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 |
|---|---|---|---|---|
| Platelets leukocytes reduced each unit HCPCS P9031 | $165.00 | $330.00 | not published | 0 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $790.00 | $1,580.00 | not published | 0 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $1,075.00 | $2,150.00 | not published | 0 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,035.00 | $2,070.00 | not published | 0 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,340.00 | $2,680.00 | not published | 0 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $960.00 | $1,920.00 | not published | 0 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $233.09 – $1,022.55 | 16 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $5,085.00 | $10,170.00 | not published | 0 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $8,125.00 | $16,250.00 | not published | 0 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $3,755.00 | $7,510.00 | not published | 0 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $5,170.00 | $10,340.00 | not published | 0 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $3,975.00 | $7,950.00 | not published | 0 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,230.00 | $2,460.00 | not published | 0 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $920.00 | $1,840.00 | not published | 0 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $4,715.00 | $9,430.00 | not published | 0 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $1,180.00 | $2,360.00 | not published | 0 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $1,025.00 | $2,050.00 | not published | 0 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $870.00 | $1,740.00 | not published | 0 |
| Plerixafor injection HCPCS J2562 | not published | not published | $24.98 – $528.08 | 13 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $367.50 | $735.00 | not published | 0 |
| Plmt access bil tree sm bwl CPT 47541 | $6,065.00 | $12,130.00 | not published | 0 |
| Plmt biliary drainage cath CPT 47534 | $5,085.00 | $10,170.00 | not published | 0 |
| Plmt nephroureteral catheter CPT 50433 | $4,850.00 | $9,700.00 | not published | 0 |
| Plmt ureteral stent prq CPT 50694 | $4,150.00 | $8,300.00 | not published | 0 |
| Pm device progr eval dual CPT 93280 | $307.50 | $615.00 | not published | 0 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $165.85 – $933.05 | 16 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $606.69 – $2,661.52 | 16 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $615.66 – $2,700.90 | 16 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $37.28 – $163.55 | 16 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $162.80 – $714.20 | 16 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $541.20 – $2,374.23 | 16 |
| Pms2 known familial variants CPT 81318 | not published | not published | $264.80 – $1,161.67 | 16 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $31.47 – $67.05 | 2 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $70.00 | $140.00 | $20.86 – $91.49 | 16 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $129.78 – $324.32 | 12 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,385.00 | $6,770.00 | not published | 0 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $8.41 – $36.88 | 16 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $22,390.08 – $35,684.19 | 4 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $16.43 – $87.73 | 16 |
| Potassium 24 hour urine CPT 84133 | $55.00 | $110.00 | $3.78 – $16.60 | 16 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $7.32 | $14.64 | $0.11 – $0.25 | 12 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $4.66 – $20.47 | 16 |
| Potassium serum/plasma/whole blood CPT 84132 | $35.00 | $70.00 | $3.81 – $16.70 | 16 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $109.60 – $480.81 | 16 |
| Pq biliary strict dil s&i CPT 74363 | $1,115.00 | $2,230.00 | not published | 0 |
| Pq dr cath chg w cont s&i CPT 75984 | $720.00 | $1,440.00 | not published | 0 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $6,900.00 | $13,800.00 | not published | 0 |
| Pq thr inj ext pse CPT 36002 | $477.50 | $955.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $1,690.00 | $3,380.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $3,380.00 | $6,760.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $3,380.00 | $6,760.00 | not published | 0 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $373.77 – $911.99 | 13 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | not published | not published | $83.23 – $132.65 | 3 |
| Pr application of long arm splint CPT 29105 | $215.00 | $430.00 | not published | 0 |
| Pr application splint static short arm CPT 29125 | $200.00 | $400.00 | not published | 0 |
| Pr biopsy skin punch single lesion CPT 11104 | $230.00 | $460.00 | not published | 0 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $227.50 | $455.00 | not published | 0 |
| Prealbumin CPT 84134 | $100.00 | $200.00 | $11.67 – $51.20 | 16 |
| Prednisolone acetate inj HCPCS J2650 | not published | not published | $0.40 – $0.78 | 2 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | not published | not published | $0.07 – $1.40 | 12 |
| Prednisone 1 mg tablet HCPCS J7512 | $0.15 | $0.30 | $0.01 – $0.02 | 12 |
| Pregabalin - sendout CPT 80366 | $80.00 | $160.00 | $19.34 – $19.34 | 1 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $1,820.00 | $3,640.00 | not published | 0 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $12.04 – $52.82 | 16 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $660.00 | $1,320.00 | not published | 0 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $535.00 | $1,070.00 | not published | 0 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $100.68 – $100.68 | 1 |
| Prepare fecal microbiota CPT 44705 | $485.00 | $970.00 | not published | 0 |
| Pressure max expiratory/inspiratory CPT 94799 | $287.50 | $575.00 | not published | 0 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $29.16 – $96.51 | 2 |
| Pretreat rbc absorption reference CPT 86978 | $150.00 | $300.00 | $29.16 – $96.51 | 2 |
| Pretreat rbc density gradient separation reference CPT 86972 | not published | not published | $34.07 – $112.77 | 2 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $65.00 | $130.00 | $24.26 – $80.28 | 2 |
| Pretreat rbc w enzyme reference CPT 86971 | $87.50 | $175.00 | $19.34 – $64.02 | 2 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $5,120.00 | $10,240.00 | not published | 0 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $3,615.00 | $7,230.00 | not published | 0 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $210.00 | $420.00 | not published | 0 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $140.00 | $280.00 | not published | 0 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $3,050.33 | $6,100.65 | not published | 0 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | not published | not published | $123.52 – $546.07 | 13 |
| Procalcitonin CPT 84145 | $162.50 | $325.00 | $21.78 – $95.53 | 16 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $124.10 – $197.78 | 3 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $32.52 | $65.04 | $2.92 – $16.07 | 12 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.05 – $0.53 | 4 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $120.47 – $285.39 | 10 |
| Progesterone CPT 84144 | $120.00 | $240.00 | $16.69 – $73.21 | 16 |
| Prolactin CPT 84146 | $150.00 | $300.00 | $15.50 – $68.03 | 16 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $50.00 | $100.00 | not published | 0 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.02 – $0.14 | 4 |
| Promethazine hcl injection HCPCS J2550 | not published | not published | $3.28 – $8.71 | 12 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $3.53 | $7.05 | $0.09 – $0.20 | 12 |
| _propoxygc/msur CPT 80367 | not published | not published | $19.34 – $19.34 | 1 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | not published | not published | $5.86 – $14.91 | 4 |
| Prostate biopsy, any mthd HCPCS G0416 | $207.50 | $415.00 | $278.32 – $546.39 | 2 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | not published | not published | $1.08 – $2.79 | 12 |
| Protector nerve neurawrap 4cm HCPCS C9353 | not published | not published | $1,031.76 – $1,644.38 | 2 |
| Protein analysis w/probe CPT 88372 | not published | not published | $20.98 – $92.02 | 16 |
| Protein c activity CPT 85303 | $167.50 | $335.00 | $11.07 – $48.58 | 16 |
| Protein c concentrate HCPCS J2724 | not published | not published | $15.02 – $36.68 | 13 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $95.00 | $190.00 | $10.74 – $37.69 | 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.