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 |
|---|---|---|---|---|
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $176.96 – $419.21 | 9 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $67.67 – $179.14 | 10 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $61.33 – $145.29 | 10 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $230.75 – $387.66 | 3 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | not published | not published | $6.48 – $16.99 | 12 |
| Meperidine/promethazine inj HCPCS J2180 | not published | not published | $5.69 – $7.58 | 2 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $30.44 – $74.88 | 13 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $2.74 – $4.37 | 3 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $3.98 | $7.96 | $0.35 – $1.63 | 12 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | not published | not published | $17.30 – $27.59 | 2 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $1.36 – $3.86 | 12 |
| Metabolic Blood Panel (Basic) CPT 80048 | $117.50 | $235.00 | $6.77 – $29.70 | 16 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $157.50 | $315.00 | $8.45 – $37.07 | 16 |
| Metabolic panel ionized ca CPT 80047 | $75.00 | $150.00 | $10.98 – $48.18 | 16 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $1.10 – $3.93 | 12 |
| Methadone injection HCPCS J1230 | not published | not published | $20.85 – $50.41 | 12 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.30 – $0.47 | 3 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | not published | not published | $6.36 – $30.65 | 12 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | not published | not published | $0.18 – $0.62 | 12 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | not published | not published | $2.58 – $8.23 | 12 |
| Methotrexate therapeutic drug level CPT 80204 | $140.00 | $280.00 | $30.86 – $124.97 | 14 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $0.01 – $125.54 | 2 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $0.01 – $63.60 | 3 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $64.10 | $128.19 | $4.50 – $8.90 | 3 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | not published | not published | $21.29 – $53.25 | 12 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $4.15 | $8.29 | $1.28 – $2.04 | 3 |
| Methylphenidate CPT 80360 | $105.00 | $210.00 | $19.34 – $19.34 | 1 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | not published | not published | $0.24 – $0.60 | 12 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $1.06 | $2.12 | $0.11 – $0.29 | 12 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $4.52 | $9.04 | $0.25 – $0.65 | 12 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $22.32 | $44.64 | $0.99 – $3.08 | 12 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | not published | not published | $0.03 – $0.06 | 11 |
| Metyrapone panel CPT 80436 | not published | not published | $72.93 – $319.94 | 16 |
| Mgmt promoter methylation analysis CPT 81287 | $455.00 | $910.00 | $99.71 – $437.44 | 16 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $0.91 | $1.82 | $0.28 – $1.65 | 12 |
| Microalbumin urine screen CPT 82044 | not published | not published | $4.98 – $21.87 | 16 |
| Microbe susceptible mlc CPT 87187 | $80.00 | $160.00 | $30.60 – $140.97 | 16 |
| Microdissection laser CPT 88380 | not published | not published | $110.29 – $209.34 | 2 |
| Microdissection manual CPT 88381 | not published | not published | $146.38 – $509.76 | 2 |
| Microfluid analy tears CPT 83861 | not published | not published | $17.98 – $78.90 | 16 |
| Microsatellite instability CPT 81301 | $575.00 | $1,150.00 | $278.85 – $1,223.30 | 16 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $37.53 | $75.06 | $0.13 – $0.32 | 12 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $1.50 | $2.99 | $0.17 – $0.40 | 11 |
| Middle cerebral artery echo CPT 76821 | $285.00 | $570.00 | not published | 0 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $34.40 – $54.83 | 3 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | not published | not published | $1.35 – $3.20 | 12 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $2.41 – $3.84 | 4 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $0.44 – $0.71 | 3 |
| Miroderm HCPCS Q4175 | not published | not published | $65.51 – $168.47 | 10 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $66.76 – $166.19 | 12 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $0.93 – $1.49 | 3 |
| Mitochondrial gene CPT 81440 | not published | not published | $2,659.20 – $11,665.84 | 16 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $25.60 – $199.85 | 13 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $307.34 – $759.71 | 12 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $27.69 – $148.40 | 13 |
| Mlh1 gene CPT 81288 | $455.00 | $910.00 | $153.86 – $674.96 | 16 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $161.92 – $710.34 | 16 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $540.32 – $2,370.37 | 16 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $264.80 – $1,161.67 | 16 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | $60.00 | $120.00 | not published | 0 |
| Mlt fam grp bhv train ea add CPT 96203 | $15.00 | $30.00 | not published | 0 |
| Mnl appl strs jt radiography CPT 77071 | $165.00 | $330.00 | not published | 0 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $635.00 | $1,270.00 | $9.64 – $122.25 | 14 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $8.94 – $8.94 | 1 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.35 – $27.68 | 12 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $7,703.40 | $15,406.80 | not published | 0 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $564.65 – $1,377.76 | 13 |
| Mopath procedure level 1 CPT 81400 | $412.50 | $825.00 | $51.17 – $224.47 | 16 |
| Mopath procedure level 3 CPT 81402 | $755.00 | $1,510.00 | $120.26 – $527.59 | 16 |
| Mopath procedure level 5 CPT 81404 | $1,085.00 | $2,170.00 | $219.86 – $964.54 | 16 |
| Mopath procedure level 6 CPT 81405 | $1,770.00 | $3,540.00 | $241.08 – $1,057.61 | 16 |
| Mopath procedure level 7 CPT 81406 | $2,730.00 | $5,460.00 | $226.30 – $992.79 | 16 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $677.02 – $2,970.04 | 16 |
| Mopath procedure level 9 CPT 81408 | $1,145.00 | $2,290.00 | $1,600.00 – $7,019.15 | 16 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $50.64 | $101.27 | $4.43 – $11.17 | 12 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $47.77 | $95.53 | $4.18 – $9.90 | 11 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $7.70 – $12.27 | 3 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $9.82 – $28.18 | 12 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $278.61 – $707.55 | 2 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $295.00 | $590.00 | $103.36 – $221.10 | 2 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $380.00 | $760.00 | $101.92 – $229.68 | 2 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $635.47 – $1,564.20 | 12 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $287.50 | $575.00 | $60.06 – $123.60 | 2 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $357.50 | $715.00 | $329.42 – $954.75 | 2 |
| M/phmtrc alysishquant/semiq CPT 88369 | $292.50 | $585.00 | $93.26 – $274.62 | 2 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $112.02 – $149.76 | 2 |
| Mpl gene analysis common variants CPT 81338 | $1,210.00 | $2,420.00 | $120.26 – $527.59 | 15 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $16.04 – $70.37 | 16 |
| M.pneumon dna quant CPT 87582 | not published | not published | $123.22 – $1,062.07 | 16 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $0.01 – $206.93 | 3 |
| MRA abdomen post contrast CPT 74185 | $3,265.00 | $6,530.00 | not published | 0 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $3,265.00 | $6,530.00 | not published | 0 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $3,265.00 | $6,530.00 | not published | 0 |
| MRA pelvis CPT 72198 | $3,265.00 | $6,530.00 | not published | 0 |
| MRA spinal canal CPT 72159 | $3,265.00 | $6,530.00 | not published | 0 |
| MRA upper extremity post contrast-bil CPT 73225 | $3,265.00 | $6,530.00 | not published | 0 |
| MRI breast c- unilateral CPT 77046 | $1,340.00 | $2,680.00 | not published | 0 |
| MRI breast c-+ w/cad uni CPT 77048 | $2,165.00 | $4,330.00 | not published | 0 |
| MRI breast without cont bi CPT 77047 | $2,010.00 | $4,020.00 | not published | 0 |
| MRI breast w IV cont bi CPT 77049 | $3,245.00 | $6,490.00 | not published | 0 |
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.