT 80202 | $142.50 | $285.00 | $10.83 – $47.52 | 16 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $28.07 – $123.15 | 16 |
| Vantas implant HCPCS J9225 | not published | not published | $0.01 – $7,457.01 | 4 |
| Varicella zoster antibody igg CPT 86787 | $85.00 | $170.00 | $10.30 – $45.21 | 16 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $2,226.22 – $3,666.72 | 4 |
| Vasc emb/occ w/prs cath HCPCS C9797 | $20,240.00 | $40,480.00 | not published | 0 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | not published | not published | $1.42 – $3.98 | 11 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $100.52 | $201.03 | $21.16 – $52.87 | 13 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $1,330.00 | $2,660.00 | not published | 0 |
| Vein x-ray adrenal glands CPT 75842 | $3,935.00 | $7,870.00 | not published | 0 |
| Vein x-ray kidney CPT 75831 | $2,095.00 | $4,190.00 | not published | 0 |
| Vein x-ray liver CPT 75891 | $2,095.00 | $4,190.00 | not published | 0 |
| Vein x-ray liver w/hemodynam CPT 75885 | $2,365.00 | $4,730.00 | not published | 0 |
| Vein x-ray liver w/hemodynam CPT 75889 | $2,515.00 | $5,030.00 | not published | 0 |
| Vein x-ray liver without hemodyn CPT 75887 | $1,575.00 | $3,150.00 | not published | 0 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $370.20 – $912.61 | 13 |
| Ven-artl shunt det mbubb njx CPT 93898 | $630.00 | $1,260.00 | not published | 0 |
| Ven blood coll snf/hha HCPCS G0471 | not published | not published | $4.00 – $34.25 | 16 |
| Vendaje, per square centimet HCPCS Q4252 | not published | not published | $79.28 – $187.80 | 10 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $70.00 | $140.00 | not published | 0 |
| Venipuncture <3 yrs other vein CPT 36406 | $70.00 | $140.00 | not published | 0 |
| Venogram ext bil s&i CPT 75822 | $1,575.00 | $3,150.00 | not published | 0 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,050.00 | $2,100.00 | not published | 0 |
| Venous mech thrombectomy CPT 37187 | $4,870.00 | $9,740.00 | not published | 0 |
| Venous m-thrombectomy add-on CPT 37188 | $4,870.00 | $9,740.00 | not published | 0 |
| Venous sampling s&i CPT 75893 | $3,085.00 | $6,170.00 | not published | 0 |
| Ventilator each subsequent day CPT 94003 | $875.00 | $1,750.00 | not published | 0 |
| Ventilator initial day CPT 94002 | $1,170.00 | $2,340.00 | not published | 0 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | $605.00 | $1,210.00 | not published | 0 |
| Version cephalic external CPT 59412 | $770.00 | $1,540.00 | not published | 0 |
| Verteporfin injection HCPCS J3396 | not published | not published | $11.50 – $28.07 | 13 |
| Very long chain fatty acids CPT 82726 | $177.50 | $355.00 | $15.80 – $69.31 | 16 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | not published | not published | $4.43 – $11.79 | 12 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | not published | not published | $7.89 – $20.33 | 12 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | not published | not published | $6.59 – $15.87 | 12 |
| Viper venom prothrombin time CPT 85612 | not published | not published | $13.99 – $61.38 | 16 |
| Virus isolation addl studies ea CPT 87253 | not published | not published | $16.16 – $70.89 | 16 |
| Visc & infraren abd 1 prosth CPT 34845 | $19,750.00 | $39,500.00 | not published | 0 |
| Visc & infraren abd 2 prosth CPT 34846 | $19,750.00 | $39,500.00 | not published | 0 |
| Visc & infraren abd 3 prosth CPT 34847 | $19,750.00 | $39,500.00 | not published | 0 |
| Visc & infraren abd 4+ prost CPT 34848 | $19,750.00 | $39,500.00 | not published | 0 |
| Visual audiometry (vra) CPT 92579 | $197.50 | $395.00 | not published | 0 |
| Vital capacity test CPT 94150 | $55.00 | $110.00 | not published | 0 |
| Vitamin b-12 CPT 82607 | $100.00 | $200.00 | $12.06 – $52.93 | 16 |
| Vitamin D Test CPT 82306 | $150.00 | $300.00 | $23.68 – $103.88 | 16 |
| Vkorc1 gene CPT 81355 | not published | not published | $70.56 – $309.55 | 16 |
| Vol reduction of blood/prod CPT 86960 | not published | not published | $27.14 – $89.82 | 2 |
| Volume measurement urine timed CPT 81050 | $12.50 | $25.00 | $2.91 – $12.77 | 16 |
| Vonvendi inj 1 iu vwf:rco HCPCS J7179 | not published | not published | $1.83 – $4.52 | 12 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | not published | not published | $0.78 – $2.83 | 12 |
| Vsrctv std tcd icr art compl CPT 93896 | $560.00 | $1,120.00 | not published | 0 |
| Vutrisiran 25 mg/0.5 ml subcutaneous syringe HCPCS J0225 | not published | not published | $4,917.75 – $11,999.31 | 12 |
| Vyjuvek 5x10^9pfu/ml, 0.1 ml HCPCS J3401 | not published | not published | $996.96 – $2,480.95 | 12 |
| Warde 1003990 aldosterone CPT 82088 | $142.50 | $285.00 | $32.60 – $143.02 | 16 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $125.00 | $250.00 | $22.24 – $97.57 | 16 |
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.