Aurora Medical Center Summit
36500 Aurora Dr, Summit, WI · Aurorahealthcare · · NPI 1699008029
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 |
|---|---|---|---|---|
| Ghs strapping shoulder - 29240 CPT 29240 | $110.00 | $220.00 | not published | 0 |
| Ghs st - re-eval for alt comm CPT 92597 | $345.00 | $690.00 | not published | 0 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $570.00 | $1,140.00 | not published | 0 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $5.84 – $25.63 | 16 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $19.44 – $85.28 | 16 |
| Ghs urine, porphyrins quant CPT 84120 | $110.00 | $220.00 | $11.77 – $51.64 | 16 |
| Ghs vaginal delivery only CPT 59409 | $1,800.00 | $3,600.00 | not published | 0 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $2,665.00 | $5,330.00 | not published | 0 |
| Giardia ag if CPT 87269 | not published | not published | $10.89 – $47.77 | 16 |
| Giardia lamblia antibody CPT 86674 | $85.00 | $170.00 | $11.78 – $51.67 | 16 |
| Gi inhouse confirmation CPT 87045 | $80.00 | $160.00 | $7.55 – $33.13 | 16 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,975.00 | $5,950.00 | not published | 0 |
| Gi trc img intral esophagus CPT 91111 | $2,790.00 | $5,580.00 | not published | 0 |
| Gjb2 gene full sequence CPT 81252 | $1,025.00 | $2,050.00 | $80.90 – $354.88 | 16 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $49.22 – $215.90 | 16 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $28.00 – $122.83 | 16 |
| Glassia injection HCPCS J0257 | not published | not published | $5.45 – $13.45 | 13 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $184.18 – $449.40 | 13 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $362.02 | $724.04 | $108.93 – $273.06 | 12 |
| Glucagon plasma - sendout CPT 82943 | $107.50 | $215.00 | $11.43 – $50.14 | 16 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $36.86 – $161.69 | 16 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $40.40 – $177.23 | 16 |
| Glucagon tolerance test CPT 82946 | not published | not published | $14.22 – $62.37 | 16 |
| Glucose 1 hr post dose CPT 82950 | $55.00 | $110.00 | $3.80 – $16.67 | 16 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $4.84 – $21.25 | 16 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $10.00 | $20.00 | $2.62 – $11.51 | 16 |
| Glucose blood quantitative CPT 82947 | $27.50 | $55.00 | $3.14 – $13.79 | 16 |
| Glucose body fluid CPT 82945 | $50.00 | $100.00 | $3.14 – $13.79 | 16 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $107.50 | $215.00 | $10.30 – $45.17 | 16 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $35.00 | $70.00 | $3.14 – $13.76 | 16 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $13.49 | $26.98 | $0.51 – $1.41 | 12 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $0.01 – $45.23 | 2 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $10.54 – $37.29 | 13 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $137.50 | $275.00 | $14.86 – $65.21 | 16 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $118.73 – $520.85 | 16 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $95.00 | $190.00 | $14.82 – $64.99 | 16 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $674.77 – $1,715.47 | 13 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | not published | $30.57 – $74.36 | 11 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $1,194.40 – $2,829.46 | 10 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $77.72 – $184.11 | 10 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $24.89 – $46.67 | 2 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | $1,510.00 | $3,020.00 | $718.00 – $1,211.82 | 3 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $3,595.21 | $7,190.41 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $368.71 | $737.41 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $65.41 – $159.59 | 10 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $95.56 – $257.88 | 11 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $136.96 – $338.56 | 11 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $65.00 | $130.00 | $48.87 – $118.23 | 11 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $129.66 – $243.12 | 2 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $85.00 | $170.00 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $140.96 – $333.92 | 11 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $8,516.77 | $17,033.54 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $1,751.20 | $3,502.40 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $2.88 – $4.59 | 4 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.23 – $0.72 | 12 |
