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 |
|---|---|---|---|---|
| T3 (triiodothyronine) free CPT 84481 | $95.00 | $190.00 | $13.55 – $59.45 | 16 |
| T3 (triiodothyronine) total CPT 84480 | $105.00 | $210.00 | $11.34 – $49.76 | 16 |
| T4 (thyroxine) free CPT 84439 | $90.00 | $180.00 | $7.22 – $31.66 | 16 |
| T4 (thyroxine) total CPT 84436 | $72.50 | $145.00 | $5.50 – $24.11 | 16 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.57 – $1.39 | 12 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.77 – $4.40 | 12 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.18 – $0.92 | 12 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $254.67 – $621.39 | 13 |
| Tacrolimus therapeutic drug level CPT 80197 | $77.50 | $155.00 | $10.98 – $48.18 | 16 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $13.71 – $34.08 | 12 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $70.36 – $171.70 | 13 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $67.65 – $170.73 | 12 |
| Talymed HCPCS Q4127 | not published | not published | $70.54 – $167.11 | 10 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $0.18 – $0.30 | 3 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,710.00 | $5,420.00 | $607.62 – $2,665.62 | 16 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $1,735.00 | $3,470.00 | $2,335.68 – $10,246.56 | 16 |
| Target gsa panel organ neop CPT 81445 | $1,525.00 | $3,050.00 | $478.33 – $2,098.41 | 16 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,440.00 – $2,295.00 | 4 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.37 – $0.99 | 13 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $109.60 – $480.81 | 16 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $212.50 | $425.00 | $80.00 – $350.96 | 16 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $175.00 | $350.00 | $49.58 – $217.53 | 16 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $400.00 – $617.04 | 2 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $0.01 – $1,482.39 | 4 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $683.80 – $5,609.48 | 4 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $988.68 – $1,120.00 | 2 |
| Tc-99m diag per dose HCPCS A4641 | $50.00 | $100.00 | not published | 0 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $0.01 – $107.10 | 3 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $4,150.00 | $8,300.00 | $1,040.32 – $2,622.38 | 4 |
| Tc-99m exametazime diag HCPCS A9521 | $1,515.00 | $3,030.00 | $802.34 – $2,622.38 | 4 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $297.60 – $328.60 | 3 |
| Tc-99m labeled rbc HCPCS A9560 | $232.50 | $465.00 | $89.66 – $142.91 | 3 |
| Tc-99m maa HCPCS A9540 | $265.00 | $530.00 | $28.80 – $45.90 | 3 |
| Tc-99m mebrofenin HCPCS A9537 | $157.50 | $315.00 | $53.10 – $84.63 | 3 |
| Tc-99m medronate HCPCS A9503 | $95.00 | $190.00 | $12.48 – $19.89 | 3 |
| Tc-99m mertiatide HCPCS A9562 | $407.50 | $815.00 | not published | 0 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $5.00 | $10.00 | $10.00 – $10.00 | 1 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $0.01 – $67.32 | 3 |
| Tc-99m pentetate dtpa HCPCS A9539 | $175.00 | $350.00 | $0.01 – $47.94 | 3 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | not published | not published | $25.98 – $25.98 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $4.00 | $8.00 | $1.60 – $2.60 | 3 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $110.00 | $220.00 | $61.49 – $98.00 | 3 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $310.00 | $620.00 | $102.48 – $140.66 | 2 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $575.44 – $917.12 | 2 |
| Tc-99m sulfur colloid HCPCS A9541 | $250.00 | $500.00 | $256.67 – $409.07 | 3 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $357.50 | $715.00 | $81.86 – $130.47 | 3 |
| Tc-99m tilmanocept diag HCPCS A9520 | $800.00 | $1,600.00 | $635.11 – $1,012.22 | 3 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $175.00 | $350.00 | $37.58 – $164.88 | 16 |
| T cells absolute cd 4 count CPT 86361 | $95.00 | $190.00 | $21.42 – $93.98 | 16 |
| T cells total count CPT 86359 | $135.00 | $270.00 | $30.18 – $132.42 | 16 |
| Team conf without pat by hc pro CPT 99368 | $87.50 | $175.00 | not published | 0 |
