Aurora Medical Center Sheboygan County
3400 Union Ave, Sheboygan, WI · Aurorahealthcare · · NPI 1922053107
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 |
|---|---|---|---|---|
| Flow cytometry one marker technical component CPT 88184 | $195.00 | $390.00 | $54.57 – $222.39 | 2 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | not published | not published | $144.00 – $229.50 | 2 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $89.79 – $212.71 | 10 |
| #flow interp 9 - 15 markers CPT 88188 | not published | not published | $52.83 – $115.56 | 2 |
| Floxuridine injection HCPCS J9200 | not published | not published | $120.81 – $9,734.72 | 13 |
| Flt3 gene CPT 81245 | $367.50 | $735.00 | $132.41 – $580.87 | 16 |
| Flt3 gene analysis CPT 81246 | $185.00 | $370.00 | $66.40 – $291.29 | 16 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | not published | not published | $2.46 – $8.90 | 12 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | not published | $59.53 – $410.65 | 13 |
| Fluidotherapy charges pt CPT 97022 | $102.50 | $205.00 | not published | 0 |
| Flulaval vacc, 3 yrs & >, im HCPCS Q2036 | not published | not published | $0.01 – $18.77 | 3 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $490.77 – $1,204.59 | 13 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $333.23 – $32,185.90 | 13 |
| Fluorescent antibody titer dna CPT 86256 | $337.50 | $675.00 | $12.05 – $42.29 | 16 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $478.91 – $763.26 | 4 |
| Fluoroestradiol f 18 HCPCS A9591 | $960.00 | $1,920.00 | $498.67 – $1,176.83 | 4 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $460.00 | $920.00 | not published | 0 |
| Fluoroguide needle placement CPT 77002 | $460.00 | $920.00 | not published | 0 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $15.13 – $66.36 | 16 |
| Fluoroscopy up to 1 hour CPT 76000 | $460.00 | $920.00 | not published | 0 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $11.76 | $23.52 | $2.21 – $5.44 | 12 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | not published | not published | $8.83 – $24.68 | 12 |
| Flurpiridaz f18, diag, 1 mci HCPCS A9611 | not published | not published | $52.63 – $52.63 | 1 |
| Flutamide 125 mg HCPCS S0175 | not published | not published | $28.75 – $45.83 | 2 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $874.40 – $4,896.00 | 4 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | not published | not published | $0.01 – $26.28 | 4 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | not published | not published | $0.01 – $49.62 | 4 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,750.00 | $3,500.00 | not published | 0 |
| Fna bx w/ct gdn ea addl CPT 10010 | $1,315.00 | $2,630.00 | not published | 0 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | $22.50 | $45.00 | not published | 0 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | $31.28 | $62.55 | not published | 0 |
| Foam drg <=16 sq in w/border HCPCS A6212 | $48.60 | $97.19 | not published | 0 |
| Foam drg > 48 sq in w/border HCPCS A6214 | $42.50 | $85.00 | not published | 0 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | $15.00 | $30.00 | not published | 0 |
| Foam stability fetal lung CPT 83662 | not published | not published | $15.13 – $66.36 | 16 |
| Folic acid CPT 82746 | $137.50 | $275.00 | $11.76 – $51.58 | 16 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | not published | not published | $0.06 – $0.06 | 1 |
| Follow-up angiography CPT 75898 | $590.00 | $1,180.00 | not published | 0 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | not published | not published | $6.16 – $19.34 | 4 |
| Fondaparinux sodium HCPCS J1652 | not published | not published | $0.69 – $3.30 | 12 |
| Fo nontorsion joint cf HCPCS L3935 | $145.00 | $290.00 | not published | 0 |
| Foot arch support remov prem HCPCS L3030 | $55.00 | $110.00 | not published | 0 |
| Foot longitudinal arch suppo HCPCS L3010 | $127.50 | $255.00 | not published | 0 |
| Foot longitud/metatarsal sup HCPCS L3020 | $145.00 | $290.00 | not published | 0 |
| Foot X-ray CPT 73630 | $510.00 | $1,020.00 | not published | 0 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $0.01 – $34.32 | 2 |
| Forensic cytopathology CPT 88125 | not published | not published | $21.66 – $43.35 | 2 |
