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 |
|---|---|---|---|---|
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $31.19 – $73.88 | 10 |
| Knee MRI (with and without contrast) CPT 73723 | $3,265.00 | $6,530.00 | not published | 0 |
| Knee MRI (with contrast) CPT 73722 | $2,210.00 | $4,420.00 | not published | 0 |
| Knee MRI (without contrast) CPT 73721 | $2,110.00 | $4,220.00 | not published | 0 |
| Knee X-ray CPT 73564 | $675.00 | $1,350.00 | not published | 0 |
| Ko single upright pre cst HCPCS L1843 | $127.60 | $255.20 | not published | 0 |
| Kras gene addl variants CPT 81276 | $875.00 | $1,750.00 | $154.60 – $678.23 | 16 |
| Kras gene variants exon 2 CPT 81275 | $260.00 | $520.00 | $154.60 – $678.23 | 16 |
| Kyleena, 19.5 mg HCPCS J7296 | not published | not published | $1,214.63 – $1,858.40 | 3 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $70.00 | $140.00 | not published | 0 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | $70.00 | $140.00 | not published | 0 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | not published | not published | $0.27 – $0.72 | 11 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | not published | not published | $0.19 – $0.30 | 3 |
| Lactate dehydrogenase (ldh) CPT 83615 | $47.50 | $95.00 | $4.83 – $21.18 | 16 |
| Lactated ringers intravenous solution HCPCS J7120 | $117.13 | $234.25 | $2.30 – $5.89 | 12 |
| Lactic acid CPT 83605 | $65.00 | $130.00 | $9.26 – $40.60 | 16 |
| Lactoferrin fecal qualitative CPT 83630 | $75.00 | $150.00 | $15.76 – $69.14 | 16 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $15.70 – $68.90 | 16 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $147.07 | $294.13 | $39.55 – $109.76 | 13 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | not published | not published | $0.04 – $0.06 | 3 |
| Laronidase injection HCPCS J1931 | not published | not published | $38.61 – $94.22 | 13 |
| Laryngoscopic sensory vid CPT 92614 | $405.00 | $810.00 | not published | 0 |
| Lead capillary CPT 83655 | $57.50 | $115.00 | $9.69 – $42.49 | 16 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $564.46 | $1,128.92 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $3,783.50 | $7,567.00 | not published | 0 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $16.04 – $70.37 | 16 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $33.41 – $146.56 | 16 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,015.00 | $2,030.00 | not published | 0 |
| Leishmania antibody CPT 86717 | not published | not published | $9.80 – $42.99 | 16 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $200.00 | $400.00 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $1,636.78 | $3,273.55 | not published | 0 |
| Lepirudin HCPCS J1945 | not published | not published | $0.01 – $855.81 | 2 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $17.39 | $34.77 | $3.51 – $10.16 | 12 |
| Leukacyte transfusion CPT 86950 | not published | not published | $63.23 – $209.28 | 2 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $8.31 – $36.47 | 16 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $398.16 | $796.32 | $172.29 – $441.14 | 13 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $2,996.48 | $5,992.96 | $1,617.65 – $4,066.93 | 13 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $0.01 – $7,229.73 | 3 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $9.18 – $50.56 | 12 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $220.74 – $574.08 | 12 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $52.38 – $136.41 | 12 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $1.35 – $2.16 | 2 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.23 – $0.72 | 12 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.08 – $0.21 | 12 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | not published | not published | $0.05 – $0.24 | 12 |
| Levetiracetam therapeutic drug level CPT 80177 | $100.00 | $200.00 | $10.60 – $46.50 | 16 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | not published | not published | $1.03 – $4.61 | 12 |
| Levonorgestrel implant sys HCPCS J7306 | not published | not published | $406.00 – $479.28 | 2 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | not published | not published | $5.55 – $13.15 | 10 |
| Lidocaine injection HCPCS J2001 | not published | not published | $0.03 – $0.07 | 2 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | not published | not published | $0.01 – $0.02 | 3 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | not published | not published | $0.01 – $0.02 | 5 |
| Lidocaine therapeutic drug level CPT 80176 | not published | not published | $11.75 – $51.55 | 16 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $3,385.00 | $6,770.00 | not published | 0 |
| Ligation/divis of long saph vein 37700 CPT 37700 | $4,255.00 | $8,510.00 | not published | 0 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $887.36 – $1,357.67 | 3 |
| Limited autopsy CPT 88036 | not published | not published | $0.01 – $6.18 | 2 |
| Limited autopsy CPT 88037 | not published | not published | $0.01 – $5.49 | 2 |
| Lincomycin injection HCPCS J2010 | not published | not published | $6.24 – $21.53 | 12 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | not published | not published | $3.07 – $13.58 | 12 |
| Lipase CPT 83690 | $105.00 | $210.00 | $5.51 – $24.18 | 16 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $27.09 – $118.83 | 16 |
| Lipoprotein blood quant CPT 83704 | $137.50 | $275.00 | $27.35 – $120.00 | 16 |
| Lipoprotein direct measurement hdl CPT 83718 | not published | not published | $6.55 – $28.74 | 16 |
| Lipoprotein direct measurement ldl CPT 83721 | $67.50 | $135.00 | $8.40 – $36.85 | 16 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $27.35 – $120.00 | 16 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $0.01 – $1,260,225.76 | 10 |
| Listeria monocytogenes CPT 86723 | not published | not published | $10.55 – $46.29 | 16 |
| Lithium therapeutic drug level CPT 80178 | $62.50 | $125.00 | $5.29 – $23.19 | 16 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $176.19 – $1,468.89 | 13 |
| Liver Function Test CPT 80076 | $140.00 | $280.00 | $6.54 – $28.67 | 16 |
| Liver imaging CPT 78201 | $1,255.00 | $2,510.00 | not published | 0 |
| Liver/spleen imag static only CPT 78215 | $1,380.00 | $2,760.00 | not published | 0 |
| Lmtd oph exam general anes CPT 92019 | $3,275.00 | $6,550.00 | not published | 0 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $0.93 – $2.94 | 12 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $107.99 – $172.11 | 3 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $206.38 – $517.57 | 12 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $39.15 | $78.30 | $1.16 – $3.30 | 12 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,305.00 | $4,610.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,570.00 | $3,140.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,470.00 | $2,940.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,265.00 | $6,530.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,210.00 | $4,420.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,110.00 | $4,220.00 | not published | 0 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $297.50 | $595.00 | not published | 0 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $14.40 – $22.95 | 3 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $17.59 – $77.17 | 16 |
| Lumbar diskogram s&i CPT 72295 | $1,940.00 | $3,880.00 | not published | 0 |
| Lumizyme injection HCPCS J0221 | not published | not published | $201.57 – $492.00 | 13 |
| Lung function test (mbc/mvv) CPT 94200 | $115.00 | $230.00 | not published | 0 |
| Lung Function Test (Spirometry) CPT 94010 | $265.00 | $530.00 | not published | 0 |
| Lung perfusion imaging CPT 78580 | $1,095.00 | $2,190.00 | not published | 0 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $447.49 | $894.97 | $203.60 – $499.95 | 12 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $89.14 | $178.27 | $40.62 – $100.71 | 12 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $281.71 – $448.98 | 4 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $357.50 | $715.00 | $228.31 – $363.87 | 4 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $16.04 – $70.37 | 16 |
| Lymphatics/lymph node imaging CPT 78195 | $1,385.00 | $2,770.00 | not published | 0 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $29.25 – $166.60 | 16 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $39.22 – $172.07 | 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.