| Team conf w/pat by hc prof CPT 99366 | $82.50 | $165.00 | not published | 0 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $214.76 – $524.00 | 12 |
| Telavancin injection HCPCS J3095 | not published | not published | $6.38 – $18.05 | 13 |
| Telehealth original site facility fee HCPCS Q3014 | $27.50 | $55.00 | not published | 0 |
| Telethx isodose plan cplx CPT 77307 | $2,935.00 | $5,870.00 | not published | 0 |
| Telethx isodose plan simple CPT 77306 | $1,780.00 | $3,560.00 | not published | 0 |
| Temozolomide HCPCS J8700 | not published | not published | $0.27 – $1.38 | 12 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.40 – $25.40 | 13 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $29.52 – $104.74 | 13 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $437.82 | $875.63 | $157.72 – $396.33 | 13 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $2,396.11 – $3,818.81 | 3 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | not published | not published | $1.41 – $5.23 | 12 |
| Teriparatide injection HCPCS J3110 | not published | not published | $48.32 – $77.01 | 3 |
| Tert gene targeted seq alys CPT 81345 | $335.00 | $670.00 | $148.16 – $649.97 | 16 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $4.81 – $21.09 | 16 |
| Test for porphobilinogen CPT 84106 | not published | not published | $4.66 – $20.44 | 16 |
| Test for urine cystines CPT 82615 | not published | not published | $7.64 – $33.52 | 16 |
| Testicular imaging w/vasc flow CPT 78761 | $1,080.00 | $2,160.00 | not published | 0 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $100.93 – $160.86 | 3 |
| Testosterone response panel CPT 80414 | not published | not published | $41.31 – $181.23 | 16 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $1.92 – $4.68 | 13 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $60.00 | $120.00 | $113.64 – $113.64 | 1 |
| Test stress cardiovascular tracing only CPT 93017 | $995.00 | $1,990.00 | not published | 0 |
| Test urine for lactose CPT 83633 | not published | not published | $9.00 – $39.48 | 16 |
| Test urine for porphyrins CPT 84119 | not published | not published | $10.69 – $46.88 | 16 |
| Test urine urobilinogen CPT 84578 | not published | not published | $3.58 – $15.69 | 16 |
| Tetanus ig im CPT 90389 | not published | not published | $649.17 – $1,090.61 | 3 |
| Tetanus immune globulin inj HCPCS J1670 | not published | not published | $572.07 – $1,395.85 | 13 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $17.77 – $44.30 | 12 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $109.60 – $480.81 | 16 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $607.62 – $2,460.88 | 14 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $3,505.00 | $7,010.00 | $2,335.68 – $9,459.50 | 14 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $478.33 – $1,937.23 | 14 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $317.34 – $317.34 | 1 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $317.34 – $317.34 | 1 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $317.34 – $317.34 | 1 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $100.68 – $100.68 | 1 |
| Theophylline therapeutic drug level CPT 80198 | $92.50 | $185.00 | $11.31 – $49.63 | 16 |
| Therapeutic procd strg endur HCPCS G0237 | $65.00 | $130.00 | not published | 0 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $57.50 | $115.00 | not published | 0 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $50.00 | $100.00 | not published | 0 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $322.50 | $645.00 | not published | 0 |
| Ther/proph/diag inj ia CPT 96373 | $87.50 | $175.00 | not published | 0 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $16.66 | $33.31 | $1.76 – $4.82 | 12 |
| Thiethylperazine maleate inj HCPCS J3280 | not published | not published | $5.94 – $7.14 | 2 |
| Thiotepa injection HCPCS J9340 | not published | not published | $209.02 – $541.08 | 12 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,150.00 | $2,300.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $3,610.00 | $7,220.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $10,255.00 | $20,510.00 | 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.