| Formoterol comp unit HCPCS J7640 | not published | not published | $2.36 – $2.60 | 2 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $1.70 – $18.08 | 12 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $1.09 | $2.17 | $0.12 – $3.36 | 12 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $21.63 – $100.16 | 11 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | not published | not published | $2.74 – $5.48 | 3 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $22.80 – $100.03 | 16 |
| _fragile x methylation-sendout CPT 81244 | $330.00 | $660.00 | $35.91 – $157.55 | 16 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $115.00 | $230.00 | not published | 0 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $97.50 | $195.00 | not published | 0 |
| Fresh frozen plasma thawing ea un CPT 86927 | not published | not published | $16.46 – $54.48 | 2 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $82.58 – $273.33 | 2 |
| Frozen blood prep CPT 86930 | not published | not published | $97.30 – $322.08 | 2 |
| Frozen blood thaw CPT 86931 | not published | not published | $73.05 – $241.80 | 2 |
| Frozen cell preparation CPT 88241 | not published | not published | $9.67 – $42.43 | 16 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $0.82 – $0.85 | 2 |
| Fructosamine glycated protein CPT 82985 | $67.50 | $135.00 | $13.41 – $58.82 | 16 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $1,189.90 – $5,220.03 | 16 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $55.62 – $243.98 | 16 |
| Ftl cgen abnor four anal CPT 81511 | not published | not published | $122.80 – $538.72 | 16 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $44.43 – $194.92 | 16 |
| Ftl cgen abnor two proteins CPT 81508 | $110.00 | $220.00 | $43.44 – $190.58 | 16 |
| Full mouth x-ray of teeth CPT 70320 | $222.50 | $445.00 | not published | 0 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $14.88 | $29.76 | $0.40 – $1.32 | 12 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $219.86 – $964.54 | 16 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $109.60 – $480.81 | 16 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $219.86 – $964.54 | 16 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $148.16 – $649.97 | 16 |
| G6pc gene CPT 81250 | $195.00 | $390.00 | $46.79 – $205.28 | 16 |
| G6pd full gene sequence CPT 81249 | not published | not published | $480.00 – $2,105.75 | 16 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $139.85 – $613.52 | 16 |
| G6pd known familial variant CPT 81248 | not published | not published | $300.20 – $1,316.96 | 16 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $67.50 | $135.00 | $0.01 – $206.58 | 3 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $100.00 | $200.00 | $51.09 – $85.01 | 4 |
| Gabapentin non-blood CPT 80355 | $185.00 | $370.00 | $19.34 – $19.34 | 1 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $1.94 | $3.88 | $0.26 – $0.68 | 12 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $1.49 – $3.62 | 12 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.12 – $0.34 | 12 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $14.71 – $35.87 | 12 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $15.00 | $30.00 | $16.86 – $73.94 | 16 |
| Galactokinase - sendout CPT 82759 | not published | not published | $17.18 – $75.39 | 16 |
| Galactose transferase test CPT 82776 | not published | not published | $9.39 – $41.20 | 16 |
| Galectin-3 CPT 82777 | $92.50 | $185.00 | $35.40 – $155.29 | 16 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $4.05 – $11.60 | 4 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $372.17 – $1,165.26 | 4 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $534.91 – $1,190.13 | 4 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $944.64 – $1,505.52 | 4 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $791.04 – $1,260.72 | 4 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $0.01 – $3.12 | 2 |
| Galsulfase injection HCPCS J1458 | not published | not published | $484.75 – $1,183.21 | 12 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $488.85 – $1,205.76 | 13 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $48.89 – $120.58 | 13 |
| Gammaglobulin iga CPT 82784 | $37.50 | $75.00 | $7.44 – $32.65 | 16 |
| Gammaglobulin ige CPT 82785 | $107.50 | $215.00 | $13.17 – $57.77 | 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.