| Group train without patient HCPCS G0543 | $37.50 | $75.00 | not published | 0 |
| Growth hormone antibody CPT 86277 | not published | not published | $12.59 – $55.23 | 16 |
| Growth hormone panel CPT 80428 | $115.00 | $230.00 | $53.36 – $234.08 | 16 |
| Growth hormone panel CPT 80430 | not published | not published | $103.46 – $453.90 | 16 |
| Growth stimulation gene 2 CPT 83006 | $72.50 | $145.00 | $60.48 – $265.31 | 16 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,380.00 | $2,760.00 | not published | 0 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,175.00 | $2,350.00 | not published | 0 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $1,188.00 | $2,376.00 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $72.63 | $145.25 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $1,375.00 | $2,750.00 | not published | 0 |
| Gw stiffened micro access kit HCPCS C1894 | $538.63 | $1,077.25 | not published | 0 |
| Hair analysis HCPCS P2031 | not published | not published | $3.96 – $17.37 | 15 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | not published | $4.61 – $27.74 | 12 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | not published | not published | $0.78 – $2.95 | 12 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $2.00 – $5.80 | 4 |
| Hand X-ray CPT 73130 | $415.00 | $830.00 | not published | 0 |
| Haptoglobin quantitative CPT 83010 | $70.00 | $140.00 | $10.06 – $44.15 | 16 |
| Hba1/hba2 full gene sequence CPT 81259 | $565.00 | $1,130.00 | $480.00 – $2,105.75 | 16 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $1,070.00 | $2,140.00 | $161.92 – $710.34 | 16 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $300.20 – $1,316.96 | 16 |
| Hbb full gene sequence CPT 81364 | $565.00 | $1,130.00 | $259.66 – $1,139.14 | 16 |
| Hbb gene com variants CPT 81361 | $482.50 | $965.00 | $139.85 – $613.52 | 16 |
| Hbb gene dup/del variants CPT 81363 | $845.00 | $1,690.00 | $161.92 – $710.34 | 16 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $300.20 – $1,316.96 | 16 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $7.77 – $34.08 | 16 |
| Hbot, full body chamber, 30m HCPCS G0277 | $555.00 | $1,110.00 | not published | 0 |
| Hcg free betachain test CPT 84704 | $112.50 | $225.00 | $12.23 – $53.65 | 16 |
| Hcg qualitative CPT 84703 | $105.00 | $210.00 | $6.02 – $26.40 | 16 |
| Hcg quantitative CPT 84702 | $160.00 | $320.00 | $12.04 – $52.82 | 16 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $127.50 | $255.00 | $120.44 – $120.44 | 1 |
| Hc nm fusion spect CT unlisted CPT 78999 | $1,355.00 | $2,710.00 | not published | 0 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $4,060.00 | $8,120.00 | not published | 0 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $5,485.00 | $10,970.00 | not published | 0 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $6,035.00 | $12,070.00 | not published | 0 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $6,730.00 | $13,460.00 | not published | 0 |
| Hdr rdncl skn surf brachytx CPT 77767 | $2,520.00 | $5,040.00 | not published | 0 |
| Hdr rdncl skn surf brachytx CPT 77768 | $3,360.00 | $6,720.00 | not published | 0 |
| Head CT scan (with and without contrast) CPT 70470 | $2,305.00 | $4,610.00 | not published | 0 |
| Head CT scan (with contrast) CPT 70460 | $1,570.00 | $3,140.00 | not published | 0 |
| Head CT scan (without contrast) CPT 70450 | $1,470.00 | $2,940.00 | not published | 0 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $543.66 – $2,385.00 | 16 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $1,300.00 – $5,703.06 | 16 |
| Heart image spect CPT 78494 | $1,590.00 | $3,180.00 | not published | 0 |
| Heavy metal qual any number CPT 83015 | not published | not published | $16.75 – $73.49 | 16 |
| Heinz bodies direct CPT 85441 | not published | not published | $3.36 – $14.73 | 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.