Aurora Baycare Medical Center
2845 Greenbrier Rd, Green Bay, WI · Aurorahealthcare · · NPI 1255387726
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 |
|---|---|---|---|---|
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $46.33 – $127.00 | 10 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $154.58 – $567.82 | 10 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $929.21 – $3,801.50 | 10 |
| Description not available HCPCS S0013 | not published | not published | $13.24 – $21.11 | 3 |
| Design mlc device for imrt CPT 77338 | $1,785.00 | $3,570.00 | not published | 0 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | not published | not published | $4.49 – $19.93 | 13 |
| Desoxycorticosterone CPT 82633 | not published | not published | $24.78 – $108.73 | 16 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $3,960.00 | $7,920.00 | not published | 0 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $24.02 – $105.39 | 16 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $34.94 – $153.26 | 16 |
| Developmental screen/score/document 96110 CPT 96110 | $87.50 | $175.00 | not published | 0 |
| Device ablt adv novasure HCPCS C1886 | $4,021.92 | $8,043.84 | not published | 0 |
| Device intraute mirena HCPCS J7298 | not published | not published | $1,214.63 – $1,858.40 | 3 |
| Device tiss remov myosure reach HCPCS C1782 | $858.73 | $1,717.45 | not published | 0 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $270.00 | $540.00 | not published | 0 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $110.68 – $275.59 | 10 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $1.10 – $1.76 | 3 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.04 – $0.16 | 12 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $4.05 | $8.09 | $0.09 – $0.26 | 12 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $205.24 – $501.56 | 13 |
| Dexamethasone panel CPT 80420 | not published | not published | $129.50 – $568.13 | 16 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.65 – $0.65 | 1 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $80.88 – $353.10 | 13 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $37.48 – $59.73 | 3 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $0.01 – $21.78 | 3 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $0.66 – $1.07 | 3 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | not published | not published | $1.14 – $2.87 | 12 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | not published | not published | $7.66 – $12.21 | 3 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $57.65 | $115.30 | $1.82 – $4.39 | 12 |
| Dextrose 5 % IV bolus HCPCS J7070 | $64.03 | $128.06 | $3.64 – $8.78 | 12 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $137.50 | $275.00 | $17.78 – $78.02 | 16 |
| Diabetes (HbA1c) Test CPT 83036 | $82.50 | $165.00 | $7.77 – $34.08 | 16 |
| Diab manage trn ind/group HCPCS G0109 | $45.00 | $90.00 | not published | 0 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $160.00 | $320.00 | not published | 0 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $475.00 | $950.00 | not published | 0 |
| Diagnostic Mammogram (one breast) CPT 77065 | $412.50 | $825.00 | not published | 0 |
| Diagnostic radio unlisted proc CPT 76499 | $590.00 | $1,180.00 | not published | 0 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $4,535.00 | $9,070.00 | not published | 0 |
| Dialysis one evaluation CPT 90945 | $845.00 | $1,690.00 | not published | 0 |
| Diathermy eg microwave CPT 97024 | $47.50 | $95.00 | not published | 0 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.07 – $0.18 | 12 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | not published | not published | $5.79 – $20.85 | 12 |
| Dicyclomine injection HCPCS J0500 | not published | not published | $12.86 – $111.31 | 12 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.13 – $0.36 | 4 |
| Diffusing capacity CPT 94729 | $285.00 | $570.00 | not published | 0 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | not published | not published | $4.88 – $21.52 | 12 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $4,888.10 – $12,370.75 | 13 |
| Digoxin total therapeutic drug level CPT 80162 | $77.50 | $155.00 | $10.62 – $46.60 | 16 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $42.27 – $110.41 | 12 |
| Dilate biliary duct/ampulla CPT 47542 | $4,815.00 | $9,630.00 | not published | 0 |
| Dilate ic vasospasm init CPT 61640 | $1,895.00 | $3,790.00 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | $2,075.00 | $4,150.00 | not published | 0 |
| Dilat xst trc new access rcs CPT 50437 | $3,110.00 | $6,220.00 | not published | 0 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $51.34 – $86.96 | 4 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $8.30 – $21.16 | 12 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $714.72 – $1,745.55 | 13 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.02 – $0.42 | 4 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $18.34 | $36.67 | $0.66 – $1.79 | 12 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $66.09 – $111.03 | 3 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $2.69 – $9.44 | 12 |
| Disability dlco CPT 94727 | $240.00 | $480.00 | not published | 0 |
| Disaccharidases CPT 82657 | $357.50 | $715.00 | $17.74 – $77.81 | 16 |
| Discography cerv/thor spine CPT 72285 | $1,940.00 | $3,880.00 | not published | 0 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $19.34 – $19.34 | 1 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $730.00 | $1,460.00 | not published | 0 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $223.20 – $979.17 | 16 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $219.86 – $964.54 | 16 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $109.60 – $480.81 | 16 |
| Dna antibody native/double stranded CPT 86225 | $100.00 | $200.00 | $10.99 – $48.21 | 16 |
| Dna gardnerella CPT 87510 | $62.50 | $125.00 | $16.04 – $70.37 | 16 |
| Dna probe chlamydia CPT 87490 | not published | not published | $18.20 – $79.84 | 16 |
| Dna probe gc CPT 87590 | not published | not published | $21.50 – $94.34 | 16 |
| Dna trichomonas CPT 87660 | $62.50 | $125.00 | $16.04 – $70.37 | 16 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | not published | not published | $7.61 – $18.03 | 12 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $2.45 | $4.90 | $0.61 – $2.15 | 12 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $51.62 – $127.39 | 11 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $0.01 – $9.26 | 3 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $57.90 – $92.28 | 3 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | not published | not published | $0.71 – $1.89 | 12 |
| Doppler echo complete CPT 93320 | $540.00 | $1,080.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $540.00 | $1,080.00 | not published | 0 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $362.50 | $725.00 | not published | 0 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.01 – $1.41 | 4 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $53.48 – $130.77 | 12 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $516.76 | $1,033.52 | $236.40 – $585.76 | 12 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $3.15 – $8.10 | 12 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $133.08 – $609.34 | 13 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | not published | not published | $0.12 – $0.12 | 1 |
| Dpyd gene common variants CPT 81232 | $175.00 | $350.00 | $139.85 – $613.52 | 16 |
| Drainage of kidney lesion CPT 50390 | $1,085.00 | $2,170.00 | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $75.00 | $150.00 | not published | 0 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $2,540.00 | $5,080.00 | not published | 0 |
| Drain cath image guided visceral pq CPT 49405 | $2,785.00 | $5,570.00 | not published | 0 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $910.00 | $1,820.00 | not published | 0 |
| Drain chst dry seal exp thorastat HCPCS A7041 | $160.00 | $320.00 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $207.50 | $415.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $295.00 | $590.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $252.50 | $505.00 | not published | 0 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $46.19 – $109.41 | 10 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $1.48 – $4.51 | 12 |
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.