Aurora Sinai Medical Center of Aurora Health Care Metro
945 N 12th St, Milwaukee, WI · Aurorahealthcare · · NPI 1861447179
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 |
|---|---|---|---|---|
| X-ray exam of teeth CPT 70310 | $222.50 | $445.00 | not published | 0 |
| X-ray exam si joints CPT 72200 | $252.50 | $505.00 | not published | 0 |
| X-ray exam thorac spine4/>vw CPT 72074 | $530.00 | $1,060.00 | not published | 0 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $275.00 | $550.00 | not published | 0 |
| X-ray facial bones complete > 3 views CPT 70150 | $402.50 | $805.00 | not published | 0 |
| X-ray fallopian tube CPT 74742 | $432.50 | $865.00 | not published | 0 |
| X-ray femur >=2 views (both sides) CPT 73552 | $695.00 | $1,390.00 | not published | 0 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $545.00 | $1,090.00 | not published | 0 |
| X-ray foot 2 views (both sides) CPT 73620 | $645.00 | $1,290.00 | not published | 0 |
| X-ray forearm 2 views (both sides) CPT 73090 | $560.00 | $1,120.00 | not published | 0 |
| X-ray hand 2 views (both sides) CPT 73120 | $715.00 | $1,430.00 | not published | 0 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $510.00 | $1,020.00 | not published | 0 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $432.50 | $865.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $432.50 | $865.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $515.00 | $1,030.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $655.00 | $1,310.00 | not published | 0 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $287.50 | $575.00 | not published | 0 |
| X-ray humerus >= 2 views left CPT 73060 | $590.00 | $1,180.00 | not published | 0 |
| X-ray joint survey 1 view CPT 77077 | $295.00 | $590.00 | not published | 0 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $645.00 | $1,290.00 | not published | 0 |
| X-ray knee 3 views (both sides) CPT 73562 | $775.00 | $1,550.00 | not published | 0 |
| X-ray knee ap standing bilateral CPT 73565 | $252.50 | $505.00 | not published | 0 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $445.00 | $890.00 | not published | 0 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $395.00 | $790.00 | not published | 0 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $680.00 | $1,360.00 | not published | 0 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $550.00 | $1,100.00 | not published | 0 |
| X-ray mandible complete > 4 views CPT 70110 | $392.50 | $785.00 | not published | 0 |
| X-ray mandible ltd <4 views CPT 70100 | $292.50 | $585.00 | not published | 0 |
| X-ray nasal bones complete > 3 views CPT 70160 | $332.50 | $665.00 | not published | 0 |
| X-ray neck soft tissue CPT 70360 | $280.00 | $560.00 | not published | 0 |
| X-ray nose to rectum for foreign body child CPT 76010 | $147.50 | $295.00 | not published | 0 |
| X-ray of mammary ducts CPT 77054 | $342.50 | $685.00 | not published | 0 |
| X-ray pelvis 1-2 views CPT 72170 | $270.00 | $540.00 | not published | 0 |
| X-ray pelvis complete > 3 views CPT 72190 | $360.00 | $720.00 | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $925.00 | $1,850.00 | not published | 0 |
| X-ray ribs 2 views left CPT 71100 | $397.50 | $795.00 | not published | 0 |
| X-ray ribs 3 views bilateral CPT 71110 | $590.00 | $1,180.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $590.00 | $1,180.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $690.00 | $1,380.00 | not published | 0 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $322.50 | $645.00 | not published | 0 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $332.50 | $665.00 | not published | 0 |
| X-ray scapula complete (both sides) CPT 73010 | $570.00 | $1,140.00 | not published | 0 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $615.00 | $1,230.00 | not published | 0 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $425.00 | $850.00 | not published | 0 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $417.50 | $835.00 | not published | 0 |
| X-ray skull < 4 views CPT 70250 | $280.00 | $560.00 | not published | 0 |
| X-ray skull > 4 views complete CPT 70260 | $417.50 | $835.00 | not published | 0 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $530.00 | $1,060.00 | not published | 0 |
| X-ray small intestine follow-through study CPT 74248 | $352.50 | $705.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $370.00 | $740.00 | not published | 0 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $267.50 | $535.00 | not published | 0 |
| X-ray sternum > 2 views CPT 71120 | $290.00 | $580.00 | not published | 0 |
| X-ray surgical specimen CPT 76098 | $375.00 | $750.00 | not published | 0 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $437.50 | $875.00 | not published | 0 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $390.00 | $780.00 | not published | 0 |
| X-ray thoracic spine 2 views CPT 72070 | $447.50 | $895.00 | not published | 0 |
| X-ray thoracic spine 3 views CPT 72072 | $515.00 | $1,030.00 | not published | 0 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $485.00 | $970.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $247.50 | $495.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $375.00 | $750.00 | not published | 0 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $590.00 | $1,180.00 | not published | 0 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $530.00 | $1,060.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $705.00 | $1,410.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $655.00 | $1,310.00 | not published | 0 |
| X-ray wrist 2 views (both sides) CPT 73100 | $605.00 | $1,210.00 | not published | 0 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $2,736.00 – $4,360.50 | 5 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $10.33 – $45.31 | 16 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.48 – $3.66 | 13 |
| Yersinia antibody CPT 86793 | not published | not published | $10.55 – $46.29 | 16 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $56,824.55 – $99,234.09 | 4 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $123.01 – $291.40 | 10 |
| Ziconotide injection HCPCS J2278 | $38.53 | $77.05 | $9.65 – $23.86 | 13 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.51 – $3.69 | 12 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.46 – $2.33 | 3 |
| Zika virus dna/rna amp probe CPT 87662 | $212.50 | $425.00 | $41.05 – $180.08 | 16 |
| Zika virus igm antibody CPT 86794 | $170.00 | $340.00 | $13.48 – $59.13 | 16 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | not published | not published | $5.18 – $28.93 | 12 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $6.50 – $19.48 | 13 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | not published | not published | $5.77 – $20.36 | 12 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $0.01 – $357.29 | 3 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $154.60 – $626.13 | 14 |
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.